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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
Neuroophthalmic Manifestations and Management of Cryptococcal Meningitis in HIV-negative Pregnant Woman : A Rare Case: Poster Presentation - Case Report - Resident FARIMAH SYAKIRAH; DEVI AZRI WAHYUNI
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: 10.35749/79h96r51

Abstract

Abstract Introduction : Cryptococcal meningitis (CM) is Cryptococcus infection affecting mostly immunocompromise patients. However, immunocompetent and pregnant woman can also be affected. This condition can cause neuroophthalmic manifestations which may result in permanent vision loss or even death if not managed properly. However, literatures on neuroophthalmic manifestations and management of HIV-negative pregnant woman with CM are very scarce. Case Illustration : We present a rare case of 25 y.o. HIV-negative pregnant woman with neuroophthalmic manifestations associated with CM. The patient was consulted from neurology department with complaints of painless vision loss accompanied by diplopia, severe headache, nausea, and frequent vomitus. Ophthalmological examination showed best corrected visual acuity 20/40 in both eyes, ophthalmoplegia, and grade 4 papilledema. Lumbal puncture result was 89 cmH20. Cerebrospinal fluid (CSF) analysis showed mononuclear cells domination, increased protein, and decreased glucose. Indian ink stain showed Cryptococcus organism. Patient was given intravenous fluconazole, topical nonsteroid anti-inflammatory drug, and therapeutic lumbal punctures which result in clinical improvement. Discussion : CM can cause neuroophthalmic manifestations resulting from increase intracranial pressure (ICP) due to fungal load in arachnoid granulation which obstruct CSF outflow. The manifestations found in this patient were papilledema, ophthalmoplegia, and diplopia due to 6th nerve palsy. The management was multidisciplinary with obstetrics-gynecology and neurology department, focused in pathogen eradication and ICP management to prevent neuroophthalmic sequelae, with considerationof maternal-fetal life saving dilemma. Conclusion : Various neuroophthalmic manifestations can be involved in CM. Prompt and appropriate therapy in a rare case of HIV-negative pregnant woman with CM can decrease both maternal and fetal morbidity and mortality risk.
Navigating Through The Diagnostic and Management Maze of Atypical Optic Neuritis Due To Autoimmune: Poster Presentation - Case Report - Resident Andi Marsa Nadhira; Syntia Nusanti; Salmarezka Dewiputri; Sita Paramita; Muhammad Sidik
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/ym9gge17

Abstract

Abstract Introduction : Typical and atypical optic neuritis (ON) have many overlapping characteristics; however, atypical ON have different features, with more lasting visual impairment and devastating prognosis. This paper describes a challenging case of recurrent, atypical ON due to autoimmune. Case Illustration : 42-year-old female complained of recurrent attacks of bilateral blurry vision, eye pain, and headachefor the past two years. Patient had been on multiple rounds of high-dose oral methylprednisolone, but symptoms reappeared every time it was tapered down. Visual acuity of both eyes was 3/60 and 6/45 (without and with correction, respectively), with normal intraocular pressure, anterior and posterior segment, and cranial nerves. No relative afferent pupillary defect was present. Brain magnetic resonance imaging (MRI) revealed intracerebral chronic small vessels; with no lesion in both optic nerves nor signs of neuromyelitis optica. Blood work-up showed elevated C-reactive protein, platelet aggregation, fibrinogen, D-dimer; positive rheumatoid factor, antinuclear antibody, and lupus anticoagulant; and negative Aquaporin-4 IgG. Diagnosis of atypical ON was established. Internal medicine and neurology departments diagnosed her with non-radiographic axial spondyloarthritis and migraine due to attributed autoimmune, respectively. After administration of intravenous pulse dose of methylprednisolone, her vision recovered to 6/7,5 of both eyes and symptoms alleviated. Discussion : Atypical features usually give hints for atypical ON, while laboratory examination and imaging modalities may aid in etiology identification. Early immunosuppressant therapy is commonly required. Conclusion : Recognizing symptoms of ON and necessitating further evaluation through ancillary tests, and collaborations with other specialties can minimize long-lived ailment and improve patients’ quality of life.
Anosmia due to bilateral papillary atrophy : a case report: Poster Presentation - Case Report - Resident Anggia Dwi Kora; Dr. dr. M. Hidayat Sp.M(K)
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/tx8e1k71

