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Ophthalmologica Indonesiana
Published by Perhimpunan Dokter Spesialis Mata Indonesia
ISSN : 01261193     EISSN : 2460545X     DOI : 10.35749
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Ophthalmologica Indonesiana is an open accessed online journal and comprehensive peer-reviewed ophthalmologist journal published by the Indonesian Ophthalmologist Association / Perhimpunan Dokter Spesialis Mata (PERDAMI). Our main mission is to encourage the important science in the clinical area of the ophthalmology field. We welcome authors for original articles (research), review articles, interesting case reports, special articles, clinical practices, and medical illustrations that focus on the clinical area of ophthalmology medicine.
Arjuna Subject : Kedokteran - Ophthalmology
Articles 869 Documents
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A Five-Year Study of Cicatricial Entropion at Kirana Eye Hospital: Clinical Characteristics and Surgical Outcomes Yunia Irawati; Bachtiar Wicaksono; Carennia Paramita
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100161

Abstract

Purpose: Cicatricial entropion is an inward turning of eyelid margin caused by scarring tissue of the posterior lamella. The chronic damage of cicatricial entropion can irritate the ocular surface and harm the cornea. Proper reconstructive surgery techniques are needed to prevent further damage and visual impairment. This retrospective study was done to evaluate the clinical characteristics of cicatricial entropion and surgical outcomes to repair entropion at Kirana Eye Hospital, dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Methods: Records of all patients with cicatricial entropion who underwent surgical repair between January 2012 and December 2017 were reviewed retrospectively. Variables include basic and clinical characteristics, and surgical outcomes were recorded and analysed. Results: A hundred and twenty-two eyelids from 79 patients were included. Of those patients, 57% were female with mean age 51.4 years old. The laterality tendency is bilateral in 43 patients (54.4%). The most common initial complaints were foreign body sensation (35.4%). Cicatricial entropion is most commonly found on the upper eyelid (97.5%) with moderate severity. The majority of etiology is unknown but referred to chronic ocular surface inflammation in 51 eyelids (64.6%). Combined procedures were performed in most of the eyelids (79.5%). Conclusion: It is imperative that combined procedures be carried out in a moderate-severe degree cicatricial entropion. In our current study, recurrence mostly happen in patients suffering from Stevens-Johnson syndrome.
A Five-Year Data in Descriptive Study of Systemic and Ocular Risk Factors of Non-arteritic Anterior Ischemic Optic Neuropathy (NAION) and The Correlation to The Clinical Condition Syntia Nusanti; M. Sidik; Andhika Rachman; Miratasya Zulkarnaen
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100162

Abstract

Purpose: To acknowledge the demographic, clinical characteristic and the systemic and ocular risk factors in patients with Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) in 2012-2017 in Cipto Mangunkusumo Hospital. Methods: Retrospective descriptive study using the medical record data of 272 patients with NAION in the past 5 years (2012-2017). Results: In the past 5 years, most of the patient’s initial visit visual acuity was <3/60, most patient had 2-3 systemic risk factors, the most frequent risk factors were hypertension (73.9%), obesity(63.5.%), diabetes mellitus (54.6%), smoking habit (54.5%), dyslipidaemia (46%), hypercoagulable state (19%), history of cardiovascular disease (10.3%) and stroke (7.2%). The risk factors were similar in age range ? 50 or bellow. Based on the initial visit time, most of the patient came to CM hospital in average 15.16 (SD±38.3) weeks. Conclusion: This descriptive study showed classic demographic characteristic of NAION cases. Obesity as the second highest probable risk factor is rarely mention in the other studies. Should future detailed studies be done
Surgical Outcomes of Correction of Upper Eyelid Retraction in Thyroid Eye Disease Veda Charissa; Hernawita Suharko
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100163

