Ophthalmologica Indonesiana最新文献_第10页

New Generation of Small Incision Lenticule Extraction (SMILE) Procedure for Myopic Astigmatism with High Astigmatism Value : A Case Series 新一代小切口皮瓣摘除术（SMILE）治疗高散光值的近视散光：一个病例系列

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/zeb7s487

R. Putri, Dini Dharmawidiarini, Farida Moenir, Sahata P. H. Napitupulu

{"title":"New Generation of Small Incision Lenticule Extraction (SMILE) Procedure for Myopic Astigmatism with High Astigmatism Value : A Case Series","authors":"R. Putri, Dini Dharmawidiarini, Farida Moenir, Sahata P. H. Napitupulu","doi":"10.35749/zeb7s487","DOIUrl":"https://doi.org/10.35749/zeb7s487","url":null,"abstract":"Introduction : Myopic astigmatism is a refractive disorder which could cause visual impairment especially with high astigmatism value. It affects patients’ productivity and quality of life. The management for myopic astigmatism is challenging because no consensus on the ideal method was reached. \u0000Case Illustration : Case 1: 19-year-old male with Uncorrected Visual Acuity (UCVA) 3/60 in the right eye with a manifest refraction of S-3.25 C-2.00 x 0 and 2/60 in the left eye with a manifest refraction S-5.50 C-0.50 x 0. Case 2: 18-year-old male with UCVA 3/60 in both eyes with a manifest refraction of S-3.00 C-2.25 x 5 and S-2.50 C-2.00 x 0. Case 3: 18-year-old male with UCVA 3/60 in both eyes witha manifest refraction of S-2.75 C-2.00 x 0 and S-2.50 C-2.25 x 180. Slit lamp, fundus examination, corneal topography, tomography, epithelial thickness profile, and aberrometry were within normal limits. The patients underwent SMILE using Visumax 800 Femtosecond laser with 3-4 mm incision at 120°, optical zone between 6-6.8 mm and cap thickness between 100-120 ?m. \u0000Discussion : In this case series, SMILE was chosen because studies described SMILE as an effective and safe refractive procedure compared to Femtosecond Laser-assisted in situ keratomileusis (FS-LASIK). Target refraction is emmetropia without cyclotorsion adjustment, it showed that post operative UCVA in all eyes were 6/6 using Snellen chart and none of the eyes loss the BCVA. \u0000Conclusion : New Generation of SMILE as management of myopic astigmatism with high astigmatism value shows good result improving visual outcomes.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"75 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Survival Analysis Of Dry Eye Disease Related To The Bleb Morphology In Primary Glaucoma Patient Post Trabeculectomy 小梁切除术后原发性青光眼患者干眼症与眼泡形态相关的存活率分析

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/y3sy5n51

MELISA ESTER LETARENI

{"title":"Survival Analysis Of Dry Eye Disease Related To The Bleb Morphology In Primary Glaucoma Patient Post Trabeculectomy","authors":"MELISA ESTER LETARENI","doi":"10.35749/y3sy5n51","DOIUrl":"https://doi.org/10.35749/y3sy5n51","url":null,"abstract":"Abstract \u0000Introduction & Objectives : Dry eye disease (DED) has a prevalence of approximately 40-59% of all glaucoma patients. Changes in cellular structure after trabeculectomy underlie the instability of the tear film. This study aims to determine the relationship between DED and post-trabeculectomy bleb morphology. \u0000Methods : An observational study with survival analysis design to evaluate the time to DED in primary glaucoma patients with post- trabeculectomy blebs was undertaken at the Eye Health Polyclinic of Mohammad Hoesin Hospital Palembang from January to March 2022. There were 30 primary glaucoma patients who met the inclusion criteria. Bivariate analysis to determine the relationship between bleb morphology and DED was analyzed using the Fisher Exact test. DED survival analysis was conducted using Kaplan Meier analysis. \u0000Results : Three months after trabeculectomy, 11 of 30 (36.7%) patients suffered from DED. There was a significant relationship between bleb height and DED three months after trabeculectomy [PR = 14.222 (Cl 95% 2.324- 87.028; p = 0.004)]. In addition, the results showed that there was a significant difference in the survival time of DED in glaucoma patients based on bleb height (p = 0.001). \u0000Conclusion : Bleb height is a predictor of DED in glaucoma patients after trabeculectomy.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness and Timing of Congenital Nasolacrimal Duct Obstruction Probing: a Systematic Review 先天性鼻泪管阻塞探查的效果和时机：系统性综述

