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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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Phacoemulsification combined with High-Frequency Deep Sclerotomy (HDFS) in Primary Open Angle Glaucoma Patients in DR. Achmad Mochtar Bukittinggi Hospital: Oral Presentation - Observational Study - Ophthalmologist YUSARDI, ROMI
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/3k7dqz13

Abstract

Introduction & ObjectivesGlaucoma is the leading cause of irreversible blindness. Phacoemulsification-trabeculectomycombined procedure is performed for cataract and glaucoma patients. High-Frequency DeepSclerotomy is a minimally invasive surgical technique to control IOP in POAG. The study aims toinvestigate whether IOP can be significantly reduced by phacoemulsification-HDFS combinedprocedure. MethodsData were collected from August 2022 to March 2023 in this retrospective non-randomized study. Atotal of 20 eyes patient had undergone phacoemulsification combined with High-Frequency DeepSclerotomy (HDFS). Intraocular pressure (IOP) was measured before and after surgery on the firstday, 1, 2, 3 weeks, and 1st month postoperatively. ResultsAfter performing phacoemulsification combined with HDFS, the IOP was reduced from 29,87 mmHgto 16,67 mmHg, which is highly significant (p< 0,001). Mild hyphema is present in 1 (5%) case afterthe procedure. ConclusionHDFS combined with phacoemulsification is a potent surgical method that significantly reduces theIOP
ACCURACY OF MEASUREMENT RESULTS ON SCHIOTZ TONOMETER TOWARDS GOLDMANN APPLANATION TONOMETER IN TYPE II DIABETES MELLITUS PATIENTS IN MOHAMMAD HOESIN HOSPITAL, PALEMBANG: Oral Presentation - Experimental Study - Ophthalmologist AN NASHER, DAMAL; Fidalia; Erial
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/zkxbj229

Abstract

Introduction & ObjectivesThe Goldmann Applanation Tonometer is now the most accurate gold standard compared to othertonometers. IOP measurement errors using the Schiotz Tonometer can be caused by ocular rigidity,where the IOP is read higher in eyes with higher ocular rigidity and vice versa. Type II DiabetesMellitus (DM) patients are at risk for increased ocular rigidity MethodsThis research is a cross-sectional study with a diagnostic test design regarding the accuracy ofintraocular pressure results on the Schiotz Tonometer against the Goldmann Applanation Tonometerin type II Diabetes Mellitus patients with 35 research samples. The research was conducted at theMohammad Hoesin Hospital in Palembang from April 2022 – September 2022 until the sample sizewas met ResultsIntraocular pressure (IOP) as measured by The average Goldmann Applanation Tonometer was 15.5± 2.4 mmHg, with a Schiotz load of 7.5 grams the average was 16.2 ± 2.3 mmHg. Ocular rigidityhad a median of 0.0242 (0.0176 – 0.0341) From the results of this study the IOP examination withthe Schiotz Tonometer had a sensitivity of 92.9%, a specificity of 80.9%, a positive predictive valueof 76.5%, a negative predictive value of 94.4% and an accuracy value of 92.3% indicating astatistically strong level of accuracy ConclusionThe Schiotz tonometer has an accuracy rate of 92.3% in examining intraocular pressure using a loadof 7.5 type II diabetes patients which can replace the Goldmann Applanation Tonometer as the goldstandard if normal ocular rigidity is found
SELECTIVE LASER TRABECULOPLASTY AS A VALUEABLE MODALITY OF TREATMENT IN OPEN ANGLE GLAUCOMA PATIENT: Oral Presentation - Observational Study - Ophthalmologist TRIANGGADEWI, DYAH PURWITA; Umbara, Sonie; Rifada, R Maula; Gustianty, Elsa; Prahasta, Andika
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/r6cq3b33

