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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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Corneal and conjunctival foreign bodies caused by a firecracker at RSUD Panembahan Senopati Bantul: Poster Presentation - Case Report - General practitioner Layli nur arniati; Sekar Harry Satyawati
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: 10.35749/8m051141

Abstract

Introduction : The majority of firecracker ocular injuries occur under the age of 20 years. The most common injuries were lid injuries, corneal abrasions, and superficial foreign bodies. Case Illustration : An 11-year-old patient came to the Emergency Room with redness, pain, and decreased vision in both eyes. The patient was hit by a firecracker an hour before. The visual acuity in the right and left eyes were 0.2 and 0.8. There were several red spots on his face, body and multiple foreign bodies on the superficial cornea and conjunctiva of both eyes. Irrigation with Ringer Lactate solution was done immediately followed by extraction of multiple foreign bodies under local anesthesia on the next day. Medical therapy consists of topical antibiotics, Atropine Sulphate and artificial tears were given. Discussion : Firecracker ocular injury has many symptoms, such as redness (100%), pain (97%), watering (86%), reduced vision (77%), and foreign body sensation (12%). In this case, we found all the clinical signs. The management of ocular foreign bodies caused by firecrackers could be conservative. This includes irrigation, topical antibiotics, and removal of ocular foreign bodies which should be done within 24 hours after the injury. In this case, we did all the treatment. Due to an incooperative patient, removal of corneal and conjunctival foreign bodies was done in 24 hours for the right eye and 48 hours for the left eye. Conclusion : Firecracker ocular injury can have serious consequences for ocular morbidity and visual acuity. Prompt diagnosis and meticulous management can prevent devastating sequelae.
MANAGEMENT APPROACH OF LOW VISION IN RETINITIS PIGMENTOSA: WHAT SHOULD WE DO? Poster Presentation - Case Report - Resident Novi Auliya Dewi; Ani Ismail; Eva Kumalasari
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/fq3vna15

Abstract

Introduction : Retinitis pigmentosa is a chronic and progressive disease throughout patient’s life. Management low vision in retinitis pigmentosa patients are to maximize their remaining vision and provision of visual aids, it can be financial dan social burden. Case Illustration : A 56-year-old man came with blurred vision in his both eyes for 12 years. The patient had cataract surgeries and IOLs implantation in 2022. Ophthalmologic examination revealed the right eye was 4/40 and the left eye was 3/60. Funduscopic examination revealed the bone spicule appearance, blood vessel attenuation, and waxy disc pallor in both eyes. Contrast sensitivity test decreased and Farnsworth hue test showed mild to severe. Humphrey visual field examination showed peripheral visual field defect, therefore patient diagnosed with low vision caused by retinitis pigmentosa with bilateral pseudophakia and his Low Vision Quality of Life was intermediate. Discussion : Treatment includes pharmacological treatment with supplementation, optical or non-optical treatment, and rehabilitation. Spectacles clarified distant and near vision with Best Corrected Visual Acuity 6/30 with photochromic lenses, for adapting the light and gave addition lens +5.00 in both eyes. Rehabilitation enhances his head tracking, scanning, and habitual spotting skills. Lighting and typoscope would help his daily reading activities as well. Conclusion : Low vision requires several management approach, patient with visual impairment can get low vision aids to optimize his visual function based on his needs. Managing low vision in patient with visual impairment has to be considered from multiple aspects.
Corneal Rigid Gas Permeable Contact Lens in Corneal Scarring: a Case Report: Poster Presentation - Case Report - Resident Regina Ivanovna; Umar Mardianto
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: 10.35749/15qnvb79

