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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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Low Prevalence of and Related Factors for Myopia in Primary School Children in North Maluku: Poster Presentation - Observational Study - General practitioner Sayyidati Rokhimah
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/znjc5p37

Abstract

Introduction & Objectives : Myopia is a refractive error that commonly occurs in children, and its onset usually begins during school age. Factors associated with myopia development include genetic and environmental factors. This study aims to investigate the prevalence of myopia and related factors associated with its development in primary school children in the North Wasile District, one of the most remote areas in North Maluku Province, Indonesia. Methods : A cross-sectional study was conducted from May to September 2022 in 8 primary schools in North Wasile. Children's visual acuity was examined using a Snellen or E chart, and an anterior segment examination was also performed. A questionnaire was completed by the parents of the children. Results : A total of 431 primary school children with an age range of 6–13 years and a mean age of 9.4 years participated in the study. Myopia was found in only four children (0.9%), and it was categorized as mild myopia. Among the school children, the majority had non-myopic parents (84.7%), had never watched television (54.1%), had never used mobile phones (37.6%), and spent more than 3 hours per day engaged in outdoor activities (97.7%). Conclusion : The prevalence of myopia is relatively low in primary school children in North Wasile, North Maluku. Having non-myopic parents, spending less time on near work, and spending more time engaged in outdoor activities appear to have a protective effect against myopia.
Hybrid Contact Lenses in Children: a Case Series: Poster Presentation - Case Series - Ophthalmologist ADISTI LUKMAN
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/x8y5t382

Abstract

Introduction : Refractive errors in children have experienced a significant increase in recent years. Contact lenses are a therapeutic option when spectacles can no longer provide maximum results. One of the most advanced design than suitable for children is Hybrid Contact Lenses (HCL). HCL feature a Rigid Gas Permeable (RGP) center surrounded by a soft ridge or skirt. This design enable the hard center to provide clear vision while the soft skirt offers the comfort and ease of a soft lens. However, this type of contact lens has not been widely used in Indonesia. Case Illustration : Three patients were prescribed HCL to correct their high refractive errors and amblyopia; 1. 5 years old female: OD: S-14.50 C-3.25x180 6/24 OS: S-12.5 C-3.50x10 6/24; 2. 5 years old female with anisometropia: OD: S-6.00 C-2.50x180 6/12 OS: S-0.75 C-2.000x170 6/6; 3. 8 years old male with pseudophakic eyes: OD: S-9.00 C-2.00x180 6/30 OS: S-8.00 C-2.00x175 6/30. Visual Acuity after 1 month of HCL average from 6/9 to 6/6 both eyes (BE). Discussion : In this study, we can notice several advantages of using HCL. The main outcome are significantly increased visual acuity and reduced amblyopia. HCL also has a higher comfort level compare to RGP Lenses, the soft hydrogel skirt really help the neophyte patient to ease their initial adaptation. Conclusion : Contact lenses are a mainstay of optical correction options for children with special refractive needs. Due to it's design and comfort, HCL is one of the most suitable contact lenses for children. Therefore, socialization and further introduction about this contact lens is needed.
Prosthetic Contact Lens Combined with Strabismus Surgery : Confronting Psychosocial Prejudice in Anomalous and Misaligned Eyes: Poster Presentation - Case Report - Resident PRISCILLA DWIANGGITA; Ariesanti Tri Handayani; Ni Made Ayu Surasmiati
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/j2hr6d77

