Ophthalmologica Indonesiana最新文献_第5页

Ab-Interno Bleb Needling in A Failed Trabeculectomy: A Case Report 小梁切除术失败后的 Ab-Interno 眼泡针疗法：病例报告

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/pcxffx48

Priscilla Christina Natan, Yinvill, Ni Kompyang Rahayu, Krisnhaliani Wetarini

{"title":"Ab-Interno Bleb Needling in A Failed Trabeculectomy: A Case Report","authors":"Priscilla Christina Natan, Yinvill, Ni Kompyang Rahayu, Krisnhaliani Wetarini","doi":"10.35749/pcxffx48","DOIUrl":"https://doi.org/10.35749/pcxffx48","url":null,"abstract":"Introduction : Trabeculectomy remains a gold standard of glaucoma surgical management despite a steady rate of bleb failure due to conjunctival scarring. In this case, we report a case of a failed trabeculectomy managed with ab-interno bleb needling followed by antimetabolite injection of mitomycin C. \u0000Case Illustration : A 18-year-old male patient with a history of blurry vision in his right eye and vision loss in his left eye. The patient had previously undergone cataract surgery due to juvenile cataracts and developed persistent high intraocular pressure (IOP) in both of his eyes. A trabeculectomy was performed on his right eye six months prior to the examination; however, the IOP remained at 22 mmHg. Ocular examination revealed a shallow anterior chamber and flat conjunctival bleb. An ab-interno bleb needling technique was performed followed by antimetabolite injection of mitomycin C under local anesthesia in an operating theatre. Follow-up results showed a significant reduction of IOP on the first day (13.3 mmHg) and a week after surgery (18.5 mmHg), maintained by one anti-glaucoma eye drop. \u0000Discussion : Trabeculectomy filtration surgery has a high failure rate in younger patients due to a high risk of conjunctival scarring. The ab-interno needling approach with mitomycin C injection is a novel technique that can be performed and offers the advantage of increasing aqueous outflow through a direct opening of the trabecular meshwork from within the anterior chamber. \u0000Conclusion : This technique provides effective management of failed trabeculectomy to achieve intraocular pressure lowering effect and a corresponding decrease in the risk of progressive glaucomatous optic neuropathy.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"159 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842539","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

Prostaglandin analogs regimen for open-angle glaucoma or hypertensive ocular, is it still effective nowadays?: a systematic review 前列腺素类似物治疗开角型青光眼或高眼压症的方案，如今是否仍然有效？

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/z96hev50

Fidya Ainun Tikha, Aditia Rizka Rahadi

{"title":"Prostaglandin analogs regimen for open-angle glaucoma or hypertensive ocular, is it still effective nowadays?: a systematic review","authors":"Fidya Ainun Tikha, Aditia Rizka Rahadi","doi":"10.35749/z96hev50","DOIUrl":"https://doi.org/10.35749/z96hev50","url":null,"abstract":"Introduction & Objectives : Open-angle glaucoma and hypertensive ocular therapy are still developing. There are new medications that offer fast and safe in lowering intraocular pressure. Prostaglandin analogs regimenis a well-known medication that we use in lowering intraocular pressure and still use in this era. \u0000Methods : A literature search was performed in PubMed, Chocraine, and Google Scholar for studies that fit our inclusion criteria. The Literature must be Randomized controlled trials, Systematic reviews, and meta-analyses from 2013 until 2023 that report data on prostaglandin analogs regimen uses medications for open-angle glaucoma or ocular hypertension. That consists of data on intraocular pressure (IOP) lowering effect by the use of prostaglandin analogs regimen monotherapy or combination. \u0000Results : We included Ten literature that consists 5 RCTs (1514 participants), and 5 systematic reviews with meta-analysis (235 RCT literature), that overall make intraocular pressure (IOP) reduction. There are differences in duration to reduce IOP between prostaglandin analogs regimen types and combinations with other classes of regimen. \u0000Conclusion : prostaglandin analogs regimen effective in IOP lowering effect in open-angle glaucoma and hypertensive ocular both monotherapy and combination.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"128 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842607","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

The Challenges of Handling Neovascular Glaucoma at Undaan Eye Hospital Surabaya, Indonesia 印度尼西亚泗水 Undaan 眼科医院处理新生血管性青光眼所面临的挑战

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/cmqb7053

R. A. Malika, Lydia Nuradianti

{"title":"The Challenges of Handling Neovascular Glaucoma at Undaan Eye Hospital Surabaya, Indonesia","authors":"R. A. Malika, Lydia Nuradianti","doi":"10.35749/cmqb7053","DOIUrl":"https://doi.org/10.35749/cmqb7053","url":null,"abstract":"Introduction & Objectives : The management of neovascular glaucoma is challenging because frequently it is incurable with poor visual prognosis. Delay in treatment can lead to sight threatening glaucoma. This study aimed to provide an overview of incidence and management of neovascular glaucoma at Undaan Eye Hospital. \u0000Methods : This descriptive epidemiology study comprised 111 eyes of 102 patients. The inclusion criteria were patients diagnosed with NVG who came to Undaan Eye Hospital for 1 year (January 2021 to December 2021). Patients with incomplete medical records were excluded. The patient’s age, gender, risk factors, and treatment were reviewed. \u0000Results : There were 102 patients (111 eyes) diagnosed with NVG. The patients were mostly men (53,2%) and the mean age was 54.98 ± 12,4 years. Diabetes Mellitus (DM) was observed in 70 (63,1%) eyes, hypertension in 60 (54,1%) eyes, central retinal vein occlusion (CRVO) in 11 (9,9%) eyes, cholesterol in 7 (6,3%) eyes, and branch retinal vein occlusion (BRVO) in 1 (0,9%) eyes. Mean IOP at the time of diagnosis was 42,8 ± 11,2 mmHg. Anti-VEGF (25,2%), trabeculectomy (59,5%), glaucoma drainage device (17,1%), micropulse transscleral cyclophotocoagulation (5,4%) were done as an option of the treatment. \u0000Conclusion : NVG is more common in men. Most patients presenting NVG had DM and hypertension with mean IOP of 42,8 mmHg. Trabeculectomy is the most commonly performed procedure.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"91 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842659","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

CENTRAL CORNEAL THICKNESS IN METABOLIC SYNDROME POPULATION, NON-METABOLIC SYNDROME POPULATION, AND DIFFERENT BODY MASS INDEX POPULATION 代谢综合征人群、非代谢综合征人群和不同体重指数人群的中心角膜厚度

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/d5c5ng91

Rofa Husnul Khuluqi, Nina Handayani, N. Anandita

{"title":"CENTRAL CORNEAL THICKNESS IN METABOLIC SYNDROME POPULATION, NON-METABOLIC SYNDROME POPULATION, AND DIFFERENT BODY MASS INDEX POPULATION","authors":"Rofa Husnul Khuluqi, Nina Handayani, N. Anandita","doi":"10.35749/d5c5ng91","DOIUrl":"https://doi.org/10.35749/d5c5ng91","url":null,"abstract":"Introduction & ObjectivesCentral corneal Thickness (CCT) is associated with many factors including systemic disease. Thisstudy aims to evaluate and compare the CCT values in Metabolic Syndrome (MS) population, Non-Metabolic Syndrome (non-MS) population, and all different Body Mass Index (BMI) population. \u0000MethodsThis population-based & community service-based cross sectional study, conducted on September-November 2019 in 3 rural areas of Malang. Written informed consent was obtained from all subjects.CCT was measured with ultrasound pachymeter. The diagnosis of MS was based on InternationalDiabetes Foundation 2006 criteria. Subjects were classified into 2 groups by MS and non-MS, alsostratifed by BMI, gender, and age. Differences in CCT value between groups based on MS & non-MS, BMI, age, and gender were analyzed. \u0000ResultsA total of 890 subjects aged ? 40 years old were included in this study, whereas 400 subjects werediagnosed as MS (44.9%) and 490 (55.1%) others as non-MS. Mean CCT of MS were significantlygreater than that of non-MS (549.743±43.22 ?m, P<0.05). Mean CCT of obese subjects weresignificantly greatest among other BMI groups (549.036±48.31 ?m, P<0.05). Mean CCT in womenwere significantly greater than that in men (546.268±39, P<0.05). Mean CCT of subjects aged 40–49years were significantly greatest among other age groups (551.278±33,33, P<0.05). \u0000ConclusionMS population had greater CCT value as compare to non-MS population. Obese population hadgreatest CCT value than overweight, normal, and underweight population. These findings may haveimplications for understanding the relationship between CCT changes and metabolic syndrome, aswell as BMI.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"165 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842807","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

Efficacy and Safety of Iris-Claw and Scleral Fixated Intraocular Lens in Pediatric Ectopia Lentis : A Systematic Review 虹膜爪和巩膜固定眼内透镜治疗小儿眼睑外翻的疗效和安全性：系统综述

