bluuebunny/crossref_metadata_2025_split huggingface dataset:
Estudio comparativo de factores asociados a infección del sitio quirúrgico tras cirugía de fractura de cadera en hospitales de Ica y Trujillo
Authors: Barrientos Ramos Víctor Hugo , Vargas-Morales Renán Estuardo , Barrientos Salazar Paolo Francesco 
Published: February 2024

Objetivo: Comparar los factores asociados a infección de sitio operatorio (ISO) en cirugía de fractura de cadera, en los Hospitales, Regional de Ica y Víctor Lazarte Echegaray de Trujillo, en el período 2015-2022. Metodología: Se realizó un estudio observacional, retrospectivo, comparativo y transversal en el período de enero del 2015 a enero del 2021, en el Hospital Regional de Ica – Minsa y en el Hospital Víctor Lazarte Echegaray de Trujillo. Se estudiaron las historias clínicas de 122 pacientes intervenidos de cirugía de cadera en el Hospital Regional de Ica, y 114 del Hospital Lazarte . De los del Regional de Ica, sólo 46 cumplieron con los criterios de inclusión, mientras que los de Trujillo todos fueron incluídos. Se almacenaron las informaciones en Excel y se trasladaron al programa estadísticos SPSS v, 27.0, procediendo a realizar el análisis de frecuencias, correlación y análisis multivariado de regresión logística. Resultados: De los pacientes de Ica, se obtuvo un 43.5 % ( 20 ) con tratamiento con osteosíntesis; un 34,8 % ( 16 ) con artroplastia total; un 19.6 % ( 09 ) con artroplastia parcial ; y un 2.2 % ( 01 ) con clavo endomedular. De los 46 pacientes estudiados, se encontraron 07 casos de ISO (15.2%). En los antecedentes mórbidos, la desnutrición se encontró a la variable como factor asociado a ISO con un p = 0.006. Mientras que en los pacientes de Trujillo, el tipo de Fijación, muestra que el 61.4% de la muestra presentó tratamiento de Osteosíntesis, en tanto que el 38.6% restante fue tratamiento con Artroplastía. En este grupo de Trujillo, hubo infección en 16 pacientes . Sí hubo significancia estadística con un valor p = 0,009 para las variables tiempo operatorio con transfusión sanguínea . Además de un valor p = 0.000 para la variable IMC (índice de masa corporal). Conclusión: En los pacientes de Ica, la incidencia de ISO fue de 15.2% en cirugía de fractura de cadera en el adulto mayor. En los pacientes de Trujillo, la incidencia de ISO fue de 14.03%. La desnutrición fue el factor asociado a ISO en Ica . Con respecto a los pacientes de Trujillo, se concluye que. el tiempo operatorio con transfusión sanguínea y el índice de masa corporal (IMC), son los factores asociados a ISO.
CLINICAL PROFILE OF CHILDREN REFRACTIVE ERRORS IN A SECONDARY HEALTH CARE HOSPITAL OF BEKASI WEST JAVA
Authors: LASMIDA RUTH A SIMATUPANG  
Published: February 2024

Abstract
Introduction & Objectives : The aim of this study was to study the pattern of refractive errors and its association among children visited Hermina Hospital Bekasi.
Methods : A hospital based retrospective review was conducted on children visiting Ophthalmology Outpatient Clinic of Hermina Hospital Bekasi from October 2022 to February 2023.
Results : A total of 104 children (208 eyes) aged 5-18 years were diagnosed with refractive errors. Mean age of presentation was 11.13±3.38 years with male to female ratio of 1:1.6. At the time of presentation, 50% children suffered from mild moderate visual impairment. Most of the children have mild (≤3.00D) refractive error (70.2%) with spherical equivalents ranged from +4.50 D to -10.00 D. Astigmatism was found in 166 eyes (79.8.%) followed by myopia (39;18.8%) and hypermetropia (3; 11.78%). Compound myopic astigmatism was the commonest type of astigmatism (131;79.4%). With regards to the age categories, 23.9% of the children aged 10-14 years had myopic spherical equivalents, compared with 13.1% of children between 5 and 9 years old.
Conclusion : Refractive errors was a common diagnosis among children seen in our secondary health care hospital. Most of the children with refractive errors present with mild to moderate decrease in visual acuity and had benefited from an optical correction by glasses.
MILLER FISHER SYNDROME: A RARE BENIGN VARIANT OF GUILLAIN- BARRE SYNDROME
Authors: Ayu Anggraini Kusumaningrum  , Zahira Rikiandraswida  , Riski Prihatningtias  
Published: February 2024