Abstract

Introduction : Patients with defects in the cornea such as abnormal size, opacities as well as misalignment of the eyes may feel inferior about their physical appearance. Such patients will benefit from prosthetic contact lenses (CL) and strabismus surgery to restore anatomical appearance. The majority of patients also seek strabismus surgery for both cosmetic and psychosocial reasons along with decreased levels of anxiety and depression. Our goal not merely cosmetic, but also improving psychosocial health and quality of life. Case Illustration : We reported a 14-year-old male with complaints of white spot on his left eye and squint since birth. On ophthalmology examination, we found 45 degree esotropia with BCVA 6/6 in the right eye and 1/300 in the left eye. Corneal diameter was 10 mm and 9 mm on the right and left eye, respectively. He was diagnosed with right eye posterior embryotoxon, left eye corneal dystrophy, microcornea on both eye, congenital esotropia and deprivative amblyopia. He had developed low self-esteem due to his eyes. To enhance his appearance, left eye lateral rectus resection and medial rectus recession with adjustable suture was done to align the eye. Afterwards, brown-tinted soft contact lens with power -0.50 D, diameter 14,2 mm, and base curve 8,5 mm was given to disguise the corneal opacities and microcornea. Patient felt very satisfied with the result. Discussion : Conclusion : Prosthetic contact lens combined with strabismus surgery provides satisfactory cosmetic and psychosocial benefit with minimal complications. As clinicians, functional, cosmetic and psychosocial indications must be considered for a comprehensive management.
Microperimetric Acoustic Biofeedback Training (MABFT) in Macular Dystrophy: A Case Report: Poster Presentation - Case Report - Ophthalmologist KARMELITA SATARI; Elfa Ali Idrus; Fikri Barran
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: 10.35749/450hg883

Abstract

Introduction : Microperimetry (MP3) measures local retinal sensitivity for retinal functional assessment and uses the result for a biofeedback training exam for low vision patients. It can relocate the preferred retinal locus to the most sensitive area from central visual field diseases. This paper is to report the MABFT effect on reading speed and visual acuity in young, low-vision macular dystrophy patients. Case Illustration : A 34-year-old Caucasian male has been diagnosed with macular dystrophy since childhood. He has difficulties reading and recognizing small items at school because of his central visual field defect. He has MABFT six times a week and reading practice at home. His best corrected visual acuity improved from 1.1 to 1.0 logMAR and his reading speed from 20 to 30 wpm with spectacles. His right eye fixation became worse, but the left eye remained unstable. Clinically, it is still not significant for the patient. His near-visual acuity remains the same. Discussion : Conclusion : Microperimetric Acoustic Biofeedback Training increases reading speed and visual acuity in low vision macular dystrophy patients.
Epiblepharon Induced Anisometropic Amblyopia : Should We Treat or Observe? Poster Presentation - Case Report - Resident Syena Damara Riza Gustam; Ani Ismail
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/whd7dw39

Abstract

Introduction : Previous study reported that epiblepharon strongly associated with astigmatism. Uncorrected refractive errors are considered the most common cause of amblyopia. Amblyopia by pure anisometropia is the one with the best prognosis recovery of visual acuity. Case Illustration : A children, 9 years old complained of eye discomfort, watery eyes and difficulties in recognizing distant object. After clinical examination and investigations, the patient had visual acuity 5/60 for right eye and 6/18 for left eye was identified as epiblepharon in both eyes with corneal erosion in right eye. The patient underwent repair epiblepharon surgery for right eye and topical antibiotics for corneal erosion. At 2 months after surgery, corneal erosion completely resolved. Best corrected visual acuity 6/21 with spectacle lens S - 1.00 C - 3.00 X 180o positive crowding phenomenon, and 6/6 for left eye with S – 1.00 C - 1.00 X 180o. Topography examination show with-the-rule astigmatism. At 2 month follow up after correction, visual acuity reached 6/6 for both eyes. Discussion : Epiblepharon induced astigmatism by mechanical force of the eyelid that influences corneal contour. Long term epithelial erosion also contribute to triggers corneal curvature remodelling and induced with-the-rules astigmatism. Diopter differences for astigmatism more than 2.00 D leads to anisometropic amblyopia. Conclusion : Adequate correction after surgery is proven to recover visual acuity in amblyopia patient caused by epiblepharon
Soft Contact Lenses as a Good Option for Adolescent with Anisometropia: Poster Presentation - Case Report - Resident Widya Wira Putri; dr. Ani Ismail, SpM(K); dr. Eva Kumalasari, SpM
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/jaz7qz11

