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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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Correlation Between Axial Length And Melatonin Serum Levels (Mel) In Teenagers With Myopia: Oral Presentation - Observational Study - Resident sefira dwi ramadhany; Fithria Aldy; Aryani Atiyatul Amra
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/wcb5yx68

Abstract

Abstract Introduction & Objectives : To determine correlation between axial length and melatonin serum levels (mel) in teenagers with myopia Methods : This research is an analytic observational with a case control design. A total of 52 subjects with myopia eyes in the study and control group. Results : The average melatonin level in the case group was 179.67 pg/mL (SD = 146.48 pg/mL) in the control group, the average was 111.56 pg/mL (SD = 48.72 pg/mL). Melatonin levels were highest in the group of subjects with severe myopia with an average of 250.36 pg/mL (SD = 304.89), moderate myopia with an average of 188.93 pg / mL (SD = 131 pg/mL), and the lowest melatonin levels in the emmetropic group with a mean of 111.56 pg/mL (SD = 48.72 pg/mL). Using the Kruskal Wallis test showed that there were differences in melatonin levels based on the degree of myopia (p = 0.278). Melatonin levels differed significantly between emmetropic subjects with mild myopia (p = 0.014), moderate myopia (p = 0.012). However, there was no difference in melatonin levels between subjects with emmetropia and severe myopia (p = 0.338) Conclusion : There was no significant correlation between melatonin levels and axial length (p = 0.401) and the degree of myopia (p = 0.055)
INTRAOCULAR PRESSURE (IOP) IN CHILDREN WITH DEVELOPMENTAL DISABILITIES IN MALANG; WHICH TYPE OF DISABILITY IS MOST AT RISK? Oral Presentation - Observational Study - Resident YURIKE MANDRASARI; Lely Retno Wulandari; Nanda Wahyu Anandita; Anny Sulistiyowati
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: 10.35749/67b5nb71

Abstract

Abstract Introduction & Objectives : Visual disabilities are the highest percentage of disabilities affecting children under five years old at about 0.17%. Childhood glaucoma affects over 300,000 children worldwide. 6.8% of Cerebral palsy children have high IOP. Developmental disabilities children require services to manage eye development. There is not much data on their eye examinations, especially IOP. This study aimed to know IOP values in children with developmental disabilities based on the type of disabilities in Malang. Methods : We measured IOP on 233 children with developmental disabilities, 6-19 years old, in 8 special education elementary schools, divided into 6 groups based on the types, namely autism, cerebral palsy, physical impairment, intellectual impairment, deafness and speech impairment, and others (with informed consent). IOP measurement using Icare Tonometer TA03, then categorized into 2 groups, normal and high IOP. Observation period 2019-2020. Results : Tonometer measurement can be done in 320 eyes of 163 children, with mean age of 11.14 years old. The mean value of IOP was 18.62 mmHg, the lowest was 9.5 mmHg, and the highest was 31.1 mmHg (SD± 3.39). Eyes with normal lOP are 245 eyes (76.6.%) mostly from intellectual impairment and high IOP are 75 eyes (23.4.%) mostly from deafness and speech impairment. Conclusion : There is a significant difference between IOP and type of developmental disability in children. Children with deafness and speech impairment have higher IOP than others, since they have high risk of ocular problems. IOP are influenced by outflow facility, aqueous humor production rate, episcleral venous pressure and uveoscleral flow rate.
QUALITY OF LIFE PERSPECTIVE CORRELATION IN CHILDREN UNDERGOING AMBLYOPIA OCCLUSION THERAPY AND THEIR PARENTS AS PROXY: Oral Presentation - Experimental Study - Resident ANDIVAN RAHMAN; MAYASARI WAHYU KUNTORINI; NINA RATNANINGSIH; FETI KARFIATI MEMED; IRAWATI IRFANI; PRIMAWITA OKTARIMA AMIRUDDIN; SESY CAESARYA
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: 10.35749/9bxcj564

Abstract

Abstract Introduction & Objectives : One of the main therapies used to treat amblyopia in the dominant eye is occlusion therapy. When used on the dominant eye during activities, eye patches can lead to quality of life issues include visual, cosmetic, and psychosocial disorders. To improve visual acuity in the suppressed eye and stop a progressive loss of visual acuity, therapy must be followed. An important factor affecting a child's compliance with occlusion therapy is parental support. Parental negativity affects children's level of support, and as a result, a decreased compliance. This research aimed to determine the relationship between quality of life and the perspectives of parents and children receiving occlusion therapy. Methods : This is a correlation study with a cross-sectional design. Fifty-one subjects were addressed in the amblyopia children's group and fifty-one subjects in the parents’ group. Every participant was directly interviewed. Correlation analysis was used to assess the relationship between the results of interviews with children and their parents. Results : There is a decrease in the quality of life in children undergoing therapy, both from the perspective of the child and their parents. The decline in the quality of life that occurs in children is not as low as parents think. The results of the questionnaires for the children and their parents in total demonstrated a significant correlation (p = 0.0001) and a moderately positive correlation (R = 0.598). Conclusion : There is a positive correlation between children and parents in assessing the quality of life due to occlusion therapy.
How Childhood Obesity May Be Harming Your Child’s Vision: A Systematic Review of High Myopia in Obese Children and Adolescents: Oral Presentation - Observational Study - General practitioner Ajeng Kartika; Seruni Hanna Ardhia; Marcelius Patria Prabaniswara; Sarah Shabrina; Rona Ali Badjrai
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/tnc8xh79

Abstract

Abstract Introduction & Objectives : High myopia is a severe and progressive form of myopia that can result in blindness. The prevalenceof high myopia is rising globally, and obesity has been identified as a potential risk factor, particularly in children and adolescents. This review aims to evaluate complex interplay between obesity and myopia in the young population. Methods : A systematic literature review was conducted through PubMed, Embase, and Cochrane databases using relevant keywords. Abstract-only papers, case reports/series, and review studies were excluded, and only studies published in English between 2019 - 2023 were considered. The study selection process will be presented according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram. Results : This review analyzed four studies that involved 1.326.898 participants aged between 5 to 19 years. The majority of the studies found a significant association between obesity and high myopia (p<0.05). One of the studies reported that individuals with a normal BMI have a 40% lower risk of developing high myopia compared to those who are obese. Additionally, one study found that even a slightly higher BMI value, which is not yet categorized as obesity, was significantly linked to high myopia (OR 1.19; p=0.009). Conclusion : Most of the studies showed a significant association between high myopia and higher BMI, especially in cases of obesity. However, to establish a deeper understanding of the potential link between high myopia and obesity, further studies are necessary to consolidate data from a larger population and investigate the underlying pathological pathway.
RETINOPATHY OF PREMATURITY IN TERTIARY REFERRAL EYE HOSPITAL IN INDONESIA: CHARACTERISTICS AND MANAGEMENT: Oral Presentation - Observational Study - Resident RAISHA PRATIWI INDRAWATI; Mayasari Wahyu Kuntorini; Sesy Caesarya; Primawita O. Amiruddin; Irawati Irfani; Feti Karfiati Memed
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/b067yy70

Abstract

Abstract Introduction & Objectives : Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina that occurs in premature infants. Incidence of ROP is higher in middle- and lower-income countries, including Indonesia; hence information about the characteristics of the patients is essential to make strategies regarding its management. The aim of this study is to describe the characteristics and managementof patients with retinopathy of prematurity at the National Eye Center, Cicendo Eye Hospital. Methods : Data were obtained retrospectively from medical records from January 2018 until December 2020 using ICD-10 coding for retinopathy of prematurity. Variables include demographic data, clinical characteristics, and management. Results : In total, 177 patients (340 eyes) were included in this study. Demographically, 53.7% of the patients were boys; 67.8% came from West Java; 93.2% were referred; and 85.9% were health coverage users. The mean gestational age was 29.9±2.6 weeks and the mean birth weight was 1415.6±393.1 grams. Most of the patients have bilateral conditions and already have stage 5 ROP, regardless of their gestational age and birth weight. Conservative management was given to 95.5% of stage 5 ROP patients. As many as 50% of stage 4 patients underwent pars plana vitrectomy, and 85.4% stage 3 patients were managed by laser photocoagulation. Those in earlier stages were mainly observed first. Conclusion : Patients with ROP at Cicendo Eye Hospital mostly came in the advanced stage of the disease with conservative management. Early screening, timely referral, and prompt treatment are recommended in order to prevent blindness in premature infants.
CHARACTERISTICS AND MANAGEMENT OF PEDIATRIC CATARACT AT UNIVERSITAS TANJUNGPURA HOSPITAL 2019-2021: Oral Presentation - Observational Study - Ophthalmologist MUHAMMAD ASRORUDDIN; WIWIK WINDARTI; YESSLYN YULIANTO
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/xwv84710