Abstract
Introduction : Guillain-Barré Syndrome (GBS) is a broad category of syndromes that includes several types of acute immune-mediated polyneuropathy. Miller Fisher Syndrome (MFS) is a scarce variant of GBS (1-2:1,000,000) that presents at least 2 of ataxia, areflexia, and ophthalmoplegia.
Case Illustration : A 32 years-old-man came to JEC-Candi with ophthalmic discomfort and exhibited a week onset of total ophthalmoplegia, ptosis, diplopia, and lagophthalmos. Two weeks backward, the patient had a respiratory infection then emerged symmetrical sensory abnormalities (glove-and-stocking-type pinprick sensations in distal extremities). Neurological examinations were performed, and the patient got multiple cranial nerve weaknesses (oculomotor, trochlear, abducens, trigeminal, and facial) both in motoric and sensory, ataxia (positive Romberg sign, stepping test, gait, shallow-knee- bend), and negative pathologic reflexes. Hematology showed leukocytosis, MRI and CT-Scan were normal. Pulse therapy was given (Methylprednisolone 1g/day) for three days, neuroprotector and artificial tears added. Ataxia and diplopia improved, then the patient was referred to Kariadi Hospital for five-times plasmapheresis that involved neurologist and internist. Ophthalmoplegia improved slowly, and lagophthalmos disappeared one month after hospital admission.
Discussion : GBS subvariant could overlap; this case presents bifacial weakness with paresthesia and MFS. Viral infection precedes neurological symptoms in most cases, with an average of 10 days of the incubation period. Ataxia, diplopia, and ophthalmoplegia may confuse the physician and presume an upper motor neuron sign or central cause. Steroid and plasmapheresis evince meaningful upturn.
Conclusion : This rare disease requires a multidisciplinary approach to cure and diagnose. Nonetheless, MFS has a good prognosis. Appropriate treatment selection will enhance patients' quality of life.
ND:YAG Laser Vitreolysis as The Management of Occluded Tube After Glaucoma Drainage Device Implantation (GDD)
Authors: Iskandar Raden Fitri Fatimah , Gustianty Elsa , Umbara Sonie , Prahasta Andhika , Rifada R. Maula 
Published: February 2024

Introduction : Glaucoma Drainage Devices (GDD) implantation surgery can be an alternative therapy for patients with uncontrolled IOP after trabeculectomy. However, tube occlusion is a common complication of GDD implantation. Management of tube occlusion can be done using laser or with surgery. This case presents the management of vitreous occlusion of tube implant using ND:YAG laser-vitreolysis.
Case Illustration : A 63 year-old male patient came with chief complaint of pain in his right eye. The patient had a history of cataract surgery on the right eye and was diagnosed with glaucoma. An examination showed IOP in the right eye was increased, vitreous in COA and lens was aphakic with posterior capsule rupture. The patient had undergone trabeculectomy, but IOP remained high, so an Aurolab Aqueous Drainage Implant (AADI) GDD implantation was performed. However, six weeks after the procedure, the IOP still increased, and an examination revealed vitreous occlusion of the GDD tube (Figure 1) . The patient underwent Zeiss ND-YAG laser-vitreolysis on his right eye (Figure 2) with laser spot size of 50?m and power of 2.1 MJ. Post laser IOP was decreased.
Discussion : GDD implantation is a surgical option for primary or secondary therapy, but tube occlusion can cause implantation failure. Laser-vitreolysis is a non- invasive modality to treat tube occlusion caused by vitreous.
Conclusion : GDD occlusion can occur due to various etiologies, but laser-vitreolysis is a non-invasive treatment option aimed at restoring tube patency and aqueous outflow.
INVESTIGATING THE INTERPLAY: UNRAVELLING THE IL-6 CONNECTION AND INTRAVENOUS METHYLPREDNISOLONE'S IMPACT ON RECTUS MUSCLE IN THYROID EYE DISEASE
Authors: Rangga Athallah Fajar  
Published: February 2024

