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Fairuz Rifani
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INDONESIA
Ophthalmologica Indonesiana
ISSN : 01261193     EISSN : 2460545X     DOI : 10.35749
Core Subject : 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.
Articles 869 Documents
PACK-CXL sebagai Terapi Alternatif pada Ulkus Kornea Pradistya Yudiasari; Angga Fajriansyah
Majalah Oftalmologi Indonesia Vol 49 No 2 (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.v49i2.100703

Abstract

Introduction: Corneal ulcer is a leading cause of blindness worldwide. Many of these patients did not respond to conventional treatment with topical agents. Photo Activated Chromophore for Keratitis - Corneal Cross-Linking (PACK-CXL) has been suggested to treat baterial and fungal corneal ulcer that did not respond to antimicrobial agents. Purpose : To report a case series of corneal ulcer treated with PACK-CXL as adjuvant treatment Case Report: Four eyes with corneal ulcer underwent PACK-CXL with ultraviolet-A rays and transepithelial riboflavin according to Dresden procedure. Preoperative and postoperative slit lamp examination of cornea and visual acuity assessment was done. Postoperative outcome includes objective signs like improvement in epithelialization, corneal scarring and vascularization. Result: Three eyes healed completely with scarring at 1-month follow-up. One of the patients developed desematocele in 12 days. Epithelial defect completely healed over time but one underwent amniotic membrane transplant. Responed to treatment were defined by epithelialization and scar formation. Conclusion: The corneal cross-linking has a beneficial role as an adjuvant therapy for corneal ulcer. It helps in relief of pain and healing of ulcer. PACK-CXL can be a choice of adjuvant treatment if the corneal ulcer doesn't heal using topical treatment.
MINIMALLY INVASIVE GLAUCOMA SURGERY (MIGS): COMPARISON OF TRABECULAR VERSUS SUPRACHOROIDAL ROUTE Ridho Ranovian; Widya Artini Sumantri
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.v49i1.100707

Abstract

Introduction: Because of the high rate of complications associated with traditional glaucoma filtering surgery, various research were launched to develop a new device, such as drainage channels, such as Glaucoma Drainage Devices.  Objective: To compare the efficacy and safety of trabecular route and suprachoroidal MIGS in eyes with mild to moderate glaucoma with and without cataract extraction of these two devices.  Methods: Literature search was conducted using online database such as Google Scholar, Pubmed, Survey of Ophtalmology, and Clinical Key.  Result: Since the IOP-lowering efficacy of these treatments is restricted by episcleral venous pressure, MIGS targeting the trabecular outflow system may be the best option for patients with mild-to-moderate open-angle glaucoma.  Conclusion: The implantation of trabecular iStents resulted in a considerable reduction in IOP, particularly in mild and moderate POAG. Both MIGS versions have good efficacy and safety profiles, with only minor problems like microscopic hyphema and stent blockage. Keywords: glaucoma, Minimally Invasive Glaucoma Surgery (MIGS), iStents, cypass
CORRELATION OF STRUCTURE AND FUNCTIONAL DEFECT WITH QUALITY OF LIFE IN PATIENT WITH GLAUCOMA Rahma An Nazzila, Meta; Jati, Krisna Dwi Purnomo; Ekantini, Retno; Gani, Tatang Talka
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: 10.35749/7rn3zx09

Abstract

Introduction: Glaucoma damage generally produces a characteristic change in the morphology of the optic nerve, runs progressively and permanently that cause visual changes, decreased vision, and blindness. Blindness will affect one’s dependence to get help in their daily activities. This paper investigate the correlation between VFI, BCVA, MD and RNFL thickness with the quality of life of people with glaucoma using Glaucoma Quality of Life-15 (GQL-15).                                                           Methods: A cross-sectional study conducted at the Sardjito Eye Center in April 2021. Purposive sampling used to recruit glaucoma patients who had BCVA, Visual Field examination (Humphrey Field Analyzer (HFA) 3 Carl Zeiss Meditec Inc.), and OCT ONH (Cirrus HD-OCT 5000, Carl Zeiss). Glaucoma Quality of Life-15 (GQL-15) questionnaire were used to interview the patients.                                                                               Results: Eight (32%) normotension glaucoma and 17 (68%) open angle glaucoma patients were included. Fifteen (60%) patients aged 17-40 y.o, 7 (28%) aged 41-60 y.o and 3 (12%) aged > 60 y.o were included. Majority of the samples 6 of them were unemployed (24%), 5 entrepreneurs 5 (20%) and 5 students (20%). GQL-15 score was significantly correlated with respondent's BCVA r= -0.39 (p= 0.05). However, there was no correlation between GQL-15 with RNFL r= 0.01 (p=0.94), VFI r= -0.21 (p= 0.29) and MD with r=0.09 (p= 0.66) respectively. It showed that VFI and GQL-15 has negative correlation with a correlation coefficient of -0.21 (p=0.29). Subscale score related to central and near was significantly correlated with VFI (p= 0,05) and MD (p= 0,03).                   Conclusion: There was  a significant correlation between GQL-15 subscale score of central and near vision with VFI and MD. Subjects with lower VFI and MD tend to have worse problem with central and near vision. Total GQL-15 score has a weak negative correlation with BCVA and MD. There was no correlation between GQL-15 with VFI and RNFL.
AN OVERVIEW OF REFRACTIVE ERRORS AMONG CHILDREN IN KOTA SOE DISTRICT, INDONESIA Willy Yahya; Maria Larasati Susyono
Majalah Oftalmologi Indonesia Vol 49 No 2 (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.v49i2.100724