Abstract

Introduction & ObjectivesSelective Laser Trabeculoplasty (SLT) has became an established treatment to lower intraocularpressure (IOP) for open angle glaucoma (OAG) and ocular hypertension. The aim of this study was toevaluate IOP lowering effect of SLT and correlate its laser parameter to the successful rate in OAG. MethodsThis is a prospective study of seventeen eyes OAG patients in Cicendo Eye Hospital from 1stNovember 2022 to 31th December 2022. SLT performed once in OAG with uncontrolled IOP (IOP >21 mmHg). Outcome measured were IOP at post laser, 1week , 1 month, and 2 months of follow upafter SLT. Successful criteria determined as greater than 20% IOP reduction. Correlation betweensetting operational of SLT and primary outcome were measured. Student’s t-test (two-tailed,dependent) has been used to find the significance of study parameters. ResultsA total 17 eyes underwent SLT. Mean baseline IOP was 21,12 ? 4,0 mmHg. IOP was significantlydecreased from baseline post laser 18,06 ? 3,17 mmHg; at 1 week 17,06 ? 3,25 mmHg; 1 month15,53 ? 4,52 mmHg; and at 2 month follow up 15,47 ? 4,02 mmHg (p<0,001). The successful rate ofSLT after two months follow up from this study were 76,5% samples (13 eyes). Mean of total laserenergy was 75,6 ? 16,8 mJ. There was correlation between total laser energy with percentage of 1month IOP reduction (coefficient : 0,470 (p<0,029)). ConclusionSLT is effective and safe for reducing IOP in open angle glaucoma patient.
VISUAL OUTCOME BETWEEN EARLY AND DELAYED VITRECTOMY IN ENDOPHTHALMITIS PATIENTS OPERATED IN KARIADI GENERAL HOSPITAL, SEMARANG : TWO YEARS DESCRIPTIVE STUDY: Oral Presentation - Observational Research - Resident Rahmayanti, Suci; Pragnanda, Satya Hutama
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/9apdah80

Abstract

Introduction & ObjectivesEndophthalmitis is a medical emergency caused by infection of tissue or fluids inside the eyeball.Vitrectomy for endophthalmitis is one of the treatment choice and leads to VA gains in some cases.Timing of surgery and visual outcome after surgery are vital to acknowledge. This study aims toanalyze the difference of visual outcome between early and delayed vitrectomy in endophthalmitispatients operated in Dr. Kariadi General Hospital MethodsA Retrospective study held from medical record of patients with endophthalmitis underwentvitrectomy surgery from January 2021 – January 2023 in Dr. Kariadi General Hospital, Semarang.Endophthalmitis patients caused by trauma were excluded. All of the patients had immediatevitrectomy, and based on duration of symptoms, the patients were divided into two groups, earlyvitrectomy (duration of symptoms ? 7 days) and delayed vitrectomy (duration of symptoms > 7days). Independent t- test method was used to analyze the data (significant if p<0.05) ResultsTotally 30 endophthalmitis patients (30 eyes) were obtained. There were 18 patients (60%) had earlyvitrectomy and 12 patients (40%) had delayed vitrectomy. Postoperative examination showed 13(72%) patients with early vitrectomy had improved VA, and 5 (28%) had constant VA. On the otherhand, patients with delayed vitrectomy showed 5 (42%) had improved VA, 6 (50%) had constant VA,and 1 (8%) had decreased VA. The difference between two groups was significant (p=0.014) ConclusionThis study found endophthalmitis patients with early vitrectomy had significant better visualoutcome than delayed vitrectomy
THE ASSOCIATION BETWEEN ATRIAL FIBRILLATION AND CENTRAL RETINAL ARTERY OCCLUSION: A META-ANALYSIS AND SYSTEMATIC REVIEW: Oral Presentation - Observational Study - General practitioner Amelia, Yufilia Suci; Alberta, Ivana Beatrice; Angelia, Maria; Pratama, Kevin Gracia
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/qdf5xw44

Abstract

Introduction Central retinal artery occlusion (CRAO) is a condition where the central retinal artery is blocked. Atrial Fibrillation (AF) is commonly associated with retinal embolism that originates anywhere between the heart and the ophthalmic artery. This study aims to explore the incidence of AF in CRAO. Methods A systematic search was performed in three databases: Pubmed, EBSCO host, and Proquest. Newcastle-Ottawa Scale was used to assess the risk of bias in the study included. Results Our systematic review comprises six studies, 4 studies included CRAO patients as the study population and AF as the endpoint, and the other 2 studies with CRAO as the endpoint. Meta-analysis of the first group resulted in a significantly favorable AF incident after CRAO with an odds ratio (OR) of 1.46 (95% CI 1.17-1.81, p=0.0007). The second metaanalysis supports CRAO with an OR of 4.86 (95% CI 2.30-10.28, p<0.0001). Discussion Our study indicates that AF is a significant risk factor for CRAO. Extended cardiac monitoring may play a crucial diagnostic role in CRAO patients, and longer-term monitoring (23 years) may be a reasonable option as part of the diagnostic workup. Short-term monitoring alone may fail to detect a significant proportion of patients with underlying AF. Conclusions It is crucial to identify AF in preventing ocular infarction. This study revealed that AF was identified as a risk factor in patients with CRAO and vice versa.
TWO YEARS DESCRIPTIVE STUDY OF MACULAR HOLE PATIENTS OPERATED IN DR. KARIADI GENERAL HOSPITAL, SEMARANG Partomuan, Andreas Tigor; Wildan, Arief
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/8d6phz88