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/snm1pp65

S. H. Z. Soraya, Dian Estu

{"title":"Efficacy and Safety of Iris-Claw and Scleral Fixated Intraocular Lens in Pediatric Ectopia Lentis : A Systematic Review","authors":"S. H. Z. Soraya, Dian Estu","doi":"10.35749/snm1pp65","DOIUrl":"https://doi.org/10.35749/snm1pp65","url":null,"abstract":"Abstract \u0000Introduction & Objectives : Ectopia lentis is a condition that involves displacement of the crystalline lens because of weakened or damaged zonules. Surgical intervention is indicated in cases of poor best corrected visual acuity (BCVA) and progressive severity of subluxation. This systematic review aims to elucidate current evidence regarding the efficacy and safety of iris-claw and scleral-fixated intraocular lenses (IOLs) to treat children with ectopia lentis. \u0000Methods : A comprehensive search from multiple electronic databases such as PubMed, Cochrane Library, ProQuest, Scopus, EBSCO, Wiley, and Embase within the last ten years of publication. All seventeen studies matched with studies’ criteria were included in this review and assessed with eligibility assessment tools. The outcomes extracted and compared were BCVA, endothelial cell density, postoperative complications, IOL stability, and intraocular pressure (IOP). \u0000Results : Seventeen studies were included in this review; three observational studies, nine retrospective studies and five interventional studies in which majority have a low risk of bias. Significant improvement of post-operative BCVA on both IOLs. The most frequent complications found on ICIOL was pupillary ovalization, while SCIOL was eye infection. Endothelial cell loss was higher in SCIOL, and both IOL showed no significant difference (p > 0,05) in terms of the post-operative IOP. Dislocation of IOL more frequently found on ICIOL. However, ICIOL much more preferred due to less manipulation and duration of surgery. \u0000Conclusion : ICIOL and SFIOL were both effective and safe for treating pediatric ectopia lentis. There was no superiority in which technique is better, technique varied according to each surgeon's preference.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"144 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842915","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

Pseudopterygium After Limbal Dermoid Cyst Excision in a Child with Goldenhar Syndrome 一名戈登哈尔综合征患儿的眼睑皮样囊肿切除术后出现假性翼状胬肉

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/0e622333

Dea Prita Caesarita, Julie D. Barliana

{"title":"Pseudopterygium After Limbal Dermoid Cyst Excision in a Child with Goldenhar Syndrome","authors":"Dea Prita Caesarita, Julie D. Barliana","doi":"10.35749/0e622333","DOIUrl":"https://doi.org/10.35749/0e622333","url":null,"abstract":"Introduction : Goldenhar syndrome is a rare congenital disorder also known as oculoauricularvertebral dysplasia. Limbal dermoid associated with this syndrome. This case report aims to present an reccurent pseudopterygium after three times limbal dermoid cyst excision in patient with Goldenhar syndrome. \u0000Case Illustration : Patient 13 years old male with pseudopterygium in right eye. Visual acuity both eyes 6/6 snellen chart. Fibrovascular tissue from tarsal conjunctival inferotemporal to 2 mm limbal cornea in right eye. Patient had limbal dermoid cyst in right eye since birth and underwent limbal dermoid cyst excision for three times. First time surgery used amniotic membrane transplantation, then second and third surgery used conjunctival limbal graft. Goldenhar syndrome have been diagnosed since the age of 2 years old. External examination noticed asymmetrical hemifacial microsmia, grade III microtia right ear, conduction deafness, and laryngomalacia. \u0000Discussion : Limbal dermoid cyst is one of characteristic of Goldenhar syndrome. In this case pseudopterygium grade II in right eye developed after limbal dermoid cyst excision for three times. Limbal dermoid simple excision may lead to corneal vascularization persistent epithelial defect, scar, and pseudopterygium. Various surgical include superficial keratectomy, amniotic membrane transplantation and lamellar or penetrating keratoplasty. Pseudopterygium still occurs in this case, even though recurrence has been prevented by administration of amniotic membrane transplantation and conjunctival limbal graft. \u0000Conclusion : We should be concerned about management of limbal dermoid cyst with Goldenhar syndrome to prevent recurrent pseudopterygium.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"133 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842991","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

REDUCTION OF INTRAOCULAR PRESSURE POST MICRO PULSE TRANSSCLERAL CYCLOPHOTOCOAGULATION IN REFRACTORY GLAUCOMA PATIENTS 难治性青光眼患者接受微脉冲经巩膜环形光凝术后的眼压降低情况