Abstract

Purpose: to evaluate the outcome of anterior blepharotomy in correcting eyelid retraction in patients with Thyroid Eye Disease (TED). Methods: Literature search was conducted from MEDLINE database through PubMed, Google scholar and ClinicalKey. Outcomes included margin-reflex distance, palpebral fissure height, and upper eyelid margin-superior limbus distance. Results: Sixteen articles were reviewed with a mean follow-up time in the studies varied, ranging from 6 to 61 months. The preoperative and postoperative mean MRDs varied. Although there were different success criteria, success rate for full thickness blepharotomy ranged from 59-93%, comparable with levator recession. The complication rates in 14 studies were less than 20%. Conclusion: Full thickness anterior blepharotomy and Müller muscle and levator recession, are safe and effective in correcting upper eyelid retraction in patients with TED. The anterior blepharotomy is a relatively quick and simple procedure.
Optical Iridectomy as An Alternative Clear Visual Axis for Peters Anomaly Laura Agnestasia; Julie Dewi i Barliana
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100164

Abstract

Introduction and objective: Peters anomaly is a rare congenital disease presented with central leukoma, iridocorneal adhesion, and with or without a cataractous lens. The presence of central leukoma will block the visual axis and lead to a disruption in normal visual development. Therefore, optical iridectomy, which can overcome the high incidence of graft failure in penetrating keratoplasty (PK), has been proposed as the alternative treatment to clear the visual axis. This study aims to show the outcome of optical iridectomy in patients with Peters’ anomaly. Method: Systematic literature searched in Pubmed, Google Scholar, and Cochrane from their inception to August 2020 was conducted using keywords “iridectomy” and “Peters’ anomaly”. Full- text articles in English that report the outcome of iridectomy in Peters’ anomaly were included, and a manual review of article bibliographies was done. Outcome measures were analyzed using the following clinical questions: indication, age, visual acuity (VA), and intraocular pressure (IOP). Result: One case series and two case reports demonstrating the use of optical iridectomy in Peters anomaly were identified. In total, 26 patients aged one week to 7.7 years received optical iridectomy to establish a clear visual axis. All studies showed an improvement in visual acuity through clinical findings, and one of the studies showed a better postoperative VA in bilateral cases. Studies showed good control of IOP. Conclusion: Optical iridectomy can be used as a safe procedure to improve visual acuity in Peters anomaly patient.
Pemeriksaan SD-OCT Pada Bidang Neuro-oftalmologi
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100165

Abstract

Neuro-oftalmologi merupakan subdivisi luas yang befokus pada hubungan kelainan neurologis dengan kelainan mata. Modalitas diagnostik pada bidang ini mencakup anamnesa yang mendalam, pemeriksaan klinis, dan pemeriksaan penunjang yang lengkap. Optical coherence tomography (OCT) merupakan salah satu modalitas penunjang yang berkembang pesat dan banyak membantu diagnosis dan terapi dalam bidang oftalmologi. Teknologi terbaru dari OCT adalah Spectral Domain OCT (SD-OCT) yang mempunyai resolusi 2-3 kali lebih jelas dan kecepatan scanning 60-110 kali lebih cepat dibanding pendahulunya berupa Time Domain OCT (TD-OCT), menghadirkan scanning yang lebih menyeluruh dan menghasilkan gambaran 3 dimensi yang hampir mendekati gambaran histologis dari tiap lapisan. SD-OCT merupakan modalitas esensial untuk mengevaluasi keutuhan neuron, mengevaluasi progresifitas penyakit dan memprediksi perbaikan visus pasca operasi pada compressive optic neuropathy, menjadikan SD-OCT mempunyai potensi besar untuk membantu penegakan diagnosis dan terapi dari berbagai macam penyakit di bidang neuro-oftalmologi.
Satisfied Result of Modified Knapp Procedure for A Rare Case of Isolated Superior Rectus Muscle Rupture Gusti Guardana; Lasmida Ruth Simatupang
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100166