Abstract

Introduction : Anisometropia is a condition of asymmetric refraction between the two eyes. Adequate anisometropia treatment, such as SCL (Soft Contact Lens) is required to provide binocular vision, patient comfort and also adolescent’s appearance. Case Illustration : A 16 years old woman came to the RS Khusus Mata Sumatera Selatan. She complained of blurred vision since 6 years ago, and not feeling comfortable using spectacle. The ophthalmologic examination revealed that uncorrected visual acuity was 2/60 ph 6/12 for right eye and on left eye is 6/30 ph 6/7.5. Best corrected visual acuity was 6/6 using S-7.00 on the right eye and left eye was 6/6 using correction S-3.00 but she was not comfortable. The base-curve measurement of the SCL was 8.60 mm for the both eyes and the diameter was 14.2 mm. After the contact lenses attached , obtained that S-7.00 D for the right eye and S-3.00 for the left eye could reach 6/6 in both eyes, she was more comfortable wearing SCL than spectacle. Discussion : Anisometropia can cause aniseikonia which is characterized by differences in the size of the image in the two eyes. One way to reduce aniseikonia by reducing the vertex distance, soft contact lenses canbe a choices to maintain binocular vision and minimalized the aniseikonia. Contact lenses significantly improved Adolescent’s appearance and activities, which lead to an overall improvementin satisfaction with vision correction, compared using spectacle. Conclusion : SCL is one of a good option for Adolescent with anisometropia that can provide good visual acuity, and also adolescent’s appearance.
CAN RIGID GAS PERMEABLE (RGP) CONTACT LENS BE THE BEST OPTION FOR A KERATOCONUS PATIENT? Poster Presentation - Case Report - Resident DINA FATMA DWIMARTA; 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/nsh1nq94

Abstract

Introduction : Keratoconus is a condition of cone-shaped cornea caused by stromal thinning. This disorder leads to visual disturbance due to irregular astigmatism, myopia, and corneal protrusion. A severe irregular astigmatism must be corrected by rigid gas permeable (RGP) contact lenses. Case Illustration : A 29 y.o female visited Ophthalmologist Clinic Subdivision of Refraction, Contact Lens, and Low Vision in RSKMM Provinsi Sumsel, complaining of discomfort while using her current glasses. Anamnesis, physical examination, and ophthalmologic examination were carried out. The patient then was maximally corrected of her refractive status, followed by contact lenses fitting and post- fitting evaluation. Discussion : Early ophthalmologic examination showed visual acuity of 6/60 ph 6/9 on both eyes. Corneal topography evaluation confirmed pattern of bilateral keratoconus, each 78% on right eye and 87% of left eye. Best-corrected visual acuity was 6/6 using S-3.50 C-7.00 180? (right eye) and S-4.00 C-6.00 170? (left eye). RGP fitting test was carried with trial lenses of S-4.00 D for both eyes with both base curve of 7.2 mm and diameter of 9.2 mm. Over-refraction showed result of S-3.50 D (right eye) and S-3.75 D (left eye) for both eyes to reach visual acuity of 6/6 and for patient to feel comfortable. Conclusion : While some period of adaptation was needed, severe keratoconus should be treated using RGP contact lenses to achieve a better prognosis. Accurate fitting test of RGP resulting in comfortable and satisfied outcome of patient.
LOW VISION IN RETINITIS PIGMENTOSA: HOW TO ENHANCE FUNCTIONAL VISION IN PSEUDOPHAKIC PATIENT: Poster Presentation - Case Report - Resident Siti Shalihah Ramadhani Novizar; 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/rm213f77

Abstract

Introduction : Retinitis Pigmentosa (RP) could lead to various visual impairments, including decreased visual acuity, poor dark adaptation, decreased contrast sensitivity, poor color vision, visual field constriction, leading to low vision (LV). LV in RP decreases patient’s quality of life (QoL) and Independence. We aim to report a successful case of LV management in a bilateral pseudophakic patient with RP. Case Illustration : A 33-year-old man came with progressively blurred vision in both eyes (BE) that worsen 6 months ago. Ophthalmologic examination revealed his uncorrected visual acuity for right eye (RE) and left Eye (LE) was 6/60 and 4/60. The patient had cataract surgeries and IOLs implantation on BE in 2021. Funduscopic examination revealed the bone spicule appearance, blood vessel attenuation, and waxy disc pallor on BE. Humphrey's examination showed a peripheral visual field defect. Decreased contrast sensitivity and poor color vision were also found. Discussion : The patient was managed by LV aids and rehabilitation. Spectacle clarified distant and near vision with best corrected visual acuity (BCVA) 6/21 and 0.8 M on BE, photochromic lenses aided in adapting to various lighting levels and as a UV protection, and the addition of illumination and color contrast enhancement improved vision in dim light. A convex mirror to be used as a field- enhancement spotting tool. Rehabilitation enhances his head tracking, scanning, and habitual spotting skills. Improvement of QoL has been recorded using LVQoL questionnaires. Conclusion : LV management are vary based on an individual’s level of functional vision and personal preferences. Optimal LV management could enhance patient QoL and Independence.
Rigid Gas Permeable (RGP) as Keratoconus Management After Corneal Collagen Cross-Linking (CXL) Procedure: a Case Report: Poster Presentation - Case Report - Resident Miranti Laras Ayu Sanusi; Karmelita Satari; Joan Sherlone Hutabarat; Ine Renata Musa; Susanti Natalya Sirait
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/qskp3p95