Abstract

Abstract Introduction : Papillary atrophy refers to degeneration of the optic nerve, which occurs as an end result of a pathological process that damages the axons, with ophthalmoscopic observation showing pallor of the optic nerve papillae which generally accompanies permanent damage to the optic nerve. Case Illustration : It was reported that a 36 year old woman came to the polyclinic with complaints of not being able to see in both eyes since 8 months ago. Complaints of blurred vision in both eyes are followed by smell that cannot smell. This complaint has been getting worse for the past 2 weeks. On brain MRI examination, results were obtained with SOL impressions in the midline frontalis area with perifocal edema ec, suspected olfactory groove meningioma. Discussion : In this case SOL is located in the midline frontal area so that the patient complains of loss of smell sensation (anosmia). The presence of a frontal or subfrontal tumor can compress the optic tract and optic nerve together. Optic tract compression will cause anosmia. Olfactory disturbances are strongly associated with anterior cerebral fossa tumors. Conclusion : Secondary papillary atrophy is caused by increased intracranial pressure caused by a mass tumor which is preceded by papilledema signs and eventually becomes papillary atrophy, and gives a pale optic papillae with blurred boundaries. Brain CT scan examinations are important to estimate the location of the lesion.
MULTIPLE GIANT CHALAZIA IN HYPERIMMUNOGLOBULINEMIA E SYNDROME: A CASE REPORT: Poster Presentation - Case Report - Resident Lily Raudah Putri; Florentina Priscilia; Dany Petra Pranata Barus; Annisa Windyani; Muhammad Shafiq Advani; Lukman Edwar
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: 10.35749/6c6g4758

Abstract

Abstract Introduction : Hyperimmunoglobulinemia E syndrome (HIES) is a rare primary immunodeficiency disorder that manifests as elevated level of serum immunoglobulin E (IgE) higher than 1.000 IU/mL and multisystem disorder characterized by recurrent skin and pulmonary abscesses caused by autosomal dominant or recessive disorder with gene mutation. We present a case of multiple giant chalazion ina patient with HIES. Case Illustration : A 15-year-old boy was referred to Ophthalmology Department with multiple giant lumps on the left eyelid for the last 2 weeks. He had a history of recurrent multiple lumps on the left lower eyelid in the last 1 year. He was diagnosed with HIES since 8 years ago. He had normal visual acuity of both eyes. Multiple giant chalazion were observed on the left upper and lower eyelid. The patient also presented with scalp and neck infection. Laboratory studies showed elevated total serum IgE level of 53,032 IU/mL and eosinophilia. Discussion : Ocular manifestations in HIES patients are not common. Some cases reported chalazia, keratoconus, and blepharitis. Surgical incision drainage was performed in our patient. Medications and surgical intervention had produced only transient improvement. The patient was treated conservatively. Riskof chalazia recurrence remains unknown as reported cases presented with diverse clinical presentation and follow-up serum IgE evaluation is not routinely performed. Conclusion : Recurrent multiple giant chalazia may occur as an ophthalmic feature of HIES. HIES should be considered and investigated in patients presenting with recurrent giant chalazia.
AI for Little Eyes: A Systematic Review of Deep Learning in Evaluating Pediatric Cataract: Oral Presentation - Observational Study - General practitioner dr. Eric Tjoeng, MRES; DEVINS NUR ANNISA
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/h9p1qw33

Abstract

Abstract Introduction & Objectives : Pediatric or congenital cataract (CC) is a leading cause of visual impairment and blindness in children worldwide. Deep learning (DL), a subfield of artificial intelligence, has the potential to enhance diagnosis, treatment, and outcomes in various medical fields. We conducted a systematic literature review to summarise and evaluate the diagnostic and prediction capabilities of DL algorithms for CC. Methods : From 1st February to 25th March 2023, a literature search was conducted in databases such as PubMed, ScienceDirect, EMBASE, and EBSCO, as well as alternative sources such as Google Scholar. Search terms included “pediatric/congenital cataract”, “artificial intelligence", "deep learning", "convolutional neural network", “diagnosis”, "screening", "prediction" and other relevant synonyms. Quality assessment of studies were assessed based on CONSORT-AI and QUADAS-2. Outcomes extracted included accuracy, sensitivity, specificity, and area under the curve (AUC). Results : Out of 69 studies screened, five studies with different study designs, dataset sizes, and type of DL algorithms employed were included in the systematic review. Most studies employed DL to analyse slit-lamp images to diagnose CC, while one study utilised DL to predict existence of CC from several risk factors. In silico, most studies demonstrated high accuracy and validity of DL algorithms in detecting and predicting CC; however, DL algorithm is not as accurate in diagnosing CC when compared to human counterparts. These studies had limited generalizability given the homogenous population. Conclusion : DL shows potential as an adjunct tool for ophthalmologists to improve diagnosis and, therefore, treatment decisions for CC, particularly in remote and underdeveloped regions with limited medical resources.
CHANGES IN STEREOSCOPIC VISION TOWARDS STRABISMUS CORRECTION SURGERY IN DR MOHAMMAD HOESIN CENTER HOSPITAL, PALEMBANG: Oral Presentation - Experimental Study - Ophthalmologist TRI KARTIKA UTOMO; dr. Linda Trisna, Sp.M, SubSp POS
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/gpg1yk85

