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Papers by Christina Aritonang

Research paper thumbnail of Challenging Management of Severe Traumatic Globe Luxation: A Rare Case Report

International journal of research publications, Nov 30, 2023

Introduction: Globe preservation is usually preferred in globe luxation cases due to its psycholo... more Introduction: Globe preservation is usually preferred in globe luxation cases due to its psychological benefit and better cosmetic or prosthetic rehabilitation. Case Illustration: A female teenager came with protruding left eye 1 day after a traffic accident. The patient was conscious with normal vital signs. The left eye was luxated anteriorly with full-thickness eyelid laceration, rupture of lacrimal canaliculi, and exposed area of extraocular muscles. The vision was no light perception. No orbital fracture and no optic nerve avulsion showed on the CT scan. Globe was intact, but all extraocular muscles were not identifiable. Under general anesthesia, lateral canthotomy and cantholysis were done, then the globe was repositioned back into the orbit. Eyelid lacerations were repaired, and finished by temporary blepharorrhaphy. Conclusion: Eyeball saving was chosen in this case where the end result showed a successfully repositioned globe maintained by temporary blepharorrhaphy. Eyeball conservation is preferred even if the visual prognosis is poor and the eye could become phthisical.

Research paper thumbnail of Good Outcome of Corneal Ulcer With Hypopion After Long Use of Contact Lens

Vision Science and Eye Health Journal

Introduction: Microbial keratitis is a corneal infection caused by microorganisms and is characte... more Introduction: Microbial keratitis is a corneal infection caused by microorganisms and is characterized by a profound corneal epithelial defect that infects the cornea and causes severe and progressive visual loss. In recent years, the incidence of microbial keratitis has increased. One of the critical risk factors for increasing this incidence is using contact lenses. As the number of contact lens users increases, the number of corneal ulcers associated with contact lenses also increases. Case Presentation: A 25-year-old man was admitted to the emergency department with a complaint of gradually blurry vision in his left eye four days after using contact lenses for overnight uses since the previous few days and did not routinely clean contact lenses or replace contact lens cleaning fluid. The visual acuity of the patient's left eye was hand movement with conjunctival and pericorneal injection in the conjunctiva and 6 x 7 mm stromal level infiltrate, blurred margin, and whitish co...

Research paper thumbnail of The effectiveness of using peek acuity in vision screening for the admission of elementary school students

Bali Medical Journal, Jul 31, 2022

Background: Limiting close physical contact is key to helping reduce the spread of the coronaviru... more Background: Limiting close physical contact is key to helping reduce the spread of the coronavirus by using the portable eye examination kit (Peek Acuity), which has been recognized as a reliable and valid tool to measure visual acuity. This study is aimed to compare the effectiveness of the Peek Acuity and ETDRS (Early Treatment Diabetic Retinopathy Study) chart as the gold standard for screening in school-age students. Methods: This study used an observational research design with cross-sectional data collection methods to compare the effectiveness of the Peek Acuity application diagnostic test and ETDRS chart for screening in school-age students. Sample collection was done by total sampling technique on students aged 6-12 from one of the elementary schools in Surabaya. The study was conducted from October 2019 to November 2019. OpenEpi analyzed the validity and reliability of the results to compare the effectiveness of Peek Acuity and the ETDRS chart. Results: There were 231 students with details aged 6-9 years, as many as 150 students and aged 10-12 years, as many as 81 students. On examination of visual acuity using peek acuity and ETDRS chart, it indicated that the number of subjects with refractive errors was more than normal eyes. Peek acuity has been shown to have low sensitivity and high specificity. Higher specificity was found in children aged 10-12 years compared to 6-9 years. Conclusion: The Peek Acuity application has higher effectiveness in screening than the ETDRS chart. It is practical, fast, and easy to use. The Peek Acuity application is considered effective for screening school-age students due to its high rate of specificity

Research paper thumbnail of Managing a middle-aged patient with bilateral neglected keratoconus