Abstract

Introduction: Refractive error is one of the most common preventable causes of blindness in the world. Screen time and outdoor time are known as risk factors for its prevention. This study aims is to show the prevalence of children's refractive error and the difference between screen time and outdoor time. Methods: This study used a cross-sectional design to examine children's refractive error from 10 to 14 years old at five child development centers located across SoE from March 2020 to August 2021. Screen time and outdoor time data were obtained using a questionnaire, grouped into low-medium and high groups, and analyzed the differences between groups. Result: In this study, there are 429 participants with an average age of 12.65 ± 1.44 years old. The prevalence of refractive error is 9.56% and the most common error is mild myopia (43.59%). Refractive error in females is more common than in males (75.61%) and distributed in all age groups. There is no significant difference between refractive error prevalence and the amount of screen time (t 0.500; p: 0.480) and outdoor time (t: 0.944; p: 0.331). Conclusion: The most common refractive error in this study is mild myopia. There is no refractive error prevalence difference in screen time and outdoor time.
FACTORS THAT INFLUENCE SURVIVAL RATE IN EXTRAOCULAR RETINOBLASTOMA PATIENTS AT CIPTO MANGUNKUSUMO HOSPITAL : 2018 Aprina, Dwie; Barliana, Julie Dewi; Yulia, Dian Estu; Sitorus, Rita Sita
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/fvstnp93

Abstract

Introduction: Optimal therapeutic approach for extraocular retinoblastoma has not been determined. The prognosis of extraocular retinoblastoma compared with intraocular retinoblastoma remains relatively poor. The aim of our study is to describe the factors that influence the survival rate of extraocular retinoblastoma. Methods: A retrospective study. Patients diagnosed with extraocular retinoblastoma in Cipto Mangunkusumo Hospital, within 1 January to 31 December 2018 were reviewed for patient and tumor characteristic, ocular management, and patient survival. Result: During the study period, a total of  80 patients were diagnosed with retinoblastoma in our center, 41.2% had an extra-ocular extension The mean age at diagnosis was 25.57 months, with 56.7% being males. Leukocoria is the initial sign most often noticed by parents. The median lag period was 12 months. Neoadjuvant chemotherapy was performed in 96.7% of cases, that carried out an average of 3-4 cycles before enucleation/exenteration. At the end of September 2019, there were 17 deaths in our study. Overall survival was 19.82 months with a mean age of 27.6 months, whereas extraocular death time ranged from 4 months to 55 months.  Conclusion: Death was more common in patients with age at first symptom less than 24 months, bilateral retinoblastoma, lag period more than 12 months, advanced stage (IVB) and delayed therapy after proptosis more than 3 months.
VISUAL OUTCOME OF TRAUMATIC OPTIC NEUROPATHYAFTER STEROID TREATMENT IN KARIADI HOSPITAL Roosdhantia, Isnia Rahmi; Riski Prihatningtias
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: 10.35749/1hn23p60

Abstract

Introduction: The occurrence of Traumatic Optic Neuropathy (TON) often occurs in the form of head injuries resulting from traffic accidents. TON is an important cause of impaired visual function which may be improved with steroid therapy. Objective: To determine the visual outcome in patients with TON treated with steroids in Kariadi Hospital, Semarang Methods: This research was a retrospective study. Thirty patients (20 males and 10 females) with TON in ophthalmology clinic, Kariadi Hospital Semarang between Januari 2019 and December 2020. Visual acuity, contrast sensitivity and color blindness test were included data from medical record. Steroid therapy were divided into 3 groups. Intraveous steroid injection alone, intravenous steroid followed with oral steroid, and oral steroid alone. The Wilcoxon and paired-t test as comparison test of pre-post therapy in one group and friedman test as comparison test in 3 groups. Results: There were 5 cases that received intravenous steroid, 18 cases received intravenous steroid with oral steroid, and 7 cases  received oral steroid. There were difference visual acuity in intravenous steroid with oral steroid (p = 0.001), visual acuity in oral steroid (p = 0.017), and color blindness test in intravenous steroid with oral steroid in pre-post therapy groups (p = 0.036). There were no difference in visual acuity, color blindness test, and contrast sensitivity between pre-post therapy groups when compared between 3 groups (p= 0.692, p =0.368, p=0.273). Conclusion: Patients with TON had better visual outcome after treated with intravenous steroid followed with oral steroid.
VISUAL IMPROVEMENT FOLLOWING THE REMOVAL OF CHRONIC ORBITAL CAVERNOUS HEMANGIOMA Raisha Pratiwi Indrawati; M. Rinaldi Dahlan
Majalah Oftalmologi Indonesia Vol 49 No 2 (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.v49i2.100761

Abstract

Introduction: Orbital cavernous hemangioma is a benign, well-defined vascular lesion, located mainly in the intraconal space. Surgical treatment is indicated in symptomatic cases, such as proptosis or visual disturbance. This study aims to report the visual improvement of the successfully-managed chronic orbital cavernous hemangioma. Case Report: A 51-year-old man came to Cicendo Eye Hospital with chief complaint of protrusion of the right eye for seventeen years, accompanied by blurred vision two years earlier. Ophthalmological examination revealed decreased visual acuity, together with ocular movement restriction and relative afferent pupillary defect. Computed tomography (CT) scan showed a retrobulbar mass, attached to the lateral and medial rectus muscle, and shifting the optic nerve superiorly. The tumor was removed through inferior anterior orbitotomy with a transconjunctival incision, and the histopathological finding revealed a cavernous hemangioma. Follow-up examination showed improvement in the patient's condition, measured by no protrusion remaining and the achievement of best-corrected visual acuity (BCVA) of 1.0. Discussion: In the case of a benign intraorbital tumor, the orbitotomy approach should be best selected based on its anatomical location and involvement of adjacent structures. Despite the size of the tumor, chronic duration, and disturbing manifestation, improvement of visual acuity and structural appearance could be achieved if the tumor is removed correctly and the adjacent structure has not been severely damaged. Conclusion: Cavernous hemangioma is a benign lesion in which surgical treatment is indicated in symptomatic cases. The right approach of orbitotomy is needed to give a good outcome anatomically and functionally.  
NON-NECROTIZING DIFFUSE ANTERIOR SCLERITIS SEBAGAI MANIFESTASI OKULER TERISOLASI DARI LUPUS ERYTHEMATOSUS SISTEMIK: LAPORAN KASUS Kara Citra Kalandra; Rifna Lutfiamida
Majalah Oftalmologi Indonesia Vol 49 No 2 (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.v49i2.100763

Abstract

Introduction: Systemic lupus erythematosus (SLE) is an autoimmune disorder with heterogeneous clinical manifestation in numerous organ systems, including the eye. Ocular involvements have been reported in up to one-third of patients with SLE, although scleritis is considered a less common manifestation of the disease found in only about 1% of cases Case Report: A 46-year-old female patient presented with a painful right eye for 1 week. She reported having the same symptom last year which resolved without treatment. There was no known history of systemic immune-mediated diseases and no prior ocular trauma. Ophthalmological examination revealed dilatation of deep scleral vessels on the right eye. The patient tested positive for the antinuclear antibody and anti-double-stranded deoxyribonucleic acid tests. She was diagnosed with non-necrotizing diffuse anterior scleritis caused by SLE and was treated with topical prednisolone acetate and systemic methylprednisolone. After 1 week of treatment, the patient showed an improvement in ocular signs and symptoms. Discussion: Scleritis is a rare inflammatory disease usually associated with systemic immune-mediated diseases such as SLE. It can cause significant visual loss and may be life-threatening. We reported a non-necrotizing diffuse anterior subtype of scleritis presented as an isolated manifestation in SLE, which benefited from early diagnosis and treatment of corticosteroids. Conclusion: Scleritis may present as an early or isolated manifestation of systemic immune-mediated disease. Therefore, a comprehensive examination is of the essence to exclude multisystem disease and treat the underlying cause even when there is no systemic manifestation.
MANAGEMENT OF SECONDARY ANGLE-CLOSURE GLAUCOMA IN ANTERIOR SEGMENT DYSGENESIS AND ANTERIOR MICROPHTHALMOS PATIENT syifa rahmani; Maula Rifada
Majalah Oftalmologi Indonesia Vol 49 No 2 (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.v49i2.100770

Abstract

Introduction: The majority of cases of anterior segment dysgenesis (ASD) and anterior microphthalmia are known to be complicated by angle-closure glaucoma, which is also the primary cause of visual loss. Medical therapy of this secondary glaucoma is frequently ineffective, necessitating surgery. However, managing the surgery in an eye with a crowded anterior chamber is difficult. This study aimed to report the management of secondary angle-closure glaucoma in anterior segment dysgenesis and anterior micropthalmos patient. Case Report: :  A  39-year-old  woman  presented  to  Glaucoma  unit  with  chief complaint  of  pain  on  the  right  eye.  She  also  noted  blurred  vision,  redness,  and headache  approximately  seven  months  before  presentation.  The  patient  had  a history of glaucoma since 5 years old, but hadn’t regularly visit for a long time. The  visual  acuity  was  1/60  and  intraocular  pressure  (IOP)  was  45.  Anterior segment   evaluation   revealed   scleral   thinning   with   injection,   microcornea, sclerocornea,  hazy  peripheral  cornea,  iridocorneal  adhesion,  shallow  anterior chamber, iris transillumination defect and lens opacity. A-scan biometry showed normal axial length. She was diagnosed with secondary angle-closure glaucoma with anterior segment dysgenesis, anterior microphthalmia and presenile cataract of the right eye. The patient underwent combined phacotrabeculectomy, pars plana vitrectomy and intraocular lens implantation. Discussion: Surgical procedure is indicated if pharmacological therapy cannot control IOP and glaucoma progressivity, including trabeculectomy combined with cataract extraction. However, cataract extraction is more difficult in shallow anterior eye chamber because the working field is narrower and the distance between the cornea and lens is closer. Some strategies to prevent this include pars plana vitrectomy (VPP). Conclusion: Anterior  segment  dysgenesis,  though  rare,  cause  vision  loss  by glaucoma as complication. Treatment of secondary glaucoma aim to lowering IOP to halt its progression. Combined phacotrabeculectomy, pars plana vitrectomy and intraocular  lens  implantation  was  a  safe  procedure  in  this  crowded  anterior chamber eye.
 AN ATYPICAL CASE OF BILATERAL CORNEAL OPACITY: WHAT ARE THE POSSIBLE DIAGNOSIS? Zarwan, Jessica; Siregar, Astrid Mariam Khairani; Pintary, Marsha Rayfa; Widyawati, Syska; Martha, Faraby; Rhendy, Rio
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/c1s1j485

Abstract

Introduction: Corneal opacity can be divided into inflammatory and noninflammatory entities. The clinical presentation and characteristics of a corneal opacity can often help reach a diagnosis. However, atypical cases are more challenging to diagnose. This report aims to explore an atypical case of corneal opacity and the diagnostic approach through its clinical presentation. Case Report: A thirty-seven-year-old female patient had a chief complaint of gradual blurry vision in both eyes and slowly growing whitish lesions one year prior. The patient recalled a history of bilateral eye redness two years ago. The anterior segment examination and AS-OCT revealed bilateral, smooth, oedematous pearly-white elevated opacity with well-demarcated margins at the center of the cornea, with epithelial depth. The diagnosis of corneal keloid was favored, with GDLD and SND as the differential diagnosis. In local anesthesia, the patient underwent superficial keratectomy and amniotic membrane transplantation of the right eye. On one month follow-up, the patient felt an improvement in her subjective complaints with a normal appearance of the cornea. Discussion: The atypical characteristics found in our case didn’t fit a single mold, as it shared features of post- injury hypertrophic scar, degenerative, and dystrophy. We diagnosed the patient with corneal keloid caused by suspicion of subclinical infection. Although GDLD and SND were still possible, the working diagnosis was enough to warrant a therapeutic surgical removal. Conclusion: Atypical presentations make diagnosis more challenging. However, despite improvements in diagnostic modalities, signs, and symptoms remain very helpful in reaching a working diagnosis.