Intraocular foreign bodies (IOFBs) are the most common emergency cases in ophthalmology causing severe visual impairment to blindness. We present nine male patients with IOFBs, aged 28–64 years old, which displayed a wide spectrum of findings. Based on IOFB location, four cases were intravitreal, two were intraretinal, two were intralenticular and one was intracorneal. The most common material was metal, from hammering projectiles (six patients). The injuries mainly occurred at workplace (five patients). All IOFBs were successfully extracted. Initial visual acuity (VA) ranged from light perception to 20/32; six patients had better final VA, up to 20/20. A wide range of ocular manifestations is associated with IOFBs. Removing retained IOFB procedure is dependent on location, nature, lens opacity and vitreoretinal involvement. Meticulous ocular examination and imaging modality are vital to identify the IOFB presence. Various visual outcomes depend on zone involvement, IOFB size and level of difficulties of surgery.
Introduction: To report management and outcome of dropped nucleus in Jakarta Eye Center Methods: Retrospective review of the records of 19 consecutive patients who underwent pars plana vitrectomy for retain lens fragments at Jakarta Eye Center from January 2010 to September 2012. Result: The mean age of the patient was 57 years (range 48-79). There were 10 males (53%) and 9 females (47%). 10 patients (53%) had vitrectomy within 1 day of phacoemulsification, 6(32%) within 1 week and 3(15%) after more than 1 week. Eight patients (42%) achieved a final visual acuity of 0.5 or better, only 3 patients (15%) had final visual acuity 1-meter finger counting or worse. 74% patient achieved final acuity better than pre-op (14 patients). Early vitrectomy group has 3 patients (30%) with complication, intermediate vitrectomy group has 33% complication and late vitrectomy has 33 % complication. Posterior chamber IOL were implanted in 12 patients (63%), 2 patients had scleral fixation IOL, anterior chamber IOL in 2 patients, and only 3 patients (16%) were left aphakic. Conclusion: Surgical management in cases of nucleus drop in JEC showed good result with very limited complications. In most cases, vitrectomy was performed immediately after cataract surgery. Early vitrectomy has no significant differences in complications and visual outcome than 1 week vitrectomy and late vitrectomy after cataract surgery.
Introduction: Amaurosis fugax is caused by an abrupt reduction of blood flow to the retina. Determining the etiology of amaurosis fugax should ensure proper management. Case Report: A 47-year-old female patient who had the first episode of amaurosis fugax in her right eye was referred to our hospital. The amaurosis fugax resolved spontaneously, however, we found a 3 mm long stenosis at her right ophthalmic artery during magnetic resonance angiography. She had clinical histories of untreated hypertension and dyslipidemia. Transient ischemic attack (TIA) was suspected and unfractionated heparin, aspirin, antihypertensive agent, and statin were given. Treatments were maintained, the symptoms had not recurred in the following 6 months after the event. Discussion: Stenosis of the ophthalmic artery is very rare. It occurs in approximately 2% of patient suffering from amaurosis fugax. In our case, stenosis of the right ophthalmic artery due to thromboembolism might cause retinal ischemia leading to a transient visual loss. Conclusion: This case suggests stenosis of ophthalmic artery as the cause of amaurosis fugax. Keywords: amaurosis fugax, ipsilateral, ophthalmic artery, stenosis
Tujuan: menunjukkan adanya perubahan pada best corrected visual acuity (BCVA) dan ketebalan retina sentral (central retinal thickness/CRT) setelah 1 tahun pemberian intravitreal ranibizumab pada kasus Age Related Macular Degeneration (ARMD) neovascular berdasarkan jumlah injeksi dan metode pemberian. Metode: Penelitian retrospektif ini terdiri dari 38 mata yang mendapatkan injeksi ranibizumab pada tahun 2011-2012 di Jakarta Eye Center. Berdasarkan jumlah injeksi, 24 mata mendapatkan 1-3 kali injeksi/tahun dan 14 mata mendapat lebih dari 3 kali injeksi/tahun. Berdasarkan metode pemberian, 10 mata diberikan loading dose dan 28 mata diberikan injeksi sesuai dengan kebutuhan. Hasil: usia rata-rata subyek adalah 72.5±8.83 tahun. Pengamatan dalam 1 tahun dimulai sejak injeksi intravitreal ranibizumab pertama diberikan. Berdasarkan jumlah injeksi, keompok dengan lebih dari 3 kali injeksi/tahun menunjukkan peningkatan BCVA yang lebih tinggi dibandingkan dengan kelompok yang mendapatkan 1-3 kali injeksi/tahun (-0.1 LogMAR vs -0.05 LogMAR). Kelompok yang mendapat lebih dari 3 kali injeksi/tahun juga menunjukkan pengurangan CRT yang lebih besar dibandingan dengan kelompok yang mendapat 1-3 kali injeksi/tahun (118.29 ?m vs 107.6 ?m). Berdasarkan metode pemberian, kelompok dengan loading dose menunjukan BCVA -0.1 LogMAR sedangkan pada kelompok yang mendapat dosis sesuai kebutuhan tidak menunjukkan perubahan. Kelompok metode loading dose menunukkan pengurangan CRT yang lebih besar dibandingan kelompok yang mendapat dosis sesuai kebutuhan. Simpulan: injeksi intravitreal ranibizumab dengan lebih dari 3 kali injeksi dan dengan metode loading dose memberikan hasil yang lebih baik dalam tatalaksana ARMD neovaskular.
Aim : To evaluate the effectiveness of pneumatic retinopexy (PR) for repair of primary rhegmatogenous retinal detachment (RRD) with respect to single operation success (SOS) and best corrected visual acuity (BCVA). Method : This retrospective review comprised 8 eyes with primary rhegmatogenous retinal detachment with superior break that undergone pneumatic retinopexy as the initial procedure between 2009-2014 at Jakarta Eye Center, Indonesia. Result : The mean age of subjects was 49 ± 14.35 years. Four subjects (50%) had Single operation had only done success after 6 months of observation. The eyes that failed single procedure underwent vitrectomy and silicon oil tamponade. Subjects that only done single procedure had better BCVA (0.01 ± 1,3 logMAR) compare to subjects that done secondary procedure (0.3 ± 0.42 logMAR) after 6 months of observation. Conclusion : Pneumatic retinopexy is still an effective procedure for primary rhegmatogenous retinal detachment with superior breaks although in our study the single operation success was 50%.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.