Abstract

Introduction & ObjectivesMacular hole (MH) is a vitreomacular interface disorder that could cause visual impairment. Clinicalcharacteristics of MH are important for predicting MH treatment outcomes. This study purpose wasto describe MH patients’ characteristics and postoperative outcomes in Dr. Kariadi Hospital. MethodsA retrospective study held on January 2021–December 2022 utilizing patients’ medical records.Preoperative data: sex, age, symptoms, duration of symptoms, origin, preoperative visual acuity(VA), modified Gass classification stage, macular hole index (MHI), and hole forming factor (HFF)were obtained. Postoperative outcomes data: postoperative VA and anatomical closure were alsocollected. Results20(20 eyes) patients were obtained, with 14(70%) female, 12(60%) aged >60 years old, 13(65%)metamorphopsia, 12(60%) central visual loss, 10(50%) preoperative VA 6/24-6/60, 10(50%) durationof symptoms <3 months, and 16(80%) idiopathic origin. OCT (Ocular Coherence Tomography)findings revealed base diameter mean was 780,7 um(+ SD 312). 13 patients (65%) stage 3 of MH,12(60%) MHI <0,5, 12(60%) HFF > 0,9. All patients underwent MH surgery procedures.Postoperative examination showed 10 patients(50%) with VA 6/6-6/20. 11(100%) with preoperativeVA>6/60, 10(100%) with duration of symptoms <3 months, 8(100%) with MHI > 0,5, and 11(100%)with HFF > 0,9 had improved visual acuity and anatomical closure. It also revealed 17(85%) hadanatomical closure. ConclusionThe most common characteristics found in MH patients were female sex, age >60 years old, anddisorder of idiopathic origin. Preoperative VA, duration of symptoms <3 months before surgery, MHI> 0,5, and HFF > 0,9 were positive prognostic factors for better postoperative functional andanatomical outcomes.
Relationship between Serum Homocysteine Levels and Manganese Superoxide Dismutase (MnSOD) on Retinal Nerve Fiber Layer (RNFL) Thickness in Diabetic Retinopathy and Non-Diabetic Retinopathy Patients: Oral Presentation - Observational Study - Resident Nurrakhmah, Rini; Delfi; Lubis, Rodiah Rahmawaty; Virgayanti, Vanda
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/w9rgsd55

Abstract

Introduction & ObjectivesDiabetic retinopathy is a visual disorder caused by abnormalities in the retina, where there is aprogressive microangiopathy characterized by damage and blockage of fine blood vessels, resultingin impaired nutrition of the retina. This study is to find out the relationship between serumhomocysteine levels and MnSOD on retinal nerve fiber layer (RNFL) thickness in diabeticretinopathy and non-diabetic retinopathy patients. MethodsThis study is an analytic observational case-control study with a total of 31 subjects for each group.3cc of venous blood samples were taken to assess the serum levels of homocysteine and MnSOD andthen analyzed by ELISA method in the integrated laboratory of the USU Medical Faculty. ResultsThere was a significant difference in Avg RNFL and Nasal RNFL thickness between the two groups(p=0.015) with the mean Avg RNFL thickness being 100.94 (SD=17.04) and the mean RNFL nasalthickness being 90.16 (SD=33.68). The highest MnSOD levels were found in non-diabeticretinopathy subjects with a mean of 142.77 (SD=101.77). There was no significant relationshipbetween homocysteine and thickness of superior RNFL (p=0.346), inferior RNFL (p=0.292),temporal RNFL (p=0.109), nasal RNFL (p=0.190). However, a significant association was foundbetween homocysteine and Avg RNFL (p=0.007). ConclusionIn the group of cases of diabetic retinopathy, a significant relationship was found between Hcy andAvg RNFL (p=0.007). An increase in serum homocysteine levels will be followed by a decrease in thethickness of the Avg RNFL.
Comparation of Bevacizumab Intravitreal Injection Effects with and without Yellow Subthreshold Micropulse Laser (577-nm) Combination on Central Macular Thickness and Best Corrected Visual Acuity of Mild-Moderate Diabetic Macular Edema Patients UTAMI, ALIA NESSA; Djatikusumo, Ari; Khoe, Levina Chandra
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/ff95wf62