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/tyq5vs98

Annisa Rahayu, Elsa Gustianty, Andrew M. H. Knoch, M. Rifada, Sonie Umbara

{"title":"REDUCTION OF INTRAOCULAR PRESSURE POST MICRO PULSE TRANSSCLERAL CYCLOPHOTOCOAGULATION IN REFRACTORY GLAUCOMA PATIENTS","authors":"Annisa Rahayu, Elsa Gustianty, Andrew M. H. Knoch, M. Rifada, Sonie Umbara","doi":"10.35749/tyq5vs98","DOIUrl":"https://doi.org/10.35749/tyq5vs98","url":null,"abstract":"Introduction & ObjectivesCyclodestructive laser is one of the last resource managements for refractory glaucoma, especiallywith low visual potential. Conventional laser using CW-TSCPC showed unstable IOP reduction withcollateral tissue damage. MP-TSCPC using on and off cyclic waves is considered to have a gooddegree of IOP reduction and fewer complications. The purpose of this study is to assess the IOPreduction after the MP-TSCPC procedures for patients with refractory glaucoma. \u0000MethodsThis is a prospective observational study for refractory glaucoma patients treated with the MPTSCPClaser procedure. Measurement of IOP was carried out preoperatively and on postoperativedays 1, 7, and 30 with the gold standard Goldmann applanation tonometry. \u0000ResultsA total of 33 eyes from 33 patients were enrolled in this study. The mean baseline IOP was 48.45 ±12,79 mmHg. The mean degree of IOP reduction on follow-up days 1, 7, and 30 were 14.39 ±23.52%, 45,83 ± 24,80 and 27.09 ± 23.86% respectively. On the 30th day after the laser treatment,no complications were observed. The number of anti-glaucoma medication was reduced from 2.39 ±0.49 at the baseline to 1.91 ± 0.58 at one month follow up. \u0000ConclusionMicro-pulse transscleral cyclophotocoagulation laser showed a good degree of IOP reduction with noincidence of complication observed at day 30.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"199 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843063","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

When do Ophthalmology Residents Study to Prepare for The National Exam? 眼科住院医师何时复习准备全国统考？

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/s8v7c246

Widyana, FELICIA WIDYAPUTRI, Supanji, MUHAMMAD BAYU SASONGKO

{"title":"When do Ophthalmology Residents Study to Prepare for The National Exam?","authors":"Widyana, FELICIA WIDYAPUTRI, Supanji, MUHAMMAD BAYU SASONGKO","doi":"10.35749/s8v7c246","DOIUrl":"https://doi.org/10.35749/s8v7c246","url":null,"abstract":"Abstract \u0000Introduction & Objectives : Ophthalmology residents are occupied with clinical services in the hospital. They only have limited time to study. Since 2022, we established a progress test for residents to facilitate their study especially during the national examination preparation that is obligated to be completed once per year. To report the allocated time for completing the progress test by ophthalmology residents to inform educational centres about the recommended study time for residents. \u0000Methods : Data from the online progress test that was available from the Gadjah Mada eLearning (GAMEL) platform was extracted and analysed. The test was consisted of 60 multiple questions and opened for two weeks with a 24-hour access time. In this study, the scores, the time of the test, and time spent to complete the test were descriptively and quantitatively analysed. \u0000Results : Overall, 42 out of 55 (76.4%) and 42 out of 56 (75.0%) residents completed the progress test with a total test attempt of 60 and 51 times in 2022 and 2023, respectively. The mean score achieved was 43.3 (min-max 3.3-70.0). Majority of residents (65.8%) accessed the test at between 16.00 - 23.00 Western Indonesian Time (WIT), while 19.8% and 14.4% at between 09.00 - 16.00 and 03.00 - 9.00 WIT. The mean time spent to complete the test was 55.2  20.9 minutes. \u0000Conclusion : Most ophthalmology residents spent their time for completing the progress test after working hours with an average duration of less than an hour. Any national exam preparation programs can be scheduled in this time for better resident’s engagements.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"41 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843097","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

Complete Resolution of Central Serous Chorioretinopathy Cases Treated with Low Power Mode Laser Technology : A Novel Approach 用低功率模式激光技术治疗中心性浆液性脉络膜视网膜病变：一种新方法

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/qr43j813

Grace Setiawan, Rova Virgana, Made Indra Widyanatha, Grimaldi Ihsan, A. Kartasasmita, Erwin Iskandar