International journal of health sciences

The Orbscan's benefits include providing a thickness map and being noncontact for keratoconus... more The Orbscan's benefits include providing a thickness map and being noncontact for keratoconus screening. However, several developing countries have delayed keratoconus management due to a lack of resources and qualified examiners. Here we report a case of underdiagnosed and mistreated by high astigmatism, leading to a neglected case of keratoconus. A 34-year-old woman is bothered by her developing blurred eyesight and habit of scratching her eyes. The streak retinoscopy examination revealed the right eye was 5/20 cc S+7.75 C-6.00 Axis 150 became 5/15 and 5/20 cc S+7.25 C-6.00 Axis 80 became 5/15 for the left eye. The Placido test revealed irregular lines. The Schirmer test showed dry eyes. Slit-lamp examination revealed irregular thin cornea, Munson sign, Rizzuti's sign, and Vogt's striae were positive. The manual keratometer showed remarkably high corneal powers. The corneal topography showed characteristics of keratoconus. Scleral contacts with AS-OCT guiding were inse...

Research paper thumbnail of Case Report: Low Vision Management in A 5-Years-Old Due to Retinopathy of Prematurity for Life Quality Improvement

Folia Medica Indonesiana, 2020

Management of low vision in pediatric patients with greater result can affect their quality of li... more Management of low vision in pediatric patients with greater result can affect their quality of life than in adult low vision patients. Retinopathy of prematurity is the main cause of blindness in children. A case study highlights the tertiary prevention (low vision examination and management) in a 5 year old boy with ROP related blindness to optimize his remaining visual capacity by using optical and non-optical aids that support daily activity and educational learning. A 5-year-old boy with ROP related blindness visited to the low vision clinic after receiving the several treatments for ROP before. His visual acuities were light perception in the right eye and hand movement in the left eye using his current spectacle correction. He had anti VEGF bevacizumab intravitreal injection, vitrectomy and complicated cataract extraction history on the left eye. He was difficult to learn and read numbers and alphabets caused by visual impairment. Upon evaluation by assessment low vision metho...

Research paper thumbnail of Low Vision Management in A 5-Years-Old Due to Retinopathy of Prematurity for Life Quality Improvement

Folia Medica Indonesiana, 2021

Introduction: Management of low vision in pediatric patients with greater result can affect thei... more Introduction: Management of low vision in pediatric patients with greater result can affect their quality of life than in adult low vision patients.. Retinopathy of Prematurity is the main cause of blindness in children. A case study highlights the tertiary prevention (low vision examination and management) in a 5 year old boy with ROP related blindness to optimize his remaining visual capacity by using optical and non optical aids that support daily activity and educational learning.Case Report: A 5 year old boy with ROP related blindness visited to the low vision clinic after receiving the several treatments for ROP before. His visual acuities were light perception in the right eye and hand movement in the left eye using his current spectacle correction. He had anti VEGF bevacizumab intravitreal injection, vitrectomy and complicated cataract extraction history on the left eye. He wasdifficult to learn and read numbers and alphabets caused by visual impairment.Discussion : Upon e...

Research paper thumbnail of Challenging Management of Severe Traumatic Globe Luxation: A Rare Case Report

International journal of research publications, Nov 30, 2023

Introduction: Globe preservation is usually preferred in globe luxation cases due to its psycholo... more Introduction: Globe preservation is usually preferred in globe luxation cases due to its psychological benefit and better cosmetic or prosthetic rehabilitation. Case Illustration: A female teenager came with protruding left eye 1 day after a traffic accident. The patient was conscious with normal vital signs. The left eye was luxated anteriorly with full-thickness eyelid laceration, rupture of lacrimal canaliculi, and exposed area of extraocular muscles. The vision was no light perception. No orbital fracture and no optic nerve avulsion showed on the CT scan. Globe was intact, but all extraocular muscles were not identifiable. Under general anesthesia, lateral canthotomy and cantholysis were done, then the globe was repositