AbstrakLem Fibrin Komersial (LFK) sebagai biomaterial adhesif yang terbuat dari plasma beku segar donor dan bovine sudah teruji mempunyai berbagai kelebihan dibanding jahitan pada penempelan cangkok konjungtiva bulbi penderita pterigium. LFK belum tersedia di Indonesia sehingga peneliti termotivasi untuk membuat Lem Fibrin Otologus (LFO) yang terbuat langsung dari darah penderita itu sendiri. Tujuan penelitian untuk mengetahui efektivitas teknik LFO terhadap teknik jahitan pada penempelan cangkok konjungtiva bulbi. Dilakukan uji eksperimental hewan di laboratorium Bio Farma Bandung terhadap 24 kelinci New Zealand White, terbagi menjadi kelompok teknik LFO dan jahitan masing-masing 12 mata, periode September -Desember 2006. Penilaian meliputi lama operasi dalam skala menit serta attachment cangkok konjungtiva bulbi pada hari pertama dan satu minggu pascabedah. Analisis uji statistik secara Mann Whitney dan Wilcoxon rank test. Lama operasi teknik LFO secara bermakna lebih singkat dibanding jahitan (p=0,0001), sedangkan attachment jaringan cangkok pada teknik LFO lebih besar dibanding jahitan (p=0,0001). Penilaian hari pertama dan satu minggu pascabedah pada teknik LFO mempunyai nilai stabil sedangkan pada teknik jahitan terdapat perbedaan (p=0,0174). Kesimpulan penelitian ini adalah aplikasi teknik LFO lebih efektif dibanding teknik jahitan, karena lebih singkat dan attachment lebih baik serta stabil. [MKB. 2009;41(4):169-73].Kata kunci: Lem fibrin otologus, teknik jahitan, plasma beku darah, cangkok konjungtiva bulbi Bulbar Conjunctival Graft Using an Autologous Fibrin Glue in Rabbit Eyes AbstractCommercial Fibrin Glue (CFG) as a biomaterial adhesive from fresh frozen plasma donor and bovine has been tested having various superiorities compared to suturing in bulbar conjunctiva grafting of pterygium surgery. Due to CFG has not been available in Indonesia led the author to make an Autologous Fibrin Glue (AFG) directly from patient's own blood. The study aim was to investigate the effectiveness of AFG attachment. This study was an animal experimental, conducted in 24 New Zealand White rabbits divided into AFG group and suturing group of 12 rabbits each, held in Laboratory of Bio Farma, Bandung, from September to December 2006. The assessment included duration (in minute) of AFG compared to suturing techniques, also at first day and one week post grafting attachments in bulbar conjunctiva grafting. The statistical analysis used Mann-Whitney and Wilcoxon rank test. In time duration of surgical treatment, AFG technique was significantly shorter than suturing technique (p=0.0001), while first day and one week post grafting AFG attachment showed significantly greater than those of suturing attachment (p=0.0001). In the meantime, first day and one week post grafting AFG attachment was steady state, whereas in suturing technique was different (p=0.0174). In conclusion, AFG technique is more effective than

Background: Penetrating trauma through the orbit cavity by blunt edged instrument could bring destructionto many organs located in it. This article is aimed to report a case of severe penetrating injury throughthe orbit cavity with a good visual recovery after surgical treatment.Case Illustration: A 29-year-old male came to Cicendo National Eye Hospital with a complaint ofbloody eye. His head was hit by fallen wall from behind while he was working using crowbar thatcaused the tip of crowbar penetrated into intracranial cavity through the right orbit cavity. Vital signswere within normal limit, with the crowbar fixated on 2 mm below the margin of inferior orbital edge.Visual acuity was 2/60 (bed side examination) without any RAPD. CT-scan showed the tip of crowbarentered cranial cavity. Patient was diagnosed with penetrating injury through the orbit and referred toNeurosurgery Department. Operation was done under general anesthesia and it was found that the tipripped of duramater on frontal region and both inferior rectus and inferior oblique muscle were rippedoff. We decided to leave the eye and give methyl prednisolone iv 1 g a day. Post operative examinationshowed that the visual acuity was 20/60 and patient was unable to move the right eye downward.Patient did not complain of double vision on primary position.Conclusion: Penetrating injury could be devastating for many organs inside the orbit. With a carefulexamination and correct management, vision can be saved.Keywords: penetrating injury, orbital cavityBackground: Penetrating trauma through the orbit cavity by blunt edged instrument could bring destructionto many organs located in it. This article is aimed to report a case of severe penetrating injury throughthe orbit cavity with a good visual recovery after surgical treatment.Case Illustration: A 29-year-old male came to Cicendo National Eye Hospital with a complaint ofbloody eye. His head was hit by fallen wall from behind while he was working using crowbar thatcaused the tip of crowbar penetrated into intracranial cavity through the right orbit cavity. Vital signswere within normal limit, with the crowbar fixated on 2 mm below the margin of inferior orbital edge.Visual acuity was 2/60 (bed side examination) without any RAPD. CT-scan showed the tip of crowbarentered cranial cavity. Patient was diagnosed with penetrating injury through the orbit and referred toNeurosurgery Department. Operation was done under general anesthesia and it was found that the tipripped of duramater on frontal region and both inferior rectus and inferior oblique muscle were rippedoff. We decided to leave the eye and give methyl prednisolone iv 1 g a day. Post operative examinationshowed that the visual acuity was 20/60 and patient was unable to move the right eye downward.Patient did not complain of double vision on primary position.Conclusion: Penetrating injury could be devastating for many organs inside the orbit. With a carefulexamination and correct management, vision can be saved.Keywords: penetrating injury, orbital cavityrauma pada wajah merupakan masalahsosial serta masalah kesehatanmasyarakat disebabkan karena frekuensiserta besaran masalah yang ditimbulkan, sertaketerkaitan dengan kecelakaan lalu lintas,tindak kejahatan, serta kaitannya denganrasa tidak aman. Bola mata meski hanyameliputi 0,27% dari seluruh permukaan tubuh,dan merupakan 4% dari seluruh permukaanwajah, mata merupakan bagian tubuh ketigayang paling terekspose oleh trauma.1,2 Kehilanganpenglihatan pada satu atau keduamata merupakan

Infeksi sistem lakrimal yang paling umum adalah dakriosistitis. Infeksi biasanya didahului oleh obstruksi duktus nasolakrimalis dan dapat terjadi pada semua kelompok usia. Tujuan penelitian ini adalah mencari jumlah kasus, karakteristik demografi dan klinis, serta pengelolaan dakriosistitis di RS Mata Cicendo periode 1 Maret 2014 sampai dengan 30 September 2014. Metode yang digunakan, yaitu dengan meninjau secara retrospektif rekam medis penderita dakriosistitis di Rumah Sakit Mata Cicendo Bandung selama periode 1 Maret 2014 sampai dengan 30 September 2014. Jumlah kasus, karakteristik demografi dan klinis, serta manajemen kasus ini ditinjau. Terdapat 13 pasien (13 mata) yang didiagnosis sebagai dakriosistitis. Sebagian besar pasien adalah perempuan. Usia rata-rata adalah 41,3 tahun. Semua kasus adalah unilateral. Infeksi akut adalah dominan dari pada infeksi kronik. Sebelas kasus diterapi dengan obat-obatan dan dua kasus kronik diterapi dengan dacryocystorhinostomy (DCR). Sebagai kesimpulan, terdapat 13 pasien (13 mata) yang didiagnosis sebagai dakriosistitis akut dan kronik. Sebagian besar pasien adalah wanita di usia pertengahan, kasus unilateral, serta penatalaksanaan dengan obat

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