Abstract

Abstract Introduction & Objectives : One of the causes of blindness in children that can be treated is cataracts. The prevalence of childhood cataracts in Asia is the highest in the world at 7.43 per 10,000 children. There were 4,270 children in Indonesia who experienced blindness due to cataracts in 2017. Data on childhood cataracts in West Kalimantan is still limited. However, the prevalence of blindness in West Kalimantan is the highest in Indonesia at 1.6%. Characteristics of pediatric cataract patients need to be known to assist in diagnosis and treatment so that the risk of blindness in children can be prevented. This study is to describe cataracts in children at Universitas Tanjungpura Hospital in 2019-2021. Methods : This study used a cross-sectional descriptive design. Data collection was obtained from the medical records of pediatric cataract patients at the Universitas Tanjungpura Hospital during 2019-2021. Results : The total number of pediatric cataract patients obtained from medical records during 2019-2021 was 27 patients, consisting of 8 girls and 19 boys. Congenital cataracts were the most common cataracts (59%) and the most diagnosed age was in the 0-1 year group. Bilateral cataracts (48%) were almost as numerous as unilateral cataracts (52%). The most common visual acuity before and after surgery was fixating and following object (60%). Conclusion : Cataracts in children at Universitas Tanjungpura Hospital in 2019-2021 were dominated by congenital cataracts, diagnosis age was at 0-1 years, bilateral and unilateral, male gender, and visual acuity before and after surgery was fixating and following object.
RELATIONSHIP OF GESTATION AGE AND WEIGHT IN PREMATURE BIRTH WITH RETINOPATHY OF PREMATURITY IN A TERTIER HOSPITAL: Oral Presentation - Observational Study - Ophthalmologist ABDI ROY NABABAN; Rozalina Loebis MD; Reni Prastyani MD
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/ngw1yb22

Abstract

Abstract Introduction & Objectives : Retinopathy of Prematurity (ROP) is the leading cause of preventable blindness in these children and significantly impacts vision. It is estimated that from about 15 million infants born prematurely worldwide, around 53,000 infants are found to have vision-threatening ROP, and 20,000 infants experience severe visual impairment. This study is to determine the relationship between gestational age and body weight in preterm birth with retinopathy of prematurity. Methods : Medical records data with a diagnosis of retinopathy of prematurity were found in 385 infants treated at Dr. Soetomo Hospital from January 2016-December 2020. From 385 premature infants, 45 premature infants were found with ROP. The relevant data is then entered into the recording sheet and Microsoft Excel software and processed using SPSS 22.0 software. Results : Premature infants with ROP who were found 385 infants with 45 infants were found with ROP. Premature infants with ROP in the gestational age group >32 weeks were 10 infants (22.2%). Of 45 premature infants, 23 premature infants with birth weights less than 1500 grams. AP ROP there is also 1 infant in the weight category Conclusion : There is a relationship between gestational age at premature birth and retinopathy of prematurity. Meanwhile, birth weight was not associated with retinopathy of prematurity. In infants with a gestational age of more than 32 weeks, it is still necessary for ROP because there is still a possibility of ROP.
Binocular therapy for amblyopia in children: a systematic review and meta- analysis of randomized controlled trials: Oral Presentation - Observational Study - General practitioner Diajeng Ayesha Soeharto; Abritho Zaifar; Natassha Priscillia Wibowo; 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: 10.35749/374nnd84