Abstract

Introduction & ObjectivesThe management of macular edema is constantly evaluated, with anti-VEGF therapy being the firstline. Subthreshold micropulse laser (SML) has been proposed as alternative adjuvant. Previousretrospective studies demonstrated the effectiveness of 577-nm SML as monotherapy in macularedema with CMT below 400 ?m. However, prospective data on the effectiveness of SML as adjuvantis lacking. The aim is to assess the effect of the combination of bevacizumab and 577-nm SML lasercompared to bevacizumab monotherapy on central macular thickness and visual acuity in mildmoderatediabetic macular edema patients. MethodsA prospective randomized clinical trial was performed on diabetic macular edema patients withmacular thickness range of 300-600 ?m. Subjects are divided into two groups. The control groupreceived a standard protocol and the study group received a yellow SML laser adjuvant one weekafter injection. Patients underwent follow-up assessment of visual acuity and central macularthickness at 28 and 35 days post-injection. Results26 subjects were equally divided into study and control groups. Significant decrease in CMT werefound in study group (p=0.011 and 0.014) and the control group (p=0.006 and p=0.001). However,there was no significant difference in ?CMT values between the two groups in the 28-day (p=0.317)and 35-day controls (p=0.84). There was no difference in ?BCVA ETDRS between the study andcontrol groups at 28 days (p=0.568) and 35 days (p=0.128) after injection. ConclusionThe combination of SML and intravitreal bevacizumab can reduce central macular thickness andimprove visual acuity but there was no significant difference with standard monotherapy.
Reducing Treatment Burden for Age-Related Macular Degeneration Patients: A Systematic Review of Ranibizumab Port Delivery System: Oral Presentation - Observational Study - General practitioner Paramitha, Dewa Ayu Anggi; Putri, Ajeng Kartika Ayu; Ardhia, Seruni Hanna; Jutamulia, Jovita
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/v8vmp587

Abstract

Introduction & ObjectivesRanibizumab port delivery system (PDS) is a newly developed method that provides a continuous,long-term supply of ranibizumab into the vitreous, reducing the burden of monthly intravitrealinjection visits for neovascular age-related macular degeneration (nAMD) patients. This review aimsto evaluate the efficacy and safety of ranibizumab PDS in nAMD. MethodsAn extensive literature search was performed on 4 online databases: PubMed, Cochrane, ProQuest,and ScienceDirect. The inclusion criteria are human studies comparing ranibizumab port deliverysystem and intravitreal ranibizumab, English language, with full-text journal available. The mainoutcome measurements are best-corrected visual acuity (BCVA) in Early Treatment DiabeticRetinopathy Study (ETDRS) letters, central foveal thickness (CFT), and adverse events. ResultsTwo randomized controlled trials (RCTs) with a total of 638 adults were evaluated. At week 96,ranibizumab PDS reported observed mean BCVA changes from baseline (-1.0; +4.2; ETDRS letters)compared to monthly intravitreal ranibizumab (-1.1; +6.1; ETDRS letters). However, there was anincrease in mean CFT changes from baseline (+9.9; +22.3 vs ?1.3; ?35.8, ?m) and severe adverseevents frequency (22; 4 vs 4; 0) with ranibizumab PDS versus monthly intravitreal ranibizumab,respectively. ConclusionRanibizumab PDS showed comparable visual outcomes to intravitreal ranibizumab whiledemonstrating inferior anatomical outcomes and higher incidence of severe adverse effects. Despitethis, with fewer treatment visits required for up to 24 weeks, ranibizumab PDS can potentiallyreduce the treatment burden in nAMD patients with poor compliance. Further studies are needed toprovide better patient eligibility guidelines and recommendations for adverse event management ofranibizumab PDS.
PREVALENCE OF COLOR BLINDNESS IN ELEMENTARY SCHOOL-AGE CHILDREN PATIENTS AT KUTIME HEALTH CENTER, TOLIKARA DISTRICT, PAPUA PEGUNUNGAN: Oral Presentation - Observational Study - General practitioner Ferdiansyah, Muhammad; Lovita, Audra; Daeli, Rahmat P.
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/9s34kh57

Abstract

Introduction & ObjectivesColor blindness is a genetic disorder in the form of an inability or decreased ability to see colordifferences. Incidents of ignorance are widely reported in aspects of everyday life, such as in thelearning process, further education, and career determination. Causing disappointment in children'saspirations because it was not detected early. MethodsThis research is descriptive with cross-sectional design and total sampling technique. The sample forthis study were all pediatric patients aged 6-12 years who went to the Kutime Health Center whowere familiar with numbers and were carried out from June to December 2022. The method used apseudoisochromatic plate (Ishihara). ResultsThere were 105 children who participated in the study, while only 55 children met the inclusioncriteria. Of these, there were 32 boys (58.1%) and 23 girls (41.8%). The number of cases of colorblindness in children who went to the Kutime Health Center was 1 child (1.85%). Color blindpatients were boys (3.2%), there were no color blind girls in this study (0%). ConclusionThe prevalence rate of color blindness in the Kutime Health Center (1.85%) is still above that inPapua Province (1.39%) and nationally (0.7%). Color blindness affects more men than women,especially anyone with family history of color blindness. This research invites early detection so thatthey understand about the child's condition, the aspirations children instill can be accommodatedearlier so that there will be no disappointment regarding the choice of further education or theirfuture career.

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