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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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Penetrating Keratoplasty Following Superficial Keratectomy, Amniotic Membrane Patch and Bandage Soft Contact Lenses in Band and Pseudophakic Bullous Keratopathy Rachmawati Samad; Junaedi Sirajuddin; Hasnah B. Eka
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100294

Abstract

Introduction: Band keratopathy is usually associated with chronic ocular inflammatory conditions. Recent use of combination treatments such as chelation,excimer laser,and amniotic membrane transplantation in band keratopathy management. Bullous keratopathy (BK) is a main complication of cataract surgery.The purpose of treatment are to reduce pain and improve vision when possible. Treatment depending on the severity of symptoms,cause of BK and potential for visual improvement. BK is a leading indication for keratoplasty and improvement of vision is possible only with keratoplasty. Objective: To report a case of a 64-year-old man with penetrating keratoplasty (PK) following superficial keratectomy (SK), amniotic membrane patch (AMP) and bandage soft contact lenses (BSCL) in band and pseudophakic bullous keratopathy. Case presentation: A 64-year-old man with band and pseudophakic bullous keratopathyreported with reduced vision in both the eyes (1/300 and 6/48 BCVA in the right and left eye, respectively) for past few years.SK, AMP and BSCLwas performed for ocular surface reconstruction in his right eye. One month later, he underwent a PK and3 months following surgery, the corneal graft remained transparent. Six months after the surgery, BCVA of the right eye was 6/30 with S - 3,00 refractive correction. Conclusion: Patients with band and pseudophakic bullous keratopathy can achieve visual outcomes and realise a significant improvement in corneal transparency by undergoing SK, AMP, BSCL and PK.
Trauma Kimia Okuli Roper-Hall Derajat IV Bilateral Purjanto Tepo Utomo; Amanda Nur Shinta P; Banuaji Dibyasakti; Nikolaus Erik Darmawan; Agus Supartoto
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100295

Abstract

Introduction : Ocular Chemical Trauma is an emergency case and need immediate treatment . The causes vary from work accident to abuse. Treatment is aimed to minimalize surface abbration and preserve eye normal anatomy and physiology. Case Presentation : A 31-year-old man presented with bilateral vision loss with history of unknown liquid exposure to both eyes 2 days prior. Visual acuity was light perception on the right eye and hand movement on the left eye. Ophtalmologic examination presents bilateral palpebral spasms with 3rd grade combustion, bilateral conjunctival chemosis with 360 degree limbal ischemia, lateral canthus symblepharon and bilateral corneal haze. The patient was hospitalized for 33 days. Conclusion : Ocular chemical trauma has a poor visual outcome despite an extensive treament due to damaged limbal stem cell and the following deterioration sequelae.
Blind Painful Eye Revealing Spontaneously Regressed Retinoblastoma in Young Patient Hadijah Hadijah; Halimah Pagarra; Suliati P. Amir; Andi Pratiwi
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100298

Abstract

Purpose: Spontaneous regression is a rare but well-known feature of retinoblastoma, which is predicted in approximately 2 of every 100 cases. Unilateral, unifocal spontaneous regression of retinoblastoma is infrequent; bilateral multifocal spontaneous regression of retinoblastoma is even more extraordinary. In many of the previously reported cases, the eye (or eyes) containing the spontaneously regressed tumor has been phthisical and blind. Herein, we describe the case of a young woman with unilateral, spontaneously regressed retinoblastoma (RB), with inflamed, blind, and phthisis in the left eye as an uncommon presentation of spontaneously regressed retinoblastoma Methods: This is a case report: An 18-year-old woman came to the outpatient clinic with a chief complaint of pain in the left eye since 1 month prior and a history of dysfunctional “cat’s” eye since childhood. Results: Exotropia and atrophy bulbi was noticed in the left eye. Anterior segment examination revealed signs of inflammation including conjunctival hyperemia, shallow anterior chamber, rubeosis iridis, and posterior synechia with white “chalky” mass suggestive calcification. B-scan ultrasonography showed a point like lesion and solitary solid intraocular mass with calcification in vitreus. Orbital computed tomography scan (CT-Scan) showed atrophy of the left eye with intraocular calcification without optic nerve and extraocular muscle involvement. Enucleation and histopathology examination were done and revealed undifferentiated retinoblastoma beyond the sign of metastasis in other parts of the eye. Conclusion: Blind painful eye may present as the main feature of spontaneously regressed retinoblastoma that possibly caused by an inflammatory reaction.
Extensive Primary Orbital Malignant Melanoma Associated with Nevus of Ota Mutmainah Mutmainah; Neni Anggraini; Evelina Kodrat
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100299

Abstract

Primary orbital malignant melanoma is an extremely rare condition to present alone without previous extension of choroidal or conjunctival involvement. We reported the first case of malignant orbital melanoma without ocular involvement in a patient with nevus of Ota. A 52-year-old man presented with left proptosis and extensive bluish black pigmentation on left side of the face classified as Tanino type II of nevus of Ota and left ocular melanocytosis from birth. CT scan imaging showed extensive orbital mass occupying most of the orbital space. Transconjunctival biopsy was performed and a very pigmented mass was discovered, confirming the histopathology result of malignant melanoma. The patient was given up to five cycles of chemotherapy regimen. On serial orbital CT Scan, 33% of the tumor mass has disappeared after completing three cycles.
Correlation between Autorefractometry and Retinoscopy with Subjective Refraction in Refractive Error Patients at Dr Kariadi Hospital, Semarang Disti Hardiyanti; Fatimah Dyah NA
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100302

Abstract

Objective: Refractive errors are a major cause of visual impairment in Indonesia. In Dr. Kariadi Hospital Semarang, it is amongst the top five diagnoses within the ophthalmology department. Therefore, objective refraction is imperative for the management of refractive errors. These examinations include autorefractometry and retinoscopy. Despite the fact that retinoscopy is the gold standard, autorefractometry is more desirable as it is more sophisticated, swift, and convenient. Autorefractometry's results are expected to match results from subjective correction, therefore, reduce examination time as patient visits increase. This study aims to determine the correlation between autorefractometry and retinoscopy examination with subjective refraction. Methods: The study design was cross-sectional. The study was conducted on 34 eyes with refractive error taken by consecutive sampling. The subjects had to meet inclusion and exclusion criteria. All subjects underwent visual acuity examination, refractive correction by autorefractometry, retinoscopy, and subjective refraction. All data were processed by using computerized formulations. Results: Based on the demographics there were 61.8% of women and 38.2% of men with an average age of 29.7 + 9. The results of this study showed a strong correlation between autorefractometry and subjective refraction. Furthermore, retinoscopy shows a strong correlation with subjective refraction as well. Conclusion: This study shows retinoscopy is superior to autorefractometry. However, autorefractometry is a viable replacement for patients in Dr. Kariadi Hospital Semarang.
Clinical Spectrum of Neuritis Optic Patients Receiving Intravenous Corticosteroid Treatments in Doctor Kariadi Hospital Semarang Gadis Sativa; Riski Prihatningtias
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100303

Abstract

Introduction and Objective: Optic neuritis is inflammation of the optic nerve leading to sudden loss of vision that takes place over several hours or days. Corticosteroids have been widely used in the treatment of optic neuritis due to their anti-inflammatory effects. This study aimed to retrospectively review cases of optic neuritis that have been the administration of intravenous corticosteroid treatment on visual acuity. Methods: The authors conducted a retrospective study of patients who underwent 3 days of intravenous corticosteroid therapy for neuritis optic from January 2018 to December 2018 in Kariadi Hospital. The data collected included patient demographics, onset, clinical examinations, and visual acuity. Result: The authors included 22 eyes from 16 patients who received intravenous corticosteroid treatment for 3 consecutive days during the study period. The study found a mean age of 32,91±9,32 years (18-49 years). The mean onset was 2,36±3,07 months (0,1-12 months). Ten eyes (45,5%) had positive RAPD and five eyes (22,7%) had ocular movement pain. Thirteen patients (59,1%) had papil edema in funduscopy examination. Fourteen eyes (63,6%) had visual acuity at or below 6/60 at the time of presentation. The mean visual acuity at the time of presentation was 2,45±1,79 LogMar units (Range 0,2-5,0 LogMar units). After three days of intravenous corticosteroid treatment, the mean visual acuity was 1,81±1,42 LogMar units (Range 0,1-5,0 LogMar units). The visual acuity before and after treatment were analyzed using the Wilcoxon test and gave p=0,004 as result. Conclusion: Treatment of intravenous corticosteroid commonly gave a better visual acuity on neuritis optic patients. There are no significant differences of onset and clinical examinations in intravenous corticosteroid treatment visual outcome.
Evaluasi 97 Pasien Oftalmopati Graves’ Selama 3 Tahun Menggunakan Algoritma Eugogo dan Konsensus Nasional Claudia Hartomuljono; Syntia Nusanti
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100305

Abstract

Introduction and Objective: Graves’ ophthalmopathy (GO) is an autoimmune disorder of the orbit that is closely associated with Graves’ diseases. Various classification system was proposed to evaluate clinical findings in GO. As controversy exists in assessment and management of GO there is a need to evaluate and improve diagnostic criteria using practical guideline. Methods: We retrospectively reviewed Graves’ ophthalmopathy patients admitted between 2016 – 2018 to neuro-ophthalmology clinic. Clinical manifestation, the activity, severity and management of the disease were assessed using EUGOGO scale and Clinical Activity Score (CAS). Result: A total of 97 GO patients included in the study. Male to female ratio is 1:2.7 which is highest in the age range of 30-50 years. The majority of patients have hyperthyroid status (41.2%) and bilateral clinical characteristics (77%). A total of 92 patients (94.8%) had visual acuity ?6/18. The most commonly reported clinical sign at the time of assessment is eyelid edema followed by conjunctival injection. Patients with mild EUGOGO status was entirely GO inactive while 5 active GO patients were of moderate-to-severe (4 patients) and 1 patient with sight-threatening GO. Patients with active GO received 1x500 mg of intravenous methylprednisolone for 3 days every week for 4 cycles where at the follow-up there was a significant decrease in CAS score by an average of 3-4 points. Conclusion: The EUGOGO classification system provides diagnostic guidance and appropriate management algorithms for GO patients. Administration of high-dose intravenous methylprednisolone in active GO is still the first choice of therapy.
Prevalensi dan Karakteristik Buta Warna pada Populasi Urban di Jakarta Syntia Nusanti; M. Sidik
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100307

Abstract

Purpose: To report the prevalence of color blindness in urban population in Jakarta Methods: This study is a part of the Urban Eye Health Study. Color vision examination was performed using Ishihara on adult and pediatric subjects with 6/6 vision. If incorrect reading was present, the examination was later continued by using Farnsworth Munsell Hue D 15, then proceeded with completing questionnaire. Results: The pediatric respondents in this study was 435 (6-16 years old). From that number of subjects, 5,97% of children had color blind. Meanwhile, the adult respondents (41-77 years old) in this study was 1040 with 3.26% of respondents had color blind. There were 100% of pediatric respondents diagnosed with congenital color blindness. Eighty-eight point twenty four percent of adult respondents were diagnosed with congenital color blindness while the remaining 11.76% were diagnosed with acquired color blindness. Conclusions: The prevalence of congenital color blindness in this study was 3,79%, as much as 88,24% from the adult group and 100% from the pediatric group.
Diagnostic Value of Optical Coherence Tomography and Electroretinogram in Early Detection of Ethambutol-Induced Optic Neuropathy M. Dio Syaputra; Syntia Nusanti
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100309

Abstract

Background: Ethambutol-induced optic neuropathy (EON) is one of the most compelling adverse effect of tuberculosis treatment. Recovery often occur several months after treatment discontinuation. Unfortunately, some studies noted that nearly half of patients still have permanent visual loss. Early detection before clinical symptoms appear is necessary to prevent this devastating adverse effect. Therefore, this review aims to evaluate the diagnostic value of retinal nerve fiber layer (RNFL) thickness and ganglion cell inner plexiform layer (GCIPL) thickness changes with OCT, pattern and multifocal electroretinogram (ERG) changes during ethambutol treatment as early detection of EON. Methods: A comprehensive search was conducted from electronic databases (PubMed, EBSCO, Google Scholar, and Springerlink) using relevant search terms. Articles from offline resources were also included. Included studies were selected based on predefined inclusion and exclusion criteria. Result: Three studies reported significant thinning of RNFL after ethambutol initiation. Increased RNFL thickness in patients with EON and subclinical EON found in 3 studies. Significant macular GCPIL thinning was noted in 1 study. One study reported shortening of P50 implicit time and reduced N95 wave amplitude in pattern ERG. Conclusion: Macular GCIPL thinning suggested to be the first pathological changes detected on patients with ethambutol treatment. It can be concomitant with thickening of peripapillary RNFL and followed by peripapillary RNFL thinning. Pattern ERG may reveal abnormality due to retinal ganglion cell (RGC) dysfunction before RGC loss.
Success Rate of Trabeculectomy in Secondary Glaucoma after Vitrectomy in Kariadi Hospital, Semarang, Central Java Farah Maulida; Fifin L. Rahmi; Maharani Cahyono
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100312

Abstract

Objectives: Vitrectomy with intravitreal injections of gas or silicone oil is commonly used to treat vitreoretinal diseases such as rhegmatogenous retinal detachment, tractional retinal detachment, and vitreous hemorrhage. Some of these procedure can lead to short-term elevations in intraocular pressure (IOP) and ultimately long-term glaucomatous damage if not treated in a timely manner. Trabeculectomy is a widely performed filtering surgery used in these cases. This study is aimed to define the success rate of trabeculectomy for surgical treatment of secondary glaucoma after vitrectomy in Kariadi Hospital, Semarang, Central Java. Methods: Retrospective study was conducted in secondary glaucoma after vitrectomy patient who underwent trabeculectomy from November 2014-Januari 2019 in Kariadi Hospital. The secondary data of baseline IOP, 1 week, 2 weeks, 1 month, and 3 months after trabeculectomy is obtained from medical records. Results: 19 eyes from 19 patients had mean preoperative IOP 35,56 ± 8,40 mmHg, 1 week 21,01 ± 13,83 mmHg, 2 weeks 26,09 ± 11,27 mmHg, 1 month 29,97 ± 13,45 mmHg, and 3 months 25,47 ± 13,43 mmHg. There was significant differences of IOP level in 1 week, 2 weeks, 3 months (p<0.05), and not significant in 1 month (p 0,171). Complete success rate of trabeculectomy in 1 month was 10,5% and 3 months 10,5%. Qualified success rate in 1 month was 15,8% and 3 months 42,1%. Failed in 1 month was 73,7% and 3 month 47,4%. Conclusions: Trabeculectomy in secondary glaucoma after vitrectomy has low success rate.

Page 23 of 87 | Total Record : 869

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