Abstract

Purpose: To report a successful management of strabismus after isolated superior rectus muscle rupture with modified Knapp procedure. Case Description: A 23-year-old patient with chief complain of having double vision since 6 days. He had history of falling and his right eye hit the floor. After that, he had double vision and his right eye could not move normally to the right and up gaze. Ophthalmology examination of right eye, uncorrected visual acuity was 6/12 and not improved with pinhole. He had 15 PD esotropia and right hypotropia on Hirschberg test. Right eye movement was restricted to to lateral, superotemporal and superonasal (-3 on abduction and elevation). The superior rectus muscle was barely visible at superior part of orbit. However, Computed Tomography scan showed there was not any enlargement of the extra ocular muscles. He had exploration surgery and intraoperatively the superior rectus muscle could not be identified. Surgeon decided to do modified Knapp procedure. On the third week and second month of follow up, patient did not have any complain of diplopia and no vertical and horizontal deviation. Conclusion: Isolated superior rectus muscle rupture is a rare case. A thorough patient’s history, ophthalmology and imaging technique are needed to establish the etiology. Modified Knapp procedure gave a satisfied result in this case to treat the esotropia and hypotropia.
AUROLAB AQUEOUS DRAINAGE IMPLANT IN YOUNG ADULT WITH NEOVASCULAR GLAUCOMA AND TUBERCULOSIS HISTORY: A CASE REPORT Barii Hafidh Pramono; Masitha Dewi Sari; Aslim D. Sihotang
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v49i1.100170

Abstract

Introduction: Neovascular glaucoma (NVG) is historically known as rubeotic glaucoma, from “rubeosis iridis” that refers to the iris neovascularization. One of several causes that lead to rubeosis iridis is changes in Pigment Epithelium-Derived Growth Factor (PEDF) that may be caused by Mycobacterium tuberculosis. The influence of NVG may cause intraocular pressure (IOP) to rise rapidly. It can be decreased by Aurolab Aqueous Drainage Implant (AADI). Case Report: A 34-year-old male complained of left eye pain and sudden decreased vision for the past 2 months. He had been diagnosed with tuberculosis since 8 months ago. The patient’s blood pressure, blood sugar, cholesterol, and triglycerides were within normal limit. Diabetes Mellitus (-). Human Immunodeficiency Virus (-). Visual acuity of left eye was hand movement. The pupil was dilated and non-reactive, anterior chamber depth is shallow, and rubeosis iridis (+). IOP is 60 mmHg. Medical management was failed to decrease the IOP. Funduscopy image showed cup-disc ratio was 0,7. Ganglion cell complex parameters showed 80,91. On the next day after AADI implantation surgery, the patient’s left eye IOP was reduced to 10 mmHg. On the 14th day post operative visual acuity was 2 meter counting finger. The anterior segment of the conjunctiva bulbi was hyperemic and conjunctival injection was reduced. The camera oculi anterior showed remainder of the implant. In the iris, rubeosis iridis disappeared, pupil was dilated, IOP was increased to 12 mmHg Discussion: Neovascular glaucoma was caused by the growth of the fibrovascular membrane on the surface of the iris and the anterior chamber angle. The three most common causes of neovascular glaucoma were diabetes mellitus, central retinal vein occlusion, and carotid artery occlusion. Conclusion:AADI is a safe and effective option for patients with neovascular glaucoma following tuberculosis.
THE MANAGEMENT OF CICATRICIAL ECTROPION CAUSED BY BURN INJURY: A CASE REPORT Okiningtyas Kun Cahyandari; Doemilah, Ratna
Majalah Oftalmologi Indonesia Vol 50 No 1 (2024): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/813wfd95