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/5t0yhc19

Kharisma Zatalini Giyani, Dewi Alya Winarto, Julie Dewi Barliana

{"title":"Effectiveness and Timing of Congenital Nasolacrimal Duct Obstruction Probing: a Systematic Review","authors":"Kharisma Zatalini Giyani, Dewi Alya Winarto, Julie Dewi Barliana","doi":"10.35749/5t0yhc19","DOIUrl":"https://doi.org/10.35749/5t0yhc19","url":null,"abstract":"Abstract \u0000Introduction & 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. \u0000Methods : 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. \u0000Results : 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%. \u0000Conclusion : 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.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"73 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optic Neuropathy Secondary to Linezolid for Multidrug-resistant Mycobacterial Tuberculosis 利奈唑胺治疗耐多药分枝杆菌肺结核继发视神经病变

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/gs8mrs86

ARSI NOVIANA SARI, Ika Nuraita

引用次数: 0

SECONDARY GLAUCOMA AFTER VITREORETINAL SURGERY: A RETROSPECTIVE OBSERVASIONAL STUDY 玻璃体视网膜手术后的继发性青光眼：一项回顾性观察研究

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/49ss4368

Liani Mulasari Gunawan, R. M. Rifada, Elsa Gustianty, Sonie Umbara

{"title":"SECONDARY GLAUCOMA AFTER VITREORETINAL SURGERY: A RETROSPECTIVE OBSERVASIONAL STUDY","authors":"Liani Mulasari Gunawan, R. M. Rifada, Elsa Gustianty, Sonie Umbara","doi":"10.35749/49ss4368","DOIUrl":"https://doi.org/10.35749/49ss4368","url":null,"abstract":"Introduction & ObjectivesSecondary glaucoma is the most common complication after vitreoretinal surgery. Pars PlanaVitrectomy (PPV) is a common surgical procedure aimed at removing vitreous gel and replacing itwith variety of substances denominated tamponades. Vitreous removal and replacement may causeincreased intraocular pressure (IOP). The IOP can be reduced with medical treatment or surgery.The purpose of this study is to describe the characteristics of secondary glaucoma after vitreoretinalsurgery in National Eye Center Cicendo Hospital from January 2019 - December 2020. \u0000MethodsThis study was a retrospective descriptive study which data were obtained from medical records.Data such as age, gender, vitrectomy tamponades, IOP, onset of glaucoma, and glaucoma treatmentwere collected. \u0000ResultsOne hundred fifty-three eyes were referred to Glaucoma Unit with increasing IOP after vitreoretinalsurgery. PPV with tamponade was done in 141 eyes (92.16%) and silicone oil (SO) 1000 centistokes(cSt) was the most used tamponade in 101 eyes (66.07%). Secondary glaucoma with open angle wasthe most common type in 124 eyes (81.04%). Secondary glaucoma developed in 4-7 weeks aftersurgery, with the highest IOP recorded at 31-40 mmHg. The IOP decreased after SO evacuation withinitial glaucoma treatment in 121 eyes (79.09%), and glaucoma surgery was performed in 32 eyes(20.91%). \u0000ConclusionSilicon oil as a tamponade agent after PPV may cause rise IOP in the post-operative period.Evacuation SO needs to be done after retinal adhesion to prevent secondary glaucoma. Therefore,timely detection and anti-glaucoma treatment are important to decreased IOP, or filtration surgerycan be performed.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"27 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enucleation and Dermato-fat Graft for Retinoblastoma Management : A Case Report 视网膜母细胞瘤的去核和皮下脂肪移植治疗：病例报告

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/r1wmmr93

Dr. Agnes Angela Mahdalena Simanjuntak, Umboh Anne, Akay Freili

{"title":"Enucleation and Dermato-fat Graft for Retinoblastoma Management : A Case Report","authors":"Dr. Agnes Angela Mahdalena Simanjuntak, Umboh Anne, Akay Freili","doi":"10.35749/r1wmmr93","DOIUrl":"https://doi.org/10.35749/r1wmmr93","url":null,"abstract":"Introduction : Retinoblastoma is the most common intraocular malignant tumor found in children before 3 years old can occur unilaterally, bilaterally, hereditary or sporadic. Incidence of about 1:14,000-20,000 individuals. This tumor originated from embryogenic retinal cells. Retinoblastoma gene (RB1) located in the 13q14 chromosome \u0000Case Illustration : A 3-year-old girl presented with leukocoria. Her parents notice whitish in her right eye swollen, teary, painful since 2 months ago. No family history. Visual acuity (VA) on the oculus dextra ( OD) no light perception, oculus sinistra (OS) 6/6. Intraocular pressure on OD n-1/palpation, OS n/palpation. Examination under anasthesia for diagnostic found there weren’t palpebral edema, conjunctival injection, hazy cornea, pupil, lens couldn’t be evaluated on OD. Ultrasound showed sugest vitreous seeding and ptisis. CT scan showed solid mass with calcification and diagnosed retinoblastoma stage group E. Patient was treated with chemoreduction using Vincristine, Etoposide, Carboplatine combined enucleation with dermato-fat graft. We did nervus opticus dissection and histopathological examination which showed retinoblastoma. \u0000Discussion : The common signs of retinoblastoma is leukocoria. The priority is saving life followed by globe preservation. Treatment based on the stage of the disease. We did chemotherapy in this patient, followed by enucleation and dermato-fat graft. Enucleation stills the main therapy for saving life with nervus opticus dissection as possible. Dermato-fat graft has been shown to grow along with the expanding orbit in children therefore shows cosmetics. \u0000Conclusion : This report illustrates a case of Retinoblastoma. The chemotherapy and enucleation using safe dermato-fat graft procedure with implant followed by a well fitted prosthesis for better cosmetics","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"102 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and application of targeted multiplex polymerase chain reaction to help diagnose infectious uveitis 开发和应用靶向多聚酶链反应，帮助诊断传染性葡萄膜炎

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/e3n7cx53

Rachel Ethelind

{"title":"Development and application of targeted multiplex polymerase chain reaction to help diagnose infectious uveitis","authors":"Rachel Ethelind","doi":"10.35749/e3n7cx53","DOIUrl":"https://doi.org/10.35749/e3n7cx53","url":null,"abstract":"Abstract \u0000Introduction & Objectives : Clinical pattern recognition is paramount in uveitis diagnosis. Pathogen detection from ocular fluid samples is often necessary to support infectious uveitis diagnosis, particularly in cases presenting with atypical clinical appearance. This study aims to present the process of developing targeted multiplex PCR and its application in infectious uveitis. \u0000Methods : This was a cross sectional study to evaluate the diagnostic performance of targeted multiplex PCR in infectious uveitis. We obtained ocular fluid samples and reviewed medical records of uveitis patients who underwent ocular fluid analysis at Cipto Mangunkusumo Hospital from February 2022 to March 2023. PCR detection threshold values (DNA copies/mL) were 10.9 for Mycobacterium tuberculosis (Mtb), 672 for Epstein-Barr virus, 4.77 for Cytomegalovirus, 6.37 for Toxoplasma gondii, and 5.53 for Herpes simplex virus. With every two-fold increase of pathogen selection, this method requires a half volume of extracted DNA template from aqueous/vitreous samples than uniplex PCR. The ophthalmologist selected the pathogen combination to be detected, allowing for a tailored examination. \u0000Results : Forty-seven aqueous or vitreous samples were analyzed. The positivity rate was 23.4% (11/47) with Mtb yielded the highest positivity (7/34; 20.6%). With final diagnosis as a reference, targeted multiplex PCR resulted in 32.3% sensitivity, 93.8% specificity, 90.9% positive predictive value and 19.2% negative predictive value. \u0000Conclusion : With its high specificity, targeted multiplex PCR is useful as a confirmatory but not screening tool in uveitis diagnosis. Ocular fluid analysis is an important part of stepwise diagnostic approach in uveitis.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

NEUROPROTECTIVE ROLE OF VITAMIN D3 ON GANGLION CELL-INNER PLEXIFORM LAYER THICKNESS IN NMDA-INDUCED RETINAL EXCITOTOXICITY MODEL OF GLAUCOMA 维生素 d3 对 nmda 诱导的青光眼视网膜兴奋毒性模型中神经节细胞-内丛状层厚度的神经保护作用

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/6xrxsv34

Ezra Margareth, Trilaksana Nugroho, Andhika Guna Dharma, F. L. Rahmi, Maharani, Hermawan Istiadi

{"title":"NEUROPROTECTIVE ROLE OF VITAMIN D3 ON GANGLION CELL-INNER PLEXIFORM LAYER THICKNESS IN NMDA-INDUCED RETINAL EXCITOTOXICITY MODEL OF GLAUCOMA","authors":"Ezra Margareth, Trilaksana Nugroho, Andhika Guna Dharma, F. L. Rahmi, Maharani, Hermawan Istiadi","doi":"10.35749/6xrxsv34","DOIUrl":"https://doi.org/10.35749/6xrxsv34","url":null,"abstract":"Introduction & ObjectivesRetinal ganglion cell (RGC) damage can affect the thinning of the GCC layers, which is the nervefiber layer, the ganglion cell layer and the inner plexiform layer. The loss of RGC and inner plexiformlayer (IPL) is strongly correlated with the loss of visual field defect. RGC and inner plexiform layerare potential targets to evaluate the progression of glaucoma. Glaucoma treatment not only focus onreducing IOP. Decreasing IOP according to the target pressure often can’t stop the process of RGCdamage and make it permanently and irreversible. Vitamin D3 is known as neuroprotector which hasthe ability to protect RGC and prevent layer thinning of GC-IPL in retina. The aim of this study is todetermine the effect of oral Vitamin D3 on the GC- IPL layer thickness in retinal of Wistar rats withNMDA-induced glaucoma model. \u0000MethodsGlaucoma Wistar rats were divided into 2 groups. The treatment group was given oral Vitamin D3 ata dose of 500 IU/kgBW/day for 10 weeks. GC-IPL layer thickness in retinal was examined byHematoxylin Eosin staining. Data were collected and processed then used with Independent T Test.(significant p<0.05) \u0000ResultsThe mean GC-IPL layer Thickness in the treatment group was 77,59 ± 15,15 ?m and 35,32 ± 4,04?m in the control group. There was a significant different between two group ( p = <0,001 ) \u0000ConclusionVitamin D3 has a neuroprotective effect on ganglion cell-inner plexiform layer Wistar rats in NMDAinducedexcitotoxicity model of glaucoma","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of Integrated People-Centered Eye Care at Sub-District Level in Barru 在巴鲁县实施以人为本的综合眼科护理