Abstract

Introduction : Rigid Gas Permeable (RGP) contact lenses are the mainstay for keratoconus patients and widely used. This case report presents RGP as a management for keratoconus after Corneal Collagen Cross- Linking (CXL) procedure. Case Illustration : A 22-year-old woman diagnosed with keratoconus since eight months ago, came for vision correction. She had CXL performed on both eyes. Ophthalmologic examination revealed uncorrected visual acuity of 0.63 in the right eye (RE) and 0.08 in the left eye (LE). Her best-corrected visual acuity (BCVA) was 1.0 in the RE with -0.75 D and 0.125 in the LE with -2.00 D. Anterior segment examination of the RE was unremarkable, but the LE has Vogt’s striae and Munson's sign (Figure 1). Corneal topography for the LE showed K1 64.7D/5.2 mm, K2 68.7D/4.9 mm, and Kmean 66.7D/5.1 mm. She was fitted with trial lens of BC 5.40 and the fit was loose. She then fitted with a BC of 5.50 mm showed a good fit result. RGP contact lenses were prescribed with S -8.50, BC 5.50, and 8.6 mm diameter for her LE and combined with spectacle for her RE. Her over-refraction BCVA of the LE was 0.9. Discussion : The management goals are to improve the patient’s visual acuity and to decrease the progression. The visual acuity of this patient improved after RGP fitting. Conclusion : The combination of CXL procedure and the use of RGP effective to increase visual acuity, regularity of corneal surface, and patient satisfaction. Keratoconus should be monitored regularly to avoid possible progressivity.
THE COMPARISON BEST CORRECTION VISUAL ACQUITY (BCVA) BETWEEN SPECTACLES AND SPHERICAL RIGID GAS PERMEABLE (RGP) IN HIGH ASTIGMATISM PATIENTS: Poster Presentation - Observational Study - Resident Rino Agustian Praja; Rinda Wati
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/ste43473

Abstract

Introduction & Objective : Rigid Gas Permeable (RGP) toric contact lenses are generally considered in patients with high astigmatism, while spherical RGP contact lenses are present as an alternative option that can be used and still provide optimal results in patients with high astigmatism. Methods : A cross-sectional study was conducted at DR M Djamil Hospital Padang in January 2021 to December 2022 period. Inclusion criteria were patients who went to the eye clinic at DR M. Djamil Hospital in January 2021 to December 2022 period, patients with high astigmatism ? -2.00 D underwent correction vision with spectacles and RGP spherical contact lenses. Results best correction visual acquity (BCVA) compared between spectacles and spherical RGP contact lenses. Samples must meet the inclusion and exclusion criteria. Data is collected and analyzed using statistical applications. Results : 49 patients with high astigmatism corrected with spectacles and contact lenses showed data distribution was 15 men (30.6%) and 34 women (69.4%). Most age in the age group 20-29 years 24 people (49%). BCVA with spectacles obtained a median of 0.18 and an RGP of 0.00 based on LogMar. Mann whitney test showed significant difference between BCVA wearing glasses and RGP spherical contact lenses with a value of p = 0.006 right eye p = 0.009 left eye (p <0.005) Conclusion : Spherical RGP contact lenses can still be used in patients with high astigmatism if we don’t have toric RGP trial. Spherical RGP contact lenses show better BCVA results than spectacles in high astigmatism patients.

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