Abstract

Introduction: Eyelid reconstruction in cicatricial ectropion caused by facial burns represents a surgical challange. Surgical management consists in correcting the lid defect often associated with a skin graft and lid tightening. Case Description: a 18-years-old man was referred because suffered cicatricial ectropion on superior-inferior eyelid of right eye after got burn injury 4 months before come to our outclinic, with cicatricial tissue on 50% on right face after facial burns. Ocular examination revealed a visual acuity 20/20 on both eyes, lagophthalmos but a good Bell’s phenomenon, and diffused ectropion on the eyelid of right eye. Reconstruction was made a release contracture tissue, lid tightening and full thickness skin grafts from donor site which recommended from supraclavicular 60 x 30 mm for superior eyelid and 50 x 40 mm for inferior eyelid, place the graft and fix it with a bolster and Frozt suture. We follow up the patient, 1 day, 1 week, and 6 months post operation. Discussion: Major issues when addresing cicatricial ectropion followed by severe burns are : right donor site selection, slightly oversized graft allowed for some contraction and full eyelid closure. For further plan is consultation to plastic surgery to manage other cicatricial tissue of part of body.   Conclusion: Reconstruction for diffused ectropion by using full thickness skin graft and lid tightening are better option for correction of cicatricial ectropion.
Management of Uveitic Glaucoma in Children with Blau syndrome Ivone Caroline; Elsa Gustianty; Andika Prahasta; R. Maula Rifada
Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v48i1.100196

Abstract

Introduction: Glaucoma in children is a condition that potentially cause blindness. Management of uveitic glaucoma is challenging because of the many mechanisms involved in its pathogenesis Purpose: To report clinical characteristic and management of uveitic glaucoma in children with Blau Syndrome. Methods: A 13 years old boy came to the hospital with chief complain blurred vision in both eyes. The patient was diagnosed as Blau Syndrome one year ago. He had history of trabeculectomy on his left eye. Scalling skin and swollen joints was found on physical examination. Visual acuity was hand movement in both eyes, intraocular pressure was 34 (right) and 40 (left). Gonioscopy of the right eye was schwabe line in superior and peripheral anterior synechia in three quadrants. At the left eye, there was scleral spur in all quadrant. At the anterior segment of right eye, there was band keratopathy, posterior synechia 360 o , peripheral anterior synechia, and cataract. While at the left eye, there was bleb, band keratopathy, posterior synechia, peripheral iridotomy, and cataract. Trabeculectomy, 5 fluorouracil, synechiolysis, iris retractor, and membranectomy was performed for the right eye. Conclusion: Uveitic glaucoma in children poses a significant risk of blindness and needs an aggressive treatment to control intraocular pressure and amblyopia therapy to preserve vision.
The Comparison of Transepithelial versus Conventional Photorefractive Keratectomy: Trans vs conventional PRK Puspita Salfasari; Suhardjo; Indra Tri Mahayana
Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v48i1.100230

Abstract

Introduction : Photorefractive keratectomy (PRK) is the first choice in treating myopia for eyes with mildly irregular and/or thin corneas because it preserves corneal integrity. A laser-assisted method for epithelial removal, termed Transepithelial PRK (T-PRK), was introduced as an alternative to conventional PRK, which gives a smoother corneal surface than that achieved with mechanical ablation of the epithelium in conventional PRK. Objective: To compare emmetropization between patients treated with T-PRK and conventional PRK. Methods: This study was an observative comparative analytic study with case-control study design. Myopic eyes treated by T-PRK (study group) were compared with variable-adjusted eyes treated by conventional PRK (control group), from year 2015-2018 at Dr.YAP Eye Hospital Yogyakarta. Patients were divided into 3 groups based on the degree on myopia; mild (spherical minus 0-3D), moderate (4-6D), and severe (>7D). Emmetropization within 1 month follow-up and treatment time were analyzed. Results: In all of the cases reviewed, the total percentage of patients treated with T-PRK who reached emmetropization within 1 month follow-up was 21.51% (17/79 eyes), with 33.34% (9/27 eyes) in mild, 28.57% (6/21 eyes) in moderate, and 6.45% (2/31 eyes) in severe myopia group; compared to the control group which was 22.78% (18/79 eyes) (p=0.848), with 48.14% (13/27 eyes) in mild, 15% (3/20 eyes) in moderate, and 6.25% (2/32 eyes) in severe myopia group. Treatment time in the study group was relatively faster compared to the control group. Conclusions: The study group showed slightly better result in treating moderate myopia within 1 month follow-up. Treatment time was relatively faster compared to the control group.

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