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/6nhwk522

Rahmat Priyangga Rakatama, A. A. Amalius, A. Faisal, Muhammad Irfan Kamaruddin

{"title":"Implementation of Integrated People-Centered Eye Care at Sub-District Level in Barru","authors":"Rahmat Priyangga Rakatama, A. A. Amalius, A. Faisal, Muhammad Irfan Kamaruddin","doi":"10.35749/6nhwk522","DOIUrl":"https://doi.org/10.35749/6nhwk522","url":null,"abstract":"Purpose: Integrated People-Centered Eye Care (IPCEC) was initiated by the World Health Organization as a global strategy in community-centred and integrated health services. In Indonesia, the Rapid Assessment of Avoidable Blindness survey showed the largest number of moderate and severe visual impairment was found in South Sulawesi, particularly uncorrected refractive error (33.8%). The results of this study are expected to initiate and introduce IPCEC-based eye health services and promotion at the sub-district level. \u0000Methods: The program started with advocacy of eye health programs at the sub-district level to policy makers. In schools, education and training for visual acuity examination were given to teachers. All children who failed the screening or have ocular abnormalities are referred to eye care center. Mass counseling and examination were also carried out at the health center simultaneously with screening for mass cataract surgery at the Barru District Hospital. \u0000Results: Implementation of IPCEC was welcomed by Barru District government. School eye health program conducted by the teachers in 5 schools screened 1263 students with 90.74% of the students had normal visual acuity. Mass screening at the Pekkae and Pancana Public Health Centers found that most participants had cataracts (58%) followed by refractive error (38%). \u0000Conclusion: Visual acuity examination among school-age children by the teacher will improve early detection of refractive errors. Screening by eye health worker at public health center needs to be carried out to identify blindness causes often found in the community, and proceed with prescribing drugs, eyeglasses, and mass cataract surgery as definitive step in eradicating blindness.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"96 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combined Pars Plana Vitrectomy with Core Vitrectomy with 3600 Barrage Laser and Iris Claw IOL Implantation in Nuclear Drop Case: Video Presentation 在核泄漏病例中使用 3600 Barrage 激光进行玻璃体旁和核心玻璃体联合切除术，并植入虹膜爪人工晶体：视频演示

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/mm7qy808

Hasiholan Tigor Adityo, Nicholas Dwiki Tanong

{"title":"Combined Pars Plana Vitrectomy with Core Vitrectomy with 3600 Barrage Laser and Iris Claw IOL Implantation in Nuclear Drop Case: Video Presentation","authors":"Hasiholan Tigor Adityo, Nicholas Dwiki Tanong","doi":"10.35749/mm7qy808","DOIUrl":"https://doi.org/10.35749/mm7qy808","url":null,"abstract":"Introduction : Nuclear drop is one of the numerous complications of phacoemulsification surgery. Today, the incidence of nuclear drop has been declining significantly compared to years before. Eyes with nuclear drop tend to have poorer visual and refractive outcome compared to eyes with existing risk factors but no such complication. This video presentation reports a case of nuclear drop with desirable outcome \u0000Case Illustration : A 46 years old male patient came with blurry vision on his right eye. Patient was undergone eventful phacoemulsification with nuclear drop complication 2 hours ago. Prior to the admission, visual acuity was 1/300, IOP (Intraocular pressure) 24 mmHg, and retinal evaluation showed there is lens nucleus on the retina. Before admission, the patient was given Methylprednisolone 1x 48mg, Ranitidine 2x150 mg, Ciprofloxacin 2x500mg , Asam mefenamat 3x500mg, Cendo LFX ED 6x1 gtt, Cendo Xytrol ed 6x1 gtt. The patient was planned to do the Pars Plana Vitrectomy followed with 360° barrage laser and Retropupil Iris Claw implantation. One day after the surgery, the visual acuity was 0.2, IOL was well implanted, and no sign of retinal detachment. Four weeks after the surgery, the visual acuity was 0.8 with well implanted IOL \u0000Discussion : \u0000Conclusion : The outcome of nuclear drop cases is affected by several factors. Preparations before PPV are important to attain a better visual outcome. Until now the optimum time to perform PPV in nuclear drop cases remains undetermined. Meanwhile, rise in IOP indicating no luxury of waiting for PPV","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"85 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0