Abstract

Abstract Introduction & Objectives : This study aims to determine the improvement of binocular vision function after restoring the lost fusion with strabismus correction Methods : A before and after design clinical trial study was carried out at the Eye Polyclinic of the Moh. Hoesin Hospital in Palembang from June 2021 to February 2022 with a sample of 16 people. Stereoscopic vision examination was carried out with the TNO Stereo Test (Toegepast Natuurwetenschappeelijk Onderzoek) examination before and after strabismus correction was carried out. Analysis of research results with SPSS version 22.0. Results : In this study it was found that stereoscopic vision before surgery could improve significantly after strabismus correction and dichoptic training for 1 month (p<0.05) as much as 68.75%. Meanwhile, confounding factors such as the type of deviation, the magnitude of the deviation, the initial onset of the deviation and the duration of the deviation did not significantly influence the incidence of increased stereoscopic vision improvement in the study subjects (p<0.05). Conclusion : There is an increase in the value of binocular vision in strabismus patients after strabismus surgery and undergoing dichoptic vision training for 1 month. Dichoptic training can improve the function of binocular vision.
Effectiveness and Timing of Congenital Nasolacrimal Duct Obstruction Probing: a Systematic Review: Oral Presentation - Observational Study - General practitioner Kharisma Zatalini Giyani; Dewi Alya Winarto; Julie Dewi Barliana
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: 10.35749/5t0yhc19

Abstract

Abstract Introduction & Objectives : Most congenital nasolacrimal duct obstruction (NLDO) cases could resolve spontaneously or only require minimal conservative treatment. In unresolved cases, lacrimal probing is considered a primary treatment; however, no consensus on the best timing to perform probing is available. Therefore, this study aims to compare the effectiveness of immediate probing with deferred probing and to assess the best time to perform primary probing. Methods : A search for relevant literature was performed on four electronic databases: PubMed, Cochrane Library, EMBASE, and Scopus with predetermined keywords. The inclusion criteria consist of systematic reviews, RCTs, and prospective/retrospective studies published between 2013-2023 regarding lacrimal probing as an intervention for congenital NLDO. Results : We included seven studies. Three studies compared immediate and deferred probing, while four focused on the success rate of probing for NLDO at various age groups. Studies suggest immediate and deferred probing had a comparable effectivity in treating NLDO; however, one systematic review suggests immediate probing was superior to deferred probing. Studies also demonstrate that the success rate of probing declines with age. Lacrimal probing performed on NLDO patients under 12 months old had a success rate of more than 80%. Conclusion : Despite findings of comparable effectiveness between immediate and deferred probing, probing performed at a younger age yielded a higher success rate. This suggests that doctors should consider the patient's age at diagnosis to decide between immediate and deferred probing. Further evidence is needed to determine cut-offs for the best time to perform primary probing.
Evaluation of Pharmacological Activities of Piper Betle L. Extract on Bacterial Conjunctivitis Model of Wistar Rat caused by Streptococcus Pneumoniae: Oral Presentation - Experimental Study - Resident Yudhi Pratama; Taufik Ashar
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/fcs8av52