Abstract
Introduction & Objectives : Intravenous corticosteroid has been used in management of Thyroid Eye Diseases (TED). Many previous studies have shown the therapeutic benefits of corticosteroid therapy. Recently, the efficacy of high-dose intravenous corticosteroid pulse therapy has been reported. Recent studies have highlighted the potential role of interleukin-6 (IL-6) in the pathogenesis of TED. However, the correlation between IL-6 levels and the effects of IVMP on rectus muscles in patients with TED remains unclear. This study aims to investigate the correlation between IL-6 levels and the effects of IVMP on rectus muscles in patients with TED
Methods : Retrospective analysis were used in the data collection of patients with active Thyroid Eye Disease who undergone high-dose intravenous methylprednisolone pulse therapy (500mg per week for 6 successive weeks) at Sardjito General Hospital between January 2022 and December 2022. Data on the Level of IL-6 were obtained at the start of treatment, and quantitative computed tomography (CT) of the orbit and were performed before and after treatments. Demographics data were presented in tables and graphs.
Results : This study included 62 eyes of 31 patients (61,3% female) with mean age of 37.8+13.47 years old. There was significant inverse correlation in levels of IL-6 and ?SR (P=0.037) which implies a reduced effect of IVMP on SR. However, other statistical analyses on different rectus muscle groups bare no statistical significance.
Conclusion : The use of IL-6 as a single predictor of responsiveness of the treatment of high dose intravenous methylprednisolone is not endorsed by the result of this study. However, further studies with better established level of IL-6 both pre and post treatment, and more inclusive parameters are needed to better provide better understanding on the role of IL-6.
Intravenous Catheter Use for Inferior Lacrimal Canalicular Laceration Reconstruction: A Life Hack in Low Resource Setting
Authors: ISNA KUSUMA NINTYASTUTI  , Ni Nyoman Geriputri  
Published: February 2024

Introduction : Silicone tube was the standard for stenting canaliculi in lacrimal canalicular laceration. But it was not always in stock at a hospital in remote area with low resource. Use of intravenous catheter to exchange the unavailable slicone tube was a possible option.
Case Illustration : We reported two cases of inferior canalicular laceration at NTB provincial hospital. Both cases were adult, one female and one male. First case caused by nail and second because of traffic accident. There were no globe involvement in both case. Reconstruction surgeries with monocanalicular approach were performed. Intravenous catheter was used for stenting the canaliculus. First case was using a 24G, the other was 22G. The catheters were well inserted and planned to be removed at3 month. At the day 7 follow-up, the 24G catheter was extruded spontaneously while the patient with 22G was not. Both patients did not complain of profuse tearing.
Discussion : The diameter and length of 24G iv catheter were 0.7mm and 19mm, while 22G were 0.9mm and 25mm. The diameters were similar with the silicone tube (0.6mm) and the lengths were long enough to pass the lower and common canaliculus which has a total 15mm long. The catheter in the first case was extruded possibly because in 24G there was only 4mm inside th lacrimal sac. A high pressure air from the nose would push the catheter backward and extruded. The 22G would have 10mm inside the sac.
Conclusion : Intravenous catheter was an alternative option for inferior canalicular laceration stenting in low resource setting.
Risk Factors of Occipital Stroke in Tertiary Eye Center in Yogyakarta, Indonesia
Authors: BUDHI HARTIWI SATYAWATI  , INDRA TRI MAHAYANA  , HARTONO  
Published: February 2024

Abstract
Introduction & Objectives : Occipital stroke is a stroke involving occipital lobe of the brain which can impair the visual acuity in patient. Several risk factors have been identified as a predisposing conditions. Objectives The aim of this study is to investigate the risk factors for occipital stroke.
Methods : It is a cross sectional research by analyzing secondary data from medical record of patients with occipital stroke hospitalized in Dr. Yap Eye Hospital in Yogyakarta from January 2021 to December 2022 were included in this study. Demographyy, clinical data, and risk factors associated with occipital stroke was recorded. The descriptive statistic was performed to evaluate risk factors for occipital stroke.
Results : Subjects were analyzed 61, comprised of 44 males (72%) and 17 females (28%). Majority of subjects age ≥45 years old (93%). Attack occurred during activity (n=54, 89%), during wake up (n=7, 11%). The involvement right eye (n=8, 13%), left eye (n=9, 15%), & bilateral (n=44, 72%). From 122 eyes, 74 hemianopia (61%), 34 quadranopia (28%) and 14 bilateral hemianopia (11%). 29 subjects had right occipital stroke (48%), 25 subjects hadleft occipital stroke (41%) and 7 subjects had bilateral occipital stroke (11%). Most subjects had one risk factor (n=29, 48%) and two risk factors (n=23, 38%). Eight subjects had three risk factor (13%) and only one subject had four risk factors (2%).
Conclusion : The majority of risk factors of occipital stroke involved only single risk factors and double risk factors. Only minority of subjects had multiple risk factors.
A Challenging case of essensial iris atrophy ICE Syndrome with secondary angle closure glaucoma at Pasar Rebo General Hospital : A Case Report
Authors: Indrianti Dayu Fitria , Nasrudin  , Nasrudin  , Simanjuntak Dicky Budiman 
Published: February 2024