{"title":"Complete Resolution of Central Serous Chorioretinopathy Cases Treated with Low Power Mode Laser Technology : A Novel Approach","authors":"Grace Setiawan, Rova Virgana, Made Indra Widyanatha, Grimaldi Ihsan, A. Kartasasmita, Erwin Iskandar","doi":"10.35749/qr43j813","DOIUrl":"https://doi.org/10.35749/qr43j813","url":null,"abstract":"Introduction : Central serous chorioretinopathy (CSC) is an idiopathic condition mostly affecting men in their 20s to 50s. It is characterized by serous fluid accumulation behind the neurosensory retina resulting in a localized macular detachment. Aldosterone-receptor antagonist and photodynamic laser therapy are the current mainstay of treatments, although most CSC cases can resolves spontaneously within 2 to 3 months. Low power mode (LPM) laser has emerged as a new effective technology to treat CSC. \u0000Case Illustration : Case 1: A 50-year-old male was diagnosed with recurrent chronic CSC since 2 months ago. His visual acuity declined even after given oral aldosterone receptor antagonist for two weeks, so he was scheduled to undergo LPM. After three weeks of laser treatment, CSC resolved and the visual acuity improved (Figure1). Case 2 : A 47-year-old male complained of decreased vision and metamorphopsia on his right eye since two weeks ago. He was diagnosed with CSC and underwent LPM. Three weeks after LPM, his vision improved and the metamorphopsia resolved (Figure2). LPM helps the migration of retinal pigment epithelium (RPE) cells to restore the outer blood-retinal barrier through expression of heat shock proteins. We used MC-500ViXi laser system (Nidek Co., Gamagori, Japan) and the laser parameters used in this study were 100?m spot size, 0.01s exposure time, 0.25-0.5 spacing, and 30% LPM ratio. \u0000Discussion : \u0000Conclusion : LPM is a new yet promising treatment modalities to treat acute and chronic CSC. Its low power nature makes LPM a safe choice of treatment with less damage to the surrounding retina.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"7 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843131","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

Terson’s Syndrome due to Ependymoma: A Rare Case Report 脑外膜瘤导致的特森综合征：罕见病例报告

Ophthalmologica Indonesiana Pub Date : 2024-02-12 DOI: 10.35749/h6a0e355

Priscillia Tondolambung, Robby Tumewu

{"title":"Terson’s Syndrome due to Ependymoma: A Rare Case Report","authors":"Priscillia Tondolambung, Robby Tumewu","doi":"10.35749/h6a0e355","DOIUrl":"https://doi.org/10.35749/h6a0e355","url":null,"abstract":"Abstract \u0000Introduction : Terson's syndrome is often associated with subarachnoid hemorrhage. Other reported causes, include trauma, tumors, hypertension, perioperative and postoperative intracranial hemorrhage, or increased intracranial pressure. This case demonstrates a unique pathogenesis of Terson's syndrome. \u0000Case Illustration : A 14-year-old boy presented with the blurred vision on both eyes 3 weeks ago, accompanied with nausea, vomiting, and headache, with normal blood pressure measurement (126/80mmHg). He also had a history of head injury. His visual acuity was 6/20 uncorrected with pinhole on both eyes. Both intraocular pressures within normal limits. The anterior segment showed bilateral mid-dilated reactive pupil. Funduscopy revealed bilateral papilledema with peripapillary hemorrhage, similar to retinal vein occlusion, which is suggestive with Terson’s Syndrome. Magnetic Resonance Imaging (MRI) scan showed an ependymoma mass. We consulted this case with Pediatric Neurosurgeon, who planned for ventriculoperitoneal shunt with craniotomy tumor removal. \u0000Discussion : Terson's syndrome now defined as any intraocular hemorrhage associated with intracranial hemorrhage or elevated intracranial pressures. In this case, the etiology was thought to be increased intracranial pressure, which may be caused by ependymoma. Ependymoma is one of the most common central nervous system tumors in children. Intraocular hemorrhage in Terson’s syndrome is often self-limiting, but ependymoma needs neurosurgical intervention, which has lower survival rates for children with posterior fossa tumors. \u0000Conclusion : There are still controversies regarding the pathogenesis of Terson's syndrome. Not the occlusion, but the compression of the central retinal vein, by the increased pressure of cerebrospinal fluid due to high intracranial pressure, which increases the retinal venous pressure and causes retinal hemorrhage.","PeriodicalId":165753,"journal":{"name":"Ophthalmologica Indonesiana","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843135","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