Abstract

Abstract Introduction & Objectives : Conjunctivitis is an eye infection accounted as the third leading ophthalmology cases after cataract and glaucoma globally, with Streptococcus pneumoniae as the main causes in children. Several studies had indicated that Piper betle L. extract inhibited Streptococcus pneumoniae growth. To determine and evaluation of pharmacological activities of Piper Betle L. extract on bacterial conjunctivitis model of wistar rat caused by Streptococcus Pneumoniae Methods : This study was an analytical study with true experimental design and pre-test-post-test control group. Streptococcus pneumoniae colony growth media was analyzed using Mueller Hinton agar. Streptococcus pneumoniae colony was calculated using Total Plate Count methods. Results : Sample of this study involved 30 male wistar rat aged 4 – 9 minggu. Kruskal Wallis test reveald a significant differences of Streptococcus pneumoniae colony based on the treatment group (p=0,023). Subsequent test using Posthoc revealed that there was a significant differences in Streptococcus pneumoniae colony between placebo group and group using 25% (p = 0,039) and 30% (p=0,006) piper betle. Test results also revealed that no significant difference was found between placebo group and groups using 20% piper betle (p=0,159) and ofloxacin (p=1,000). Conclusion : There was a significant difference in Streptococcus pneumoniae colony among placebo group and piper betle eyedrops 25 % and 30 % group. However, significant result among placebo group and piper betle L. 20 % and ofloxacin group were absent.
Profile of Unilateral Cataract in Pediatric Patients: A 3 Year Retrospective Study: Oral Presentation - Observational Study - Resident Lisana Himmatul Ulya; Liana Ekowati
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: 10.35749/1mq2bb58

Abstract

Abstract Introduction & Objectives : Unilateral cataract presents from 19.6% to 55.5% of pediatric cataract in children by many previous reported studies. This condition is treatable, but delayed treatment may cause visual impairment. This study aims to understand characteristic and treatment of unilateral cataract in children. Methods : The study involved a retrospective review of medical records of patients aged 0-17 years with unilateral cataract who presented to Dr. Kariadi Hospital Semarang from 2019 to 2022. Cases of cataract secondary to causes such as trauma or uveitis were excluded. Results : Thirty-five patient was included in this study, 51% of whom were male and 49% female. The mean age at presentation is 60.49  48.23 months and mean age of onset is 36.77  45.94 months. The most common presenting complaint was whitish eye (81%) while others presented with blurred vision. All the patients had leukocoria, 28% have microcornea, 3% have persistent pupillary membrane. Half of patient (51%) have strabismus, with exotropia being the most common type (34.17%). Eight patients had congenital rubella syndrome, one patient had cytomegalovirus infection while others did not have any systemic condition related to cataract. Majority of patient (17%) treated with phacoaspiration, primary posterior capsulotomy, anterior vitrectomy and intraocular lens implantation. Intraocular lens was implanted in 71% patient and 54% patients given spectacles. Conclusion : Unilateral cataract is disease with isolated and sporadic incident. The majority of patients did not have systemic condition related to unilateral cataract. The most common treatment is phacoaspiration, primary posterior capsulotomy, anterior vitrectomy and intraocular lens implantation.
THE RELATION BETWEEN SMARTPHONE USAGE IN CHANGES OF OCULAR BIOMETRY COMPONENTS AND REFRACTION AMONG ELEMENTARY SCHOOL CHILDREN: Oral Presentation - Observational Study - Ophthalmologist MARCO ANGELO LIWAN; MARLYANTI NUR RAHMAH; HABIBAH SETYAWATI MUHIDDIN; FIRDAUS KASIM; NOOR SYAMSU; AHMAD ASHRAF AMALIUS
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: 10.35749/58hn1993

Abstract

Abstract Introduction & Objectives : Digital media is currently being increasingly used in recent years. The development of the visual system begins as soon as a child is born through visual stimulation and interaction with the environment that develops comprehensively with the general development of children. Smartphone usage affects eye developmental process. Explain the effect of ocular biometry components and refraction change in elementary school children due to duration of smartphone usage Methods : A one-year cohort prospective study was taken on 6-8-year-old children in the selected elementary school in South Sulawesi, Indonesia divided into two groups focused on the duration of smartphone usage and its relationship to changes in ocular biometric components and refraction. Results : The ocular biometry will develop in 6 and 12 months. The axial length, corneal diameter, keratometry, central corneal thickness, anterior chamber depth increased, spherical equivalent experienced a myopic shift, while the lens thickness decreased. Smartphone usage of more 3 hours had a significant difference compared to smartphone usage less than 3 hours in changes in the axial length of the eyeballs at 6 and 12 months, spherical equivalent on examination 12 (p<0.05), while other tests were not significant (p>0.05). Conclusion : Smartphone usage more than three hours per day will cause a significant change in ocular biometry and refraction