Introduction : ICE syndrome is a unique ophthalmic disorder that involves an iris atrophy, irregular corneal oedema, and secondary angle-closure mainly occurs unilaterally in young and middle-aged women, with no family history. Approximately 50% of ICE syndrome patients will later develop secondary angle closure glaucoma. The following case report presents a patient with essential iris atrophy and secondary angle closure glaucoma.
Case Illustration : A 50 year old woman presented with painful and redness of the right eye (RE) since 1 week. Her visual acuity was 6/40 of RE and 6/30 of left eye (LE). Her intraocular pressure (IOP) was 61,3 mmHg and 19 mmHg for the RE and LE. On the slit lamp, we had a proper RE finding, the iris atrophy with deformity in the direction from 12 to 6 hours, with minimal corneal edema. We performed gonioscopy, fundus photographs and papillary optical coherence tomography. The patient was diagnosed with ICE syndrome with essential iris atrophy type and secondary angle closure glaucoma then was given anti glaucoma agents.DiscussionICE syndrome treatments focus on managing the corneal edema and secondary glaucoma. We treated our patient with maximal oral and topical combination therapy such as carbonic anhydrase inhibitors, beta blockers, cholinergic, prostaglandin analogs for 6 months the IOP and corneal oedema were well maintained. However, maintaining long term success can be challenging, surgical therapy with a filtering procedure can be considered if the IOP is uncontrolled.
Conclusion : We confirmed the diagnosis of essential iris atrophy based on its clinical findings and abnormalities in complementary exams.
Comparison of Visual Acuity and Defocus Curve after Cataract Surgery with Pure Extended Depth Focus Lens and Mini-Monovision - Interim Analysis -
Authors: M. Dio Syaputra  , Syska Widyawati  , Faraby Martha  , Tri Rahayu  , Aria Kekalih  
Published: February 2024

Abstract
Introduction & Objectives : Presbyopia after cataract surgery is still a problem despite recent surgical techniques and intraocular lens technology development. Mini-monovision techniques and pure extended depth of focus (EDoF) lenses are alternatives to achieve good distance and intermediate visual acuity at relatively inexpensive.This study aims to compare the clinical outcome after cataract surgery with binocular mini-monovision and cataract surgery using a pure monocular EDoF lens.
Methods : Subjects were randomized into the mini-monovision group (standard monofocal lenses with -1.25 D of anisometropia) and the pure EDoF group. The blinding was achieved by masking the clinical outcome examiners.
Results : Interim analysis of 16 patients revealed the outcome of uncorrected and corrected distance visual acuity (UCDVA and BCDVA) were not significantly different between groups. Median of uncorrected intermediate visual acuity (UIVA) and mean of uncorrected near visual acuity (UNVA) of binocular mini-monovision were 0.10 (0-0.10) LogMar and 0.26 + 0.12 LogMar. Median UIVA & mean UNVA monocular EDoF were 0.19 (0.14-0.50) LogMar and 0.54 + 0.11 LogMar, respectively. The Mann- Whitney U test of UIVA between groups revealed p=0.001, and the unpaired T-test of UNVA revealed p=0.000. Mean defocus curve of -2.50 D lens were 0.31 LogMar in binocular mini- monovision group and 0.51 LogMar monocular in EDoF group (p=0.019).
Conclusion : UIVA, UNVA and defocus curve of -2.50 D lens in the mini-monovision group were better than the EDoF group.
The Relationship between Characteristics and Underlying Eye Disorders with Optical Aid Selection and Visual Acuity Status Differences in Children with Low Vision Before and After Optical Aid Selection
Authors: Sidohutomo Andityo , Deneska Ria Sandy , Loebis Rozalina 
Published: February 2024