Abstract

Abstract Introduction & Objectives : Concerns for low compliance and mixed outcomes with conventional deprivation therapy prompt the need to explore new modes of amblyopia treatment. Novel binocular therapy using movies or games may offer comparable outcomes with better compliance, theoretically strengthening the amblyopic eye by enhancing stereopsis. This study aims to elucidate current evidence regarding binocular therapy in comparison to conventional therapy in treating amblyopia in children. Methods : Comprehensive literature search across five electronic databases was conducted using keywords selected a priori. Randomized controlled trials (RCTs) on binocular therapy in children with amblyopia were included and critically appraised using Cochrane risk of bias tool by three reviewers. Primary outcome was improvement of amblyopic eye VA, and a meta-analysis was conducted for quantitative data analysis. Results : We included 16 RCTs eligible for inclusion with a total sample size of 1,520 patients. In comparing binocular therapy to either patching or spectacles, there was no overall significant difference in terms of VA change from baseline. Subgroup analysis suggests binocular therapy may be favorable within 2-4 weeks, although not statistically significant. Albeit subgroup analysis of video-based binocular therapy revealed significant improvement in VA compared to patching (0.39 logMAR, [0.03, 0.74], p = 0.03), yet the same was not found for game-based binocular therapy. Conclusion : Efficacy of binocular therapy as a substitute for conventional therapy in treating amblyopia is not yet substantiated. Further exploration to determine most effective treatment protocol is needed, including strategies to increase adherence. Video-based therapy shows potential for improving outcomes and warrants further investigation.
Exploring the Impact of Low-Concentration Atropine Eye Drops on the Progression of Myopia: A Systematic Review: Oral Presentation - Observational Study - General practitioner Stella Nathania; Gabriella Hafidha Badruddin; Jovita Jutamulia
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/e6r6ya10

Abstract

Abstract Introduction & Objectives : Low-concentration atropine eye drops have emerged as a promising therapy for the management of myopia. However, the effectiveness of atropine for myopia has not been widely studied. This paper aims to analyze the efficacy of low-concentration atropine eye drops for progression of myopia. Methods : A comprehensive literature search was performed on 3 online databases: PubMed, Cochrane, and ProQuest. We used 'Low-concentration atropine eye drops’, ‘Atropine’, ‘Eye Drops’, ‘Myopia’, and their MeSH terms as keywords. All studies included in analysis were available in English and full text format. We analyzed children myopia progression rates from all studies. We used Rayyan, an online-based tool, to conduct the screening process. Results : Three randomized control trials (RCTs), two cohort studies, and three case report studies with a total of 1389 participants were analyzed. Most studies were done in Asia, except one RCT in Australia. The participants range from 4-12 years old. Atropine eye drops concentrations that had been used were 0,01%, 0,025%, 0,05%, 0,1%, 0,125%, and 0,2%. All studies showed slower progression rate of myopia compared to the control group (-0,31 D vs -0,90 D; -0,05 D vs -1,05 D; -0,27 D vs -0,81 D; -0,28 D vs -0,54 D; -0,18 D vs -0,45 D;−0.31 D vs −0.76 D; -0.91 vs -1.00 D; -0,38D vs -0,55 D) with P < 0,05, except one study P = 0,94. Conclusion : Low-concentration atropine eye drops have shown promising effects in slowing progression of myopia. However, further research is needed, particularly in non-Asian countries.
CLINICAL PROFILE OF CHILDREN REFRACTIVE ERRORS IN A SECONDARY HEALTH CARE HOSPITAL OF BEKASI WEST JAVA: Oral Presentation - Observational Study - Ophthalmologist LASMIDA RUTH A SIMATUPANG
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: 10.35749/0fe7tq86

Abstract

Abstract Introduction & Objectives : The aim of this study was to study the pattern of refractive errors and its association among children visited Hermina Hospital Bekasi. Methods : A hospital based retrospective review was conducted on children visiting Ophthalmology Outpatient Clinic of Hermina Hospital Bekasi from October 2022 to February 2023. Results : A total of 104 children (208 eyes) aged 5-18 years were diagnosed with refractive errors. Mean age of presentation was 11.13±3.38 years with male to female ratio of 1:1.6. At the time of presentation, 50% children suffered from mild moderate visual impairment. Most of the children have mild (≤3.00D) refractive error (70.2%) with spherical equivalents ranged from +4.50 D to -10.00 D. Astigmatism was found in 166 eyes (79.8.%) followed by myopia (39;18.8%) and hypermetropia (3; 11.78%). Compound myopic astigmatism was the commonest type of astigmatism (131;79.4%). With regards to the age categories, 23.9% of the children aged 10-14 years had myopic spherical equivalents, compared with 13.1% of children between 5 and 9 years old. Conclusion : Refractive errors was a common diagnosis among children seen in our secondary health care hospital. Most of the children with refractive errors present with mild to moderate decrease in visual acuity and had benefited from an optical correction by glasses.

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