Abstract

Introduction : Corneal scarring is part of corneal wound healing response to injury, surgery, or infection to the cornea. Corneal scarring causes significant visual reduction. This case report highlights visual acuity (VA) improvement in patient with corneal scarring following rigid glass permeable contact lens (RGP-CL) Case Illustration : A 25 year-old male presented blurry vision in right eye (RE) due to trauma. His VA was 3/60 on RE and 6/6 on left eye (LE). The best corrected visual acuity (BCVA) of RE was 6/45 (S-1.25 C-5.00 X 180°). Slit lamp examination of RE showed corneal scarring in central area and deep neovascularization. Keratometry readings obtained 39.50D (8.48mm) at 170 degree and vertical curvature of 44.00D (7.68mm) at 80 degree, with markedly irregular mires of RE. A trial fitting was performed for RE by using tisilfocon A lens with base curve of 8.30 mm, power S-4.00D and diameter 9.20 mm. The over-refraction with trial lens obtained a total refractive error of S-6.00 with cylindrical correction neutralize with RGP. The achieved BCVA by over-refraction was 6/45 with comfortable fit. Discussion : Rigid permeable lens (RGP) is an option in dealing with irregular astigmatism due to corneal scarring. The RGP fitting works best especially when the corneal scarring is not in the center of visual pathway. Rigid lens works by providing tear-lens power and creating smooth surface to neutralize the irregular cornea. Good RGP-CL fitting could help patient with corneal carring gain better VA. Conclusion : Good rigid permeable contact lens fitting could help patients with corneal scarring gain better VA.
The Outcome of O-shape and Y-shape Nd:YAG Laser Capsulotomy in Patients with Posterior Capsule Opacification: Poster Presentation - Observational Study - General practitioner Daniel Atnil; Yoseph Siahaan
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/e1jbqh05

Abstract

Introduction & Objectives : Neodymium:yttrium-aluminium-garnet (Nd:YAG) laser capsulotomy is the method of choice in secondary cataract. Nd:YAG laser capsulotomy is a safe and effective method in treating decreased visual acuity. This study was conducted to determine the outcomes of Nd:YAG laser capsulotomy with O shape and Y shape in patients with posterior capsule opacification. Methods : This descriptive study was conducted in Siloam Karawaci General Hospital from February – March 2023. We included all patients with posterior capsule opacification who underwent Nd:YAG laser capsulotomy. The outcome included pre- and post-procedure uncorrected visual acuity (UCVA) after 1 week follow-up. Results : A total of six eyes from five patients (two men, three women) were included in this study. Three subjects underwent Nd:YAG laser with O-shape and three subjects with Y-shape. All subjects with O- shape had improved UCVA (0.7 to 1.0; 0.2 to 0.5; 0.5 to 0.8). Meanwhile, all subjects with Y-shape also had improved UCVA (0.2 to 0.5; 0.2 to 0.3; 0.5 to 0.7). No subjective symptoms reported following capsulotomy procedure in all patients. Conclusion : Nd:YAG laser posterior capsulotomy with O shape provided better UCVA than Y shape.
Conjunctival flap surgery for traumatic corneal ulcers: Poster Presentation - Case Report - General practitioner Anisa Fitri; Yetrina
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/jzagkb07

Abstract

Introduction : Trauma was the most common risk factor for corneal ulcers and blindness. Death of corneal tissue due to loss of part of the surface of the cornea is called a corneal ulcer. Conjunctival flap (CF) surgery has an acknowledged role in assuring a stable ocular surface and repressing inflammation in compromised corneas or eyes with reduced visual potential. Case Illustration : 26-year- old male patient came to the Chasan Boesorie Ternate Hospital polyclinic with pain in the left eye after splash cement 3 days before being admitted to the hospital. The left eye is runny, feels itchy, looks red and like there is a block and glare. On ophthalmology status there was a visual acuity OD 6/6, OS 1/300, OS cloudy cornea, hypopion, prolapse of iris and central corneal ulcer with a size of ± 2 x 1 mm. Discussion : The remaining flaps were performed for corneal perforation, graft rejection, bullous keratopathy, and secondary corneal edema. Conjunctival flaps have previously proven to be effective in preserving the globe for individuals with severe ocular surface disease. The flaps promote nutrition, metabolism, structure, and vascularity, as well as reduce pain, irritation, inflammation, and infection. After 6 weeks of surgery visual acuity become better, OS 20/200. Conclusion : Conjunctival flap surgery is an important and useful surgical option of ocular surface disease, especially recalcitrant infectious keratitis and corneal ulcers, particularly in nonresponsive and some perforated cases. CF procedure went well, provides mechanical support for corneal wound healing with good visual outcomes on the patient.
Low Vision Management in Chronic Glaucoma: Poster Presentation - Case Report - Resident Muhammad Fahmi; Ani Ismail; Eva Kumalasari
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/c6kpx754