Background: Low vision is a vision disorder that can have a significant impact on a person's independence, especially in children. According to WHO data from 2019, 246 million people suffer from low vision. Ophthalmologists must prioritize low-vision services such as refractive correction and low-vision assessment. This study aims to learn more about the relationship between characteristics and underlying eye disorders with optical aid selection, as well as differences in visual acuity status in children with low vision before and after optical aid selection.
Methods: This study was an analytic observational retrospective cohort using medical records of children with low vision in RSUD Dr. Soetomo Surabaya. This study analyzed the relationship between characteristics (gender, age, education level, intervention history) and underlying eye disorders with optical aid selection using the Chi-Square test, while visual acuity status differences before and after optical aid selection were analyzed using the Wilcoxon test.
Results: There were no relationships between characteristics (gender, age, education level, intervention history) and underlying eye disorders with optical aid selection (p > 0.05). There were differences in visual acuity status before and after optical aid selection (p < 0.05) with a minimum decrease of 0.1 logMAR which means an increase in visual acuity in all 72 samples of children with low vision after optical aid selection.
Conclusion: These data provide new evidence of essential links between visual acuity status before and after optical aid selection. However, characteristics (gender, age, education level, intervention history) and underlying eye disorders were not associated with optical aid selection.
CLINICAL PROFILE OF PTOSIS PATIENTS IN DR. M. DJAMIL HOSPITAL PADANG
Authors: Putri Amanda  
Published: February 2024

Abstract
Introduction & Objectives : Ptosis is one of the most common upper eyelid abnormalities. Ptosis surgery is indicated when there is visual compromise. Patient clinical profile is important in diagnosing and planning treatment for ptosis correction. The aim of this study is to describe the clinical profile of ptosis surgery patient in Dr. M. Djamil Hospital Padang.
Methods : This study was conducted in descriptive and retrospective manner. This research has been approved by the Medical Faculty of Andalas University research ethics committee No: 332/UN.16.2/KEP- FK/2021. All patients that were diagnosed with ptosis in Dr. M. Djamil Hospital Padang from January 2016 to December 2021 were included.
Results : There were 33 patients included in this study. Most common age range was 11-20 years old (51.5%), patients were dominantly female (51.5%). According to laterality, the most common was unilateral ptosis, 21 cases (63.6%). Congenital ptosis comprises 51.5% of the cases with myogenic as the most common etiology. Severe ptosis was found in 20 cases (57.6%), poor levator function was found in 17 cases (51.5%). Levator resection was performed in 19 cases (57.6%). Thirty patients (90.9%) had MRD1 ≥2 mm post-surgery.
Conclusion : Levator function is important in determining the surgical method. In severe ptosis with poor levator function, frontalis suspension is the surgery of choice. Appropriate surgical procedure in accordance to accurate pre-operative evaluation will show a good surgical result.
A Case of Malignant Glaucoma Following a Trabekulectomy
Authors: Rumampuk Irene M. A. , Kasih Franky 
Published: February 2024

Introduction : Malignant Glaucoma (MG) is characterized by a shallow anterior chamber (AC) associated with a raised intraocular pressure (IOP) usually following a filtration surgery in eyes with angle closure.
Case Illustration : A 56-year-old female patient presented on the second day post trabeculectomy with a shallow AC. The patient experienced ocular pain on the 2nd day post-op. Visual acuity was 6/40 and NCT was 57 mmHg in her LE. Slit lamp examination showed an absent peripheral AC the patient was treated with oral acetazolamide, topical timolol, topical brimonidine, and topical cycloplegics. 24 hours later, the IOP was 34 mmHg, absent AC with mild corneal edema. The diagnosis was Glaucoma Maligna post Trabeculectomy ec Acute attack PACG. After a month, corneal edema has resolved, visual acuity was 6/12, IOP was 27.6mmHg.
Discussion : The exact mechanism of MG remains unclear. There is likely to be an anatomical interaction between the ciliary processes, lens, and anterior vitreous face which causes the diversion of aqueous backwards into the vitreous cavity and causing the anterior rotation of the cilliary processes therefore blocking the aqueous outflow. Although, in our case this problem was moderated by cycloplegics and glaucoma medications, literature describes interventions such as lens extraction, posterior capsulotomy, anterior vitrectomy and pars plana vitrectomy was necessitated in some cases to decrease IOP.
Conclusion : MG is a sight threatening condition caused by a raised IOP in the presence of a patent iridectomy usually occurring after an intraocular surgery. The management of this condition could vary from medications to surgical interventions.