Intraocular foreign bodies (IOFBs) were 16-40% of open globe trauma and could cause severe visual loss. Therefore, they require immediate diagnosis and treatment. This is a case of an 18-year-old man who came to the hospital complaining of a metal piercing in his left eye while cutting some metal about 2 hours before entering the hospital. On ophthalmologic examination, visual acuity of the left eye was 3/60, and a full-thickness laceration of the cornea with an IOFB was seen at the anterior chamber base. Immediate IOFB evacuation was carried out on the same day as the incident happened. During the operation, a metal intraocular foreign body with a sharp tip, 4x2x1 mm in size, was successfully removed in intact condition. Next, the laceration and the corneal limbus incision were sutured using 10.0 nylon. The stitches are tight, and the anterior chamber depth is maintained. Evaluation on the fourth week after IOFB evacuation showed that visual acuity in the left eye was 6/20 with lens correction C-1.50 x 150° become 6/7.5. Appropriate and prompt diagnosis and management of open eye injury can contribute to preserving a good anatomical and functional result.
Phacoemulsification is a surgical procedure for cataracts, which can increase intraocular pressure (IOP) and cause blindness due to glaucoma. It was known that the pattern of IOP changes after phacoemulsification surgery in senile cataracts. This study was an observational analytic study without a control group design. The study population was male and female senile cataract patients over 40 years of age who underwent phacoemulsification surgery at Kebumen Eye Centre Clinic in 2020. Intraocular pressure measurements using a Noncontact Tonometry by a nurse were carried out before surgery (D-0) and postoperatively on day 2 (D-2), day 9 (D-9), day 16 (D-16), and day- 23 (D-23). The data were analyzed using the Friedman test followed by the Post Hoc LSD test. The Friedman test results showed significant differences (p 0.05) in the IOP measurement at D-0, D-2, D-9, D-16, and D-23. Wilcoxon post hoc test showed IOP measurements on D-2 increased and then decreased normally. There was a change in the IOP pattern after phacoemulsification surgery, in which the IOP increased significantly on D-2 and then decreased normally.
Kegiatan olahraga semakin meningkat akhir-akhir ini terutama masa pandemi COVID-19. Selain untuk meningkatkan daya tahan tubuh, olahraga juga bermanfaat untuk mengisi waktu luang selama masa pandemi. Olahraga dapat mengakibatkan cedera antara lain cedera di mata. Beberapa kelainan mata akibat cedera olahraga dapat mengakibatkan kelainan di mata baik ringan maupun berat. Bentuk cedera mata akibat olahraga antara lain hematom palpebra, perdarahan subkonjungtiva, ruptur kornea, hifema, katarak traumatika, subluksasi lensa, ablatio retina dan lain sebagainya. Jenis trauma mata yang tidak dikenali dan tidak ditangani dengan baik secara cepat dan tepat dapat menimbulkan komplikasi lebih lanjut dan dapat berakibat fatal bahkan kebutaan. WHO tahun 2007 melaporkan terdapat lebih dari 7 juta orang menderita buta setiap tahun. Sampai saat ini terdapat 180 juta orang di seluruh dunia mengalami gangguan penglihatan dan 40-45 juta menderita kebutaan. Indonesia memegang posisi tertinggi di South East Asia (1,50%) dibanding Bangladesh (1%), India (0,70%) dan Thailand (0,30%). Kegiatan ini bertujuan untuk meningkatkan pengetahuan trauma mata akibat olahraga dan penanganannya. Kegiatan Pendidikan kesehatan dilaksanakan secara daring dengan dimulai sesi pretes kemudian sesi pemaparan materi , dilanjutkan sesi diskusi dan tanya jawab dan diakhiri sesi postes untuk mengukur keberhasilan kegiatan dan tingkat pengetahuan peserta. Kegiatan ini diikuti oleh 47 peserta secara penuh dari awal, pretes sampai dengan selesai termasuk postes. Terdapat peningkatan nilai postes dibandingkan nilai pretes (62,12 menjadi 84,25). Terdapat peningkatan pengetahuan tentang trauma mata akibat olahraga.
High myopia is one of the risk factors for glaucoma, which is often accompanied by abnormalities in the fundus due to excessive stretching. The object of the study is to determine correlation between cup ratio and optic nerve disc with high myopia. This is a non-experimental research, analytic observational with cross-sectional study design. The subjects were patients with myopia with more than – 6.00 diopters at the Kebumen Eye Center Clinic and Purbowangi Gombong Hospital. Data collection was carried out in January - August 2019. The respondents were 30 people, consisting of 14 men (46.7%), 16 women (53.3%), with an average age of 33.07 ± 18.04 years. Mean refraction of right eye (OD / Ocular Dextra) were -10.72 ± 4.82 diopters and left eye (OS / Ocular Sinistra) were -10.27 ± 4.52 diopters. The results of the correlation test using Spearman Test showed that there is no significant correlation (OD p = 0.115, OS p = 0.118) between the cup ratio and optic nerve disk with high myopia. It conclude that there is no significant correlation between cup ratio and optic nerve disc with high myopia.
Glaucoma is a disease marked with damage to the optic nerve, chronic and can cause blindness. Glaucoma needs regular therapy to prevent blindness. This study was an observational study using a case-control approach. Data were analyzed using the Mann-Whitney test to determine the differences in blood sugar levels in the DM and non-DM groups and the Chi-Square test to determine differences in the success of glaucoma therapy in DM and non-DM patients. There were 66 samples of glaucoma patients in this study, consisting of 14 men (21.2%) and 52 women (78.8%). The mean age of the patients was 61.12 ± 9.17 years. The sample was divided into 2 groups, namely 34 DM patients (51.5%) and 32 non DM patients (48.5%). The Mann-Whitney test showed significant differences in blood sugar levels between the DM and non-DM groups (p <0.05). Blood sugar levels in the DM group were 202.59 ± 73.5 mg / dL and in the non-DM group was 106.19 ± 16.3 mg / dL. In conclusion, there is no difference in the success of glaucoma therapy in DM and non-DM patients. Keywords : glaucoma, glaucoma therapy, diabetes mellitusCorrespondence :nurshani_meida@yahoo.com
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