Abstract

Introduction : Glaucoma is a group of progressive optic neuropathy corresponding to peripheral vision loss, causing severe visual impairment to blindness. Low vision is a person who has the best visual acuity in the best eye of 6/18 to light perception or with a visual field of <10 degrees from the fixation point, after medical, surgical, and/or optical intervention. Low vision will affect every aspect of patient’s life, hence precise management of low vision is important. Case Illustration : RY, a woman, 64 years old, works as a housewife. Complained of blurred vision slowly since 3 years ago, especially when reading. The patient then went for treatment to get glasses and was said to have glaucoma. Glaucoma surgery was performed on both patient's eyes and cataract surgery on the right eye. Now the patient’s visual acuity is 6/21 with peripheral vision loss on the right eye and NLP on the left eye. Discussion : The patient was diagnosed with Low Vision et causa Glaucoma. Treatment includes pharmacological treatment, optical and non-optical treatment to carry out daily activities so that the patient remains independent. Education must be explained to patients that there is no therapy to eliminate visual field disturbances but that the use of the remaining visual fields can be maximized. Conclusion : The goal of low vision management in this patient is to maximize central vision and provide visual aids to maximize the patient’s quality of life.
Proptosis in Adult Onset of Unilateral High Myopia Patient : A Case Report: Poster Presentation - Case Report - General practitioner Marcellina; Yoseph Siahaan
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: 10.35749/4bgtpf45

Abstract

Introduction : Unilateral high myopia is an uncommon refractive condition, because two eyes typically grow bilaterally by the same amount and resulting in symmetric myopia. Proptosis can appeared due to high axial length in myopia. Case Illustration : A 41-year-old female patient complain protruding eyeball in her left eye, gradually decrease vision, eye discomfort, and headache in her left eye since last year. There was no family history of eye disease, trauma or mass. On examination, her left eye was proptotic 3mm, best corrected visual acquity (BCVA) was 6/21 with -10.00 Sphere, and high intraocular pressure 23 mmhg. Her right eye BCVA 6/6 with -2.75 Sphere, other within normal limits. Her fundus examination showed features of high myopia and B-scan ultrasonographic showed different in axial lengths in both eyes. Orbita computerized tomography non contrast confirmed enlarge globe to posterior and proptotic in left eye. Discussion : Unilateral high myopia developing in adult onset is a rare case. It appears to be a progressive condition that have a variable age of onset. Amblyopic eye, high intraocular pressure and proptosis demonstrated as the symptoms of unilateral high myopia in this patient. Left eye proptosis confirmed by CT orbita appears secondary due to elongation anteroposterior of the globe / changesin axial components of the eye. Conclusion : High myopia can be a consideration of proptotic eye beside of mass/ tumor. Several studies to investigate patients with unilateral high myopia should be done to know the etiology and progression of the disease, thus can achieve good treatment and visual outcomes for patient.
Efficacy and safety of Orthokeratology in Moderate and High Myopia Patients at Vio Optical Clinic During Januari 2020- December 2022 : A Retrospective Study: Poster Presentation - Observational Research - Ophthalmologist WENI PUSPITASARI; Ajeng Kartika Ayu Putri
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: 10.35749/7k210520

Abstract

Introduction & Objectives : Orthokeratology (OK) lens causes flattening of the cornea to reduce refractive power temporarily. The purpose of the current study was to determine efficacy, defined in terms of refractive correction, and common adverse effects in Indonesian population. Methods : Objective: To evaluate the efficacy and safety of OK for myopia correction and visual acuity (VA) changes in moderate and high myopia patients at Vio Optical Clinic Grand Galaxy Bekasi during January 2020 – December 2022 Results : Methods: In this retrospective study, 129 eyes with moderate and high myopia met the inclusion criteria of this study. Each subject wore the lens for 8 to 9 hours while asleep. The efficacy and safety were assessed after 1, 4, and 12 weeks follow up. Result: All subjects divided into two groups: 106 eyes (82.2%) had moderate myopia and 23 eyes (17.8%) had high myopia. The median age was 18 years old (ranging from 5 - 45 years). The spherical equivalent of VA of two groups decreased significantly in 1 and 4 weeks compare to pre-lens (p<0.001). LogMar uncorrected visual acuity (UCVA) of two groups showed improvement in 1 and 4 weeks compare to pre-lens (p<0.001). There were no severe complication in moderate myopia patients. There were three subjects of corneal staining were recorded in high myopia Conclusion : This study indicates orthokeratology is a safe and effective to correct myopia. Using orthokeratology can improve UCVA within one week and one month after OK lens in moderate and high myopia patients. There were mild complication in high myopia patients.
Orthokeratology fitting in a Post LASIK Patients : A Case Report: Poster Presentation - Case Report - Ophthalmologist WENI PUSPITASARI; Ajeng Kartika Ayu Putri
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: 10.35749/291hbb39

Abstract

Introduction : Refractive surgery patients may have residual refractive eror.. Orthokeratology (OK) lenses are a less common option for correcting refractive eror in post refractive surgery patients. This case discusses OK lens as an alternative to LASIK enhancement, patient selection and fitting. Case Illustration : A 34 years old male complaint of blurred vision in both eye . He presented to our clinic with a refraction in the right eye (RE) of S -2.50 cyl -1.25 x 90 and in the the left eye (LE) of S -2.5.00 cyl -1.00 x 80. He underwent bilateral LASIK surgery 10 years ago with recalled refraction of approximately –6.00D in both eyes. Following one week of lens wear, the residual refraction of RE ?1.50 ?0.50 x 90 and LE ?1.50 ?0.50 x 80. After one month,the refraction in RE ?1.00 ?0.50 x 90 and LE ?1.00 ?0.25 x 80. Following a six months, the refraction of RE was -1.00 cyl?0.25 x 90 and-1.00 cyl -0.25x 80 in the LE. He is well satisfied with the level of uncorrected vision throughout the day Discussion : OK lenses are could be an alternative to LASIK enhancement. The good candidate for post refractive surgery in OK, there were no significant corneal irregularity, BCVA 20/20, and K’s reading between 40-46. It is recommended to wait at least 1 year post Lasik before fitting OK lenses and the process may take longer due to oblate cornea. Conclusion : OK lenses are effective alternative to LASIK enhancement. Proper patients selection are vital to achieve a satisfied patient.
RIGID GAS PERMEABLE USAGE IN AMBLYOPIC PATIENTS: IS IT SECURE ENOUGH? Poster Presentation - Case Report - Resident Septian Dwi Prabowo; Christina Aritonang
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: 10.35749/0ej6f055

Abstract

Introduction : Amblyopia and anisometropia are frequently diagnosed during preschool. Several treatments approaches are currently being prescribed to reduce myopia progression, such RGP. Case Illustration : A-17-years-old-patient came with blurry vision in both eyes since elementary school. Since Junior High School patient always felt un-comfort using spectacles and routinely check for 6 months. Initial visual acuity was 2/60 pinhole 5/30 and 4/60 pinhole 5/12 in the right and left eye. The previous spectacles were S-4.75 C-1.50 A0 become 5/20 and S-9.00 C-3.50 A0 become 5/6.5 in the right and left eye. After correction S-11.00 C-4.00 A180 become 5/6.5 and S-9.00 C-3.50 A0 become 5/6.5. Due to high myopia, RGP contact lenses were fitted. RGP contact lenses that are given to this patient were BC 8.10 mm/P -9.00D/ D 9.2mm in right eye, and BC 8.00 mm/ P -8.50D/ D 9.2mm in left eye, and visual acuity become 5/6.5 in both eyes. Discussion : Management of anisometropia can be accomplished through a variety techniques. In cases of severe anisometropia, contact lenses are frequently utilized for refractive correction such as RGP, that is produced in a larger variety of powers, can fit in a certain base curve or diameter, has high oxygen permeability, improved durability, increased contrast sensitivity, and correct higher corneal astigmatism and decreased amblyopia Conclusion : The risk-benefit and patients' low compliance haven't yet provided a definitive answer. RGP contact lens is secure and practical in the treatment of anisometropia and amblyopic patients. All of which are crucial for achieving the greatest vision and comfort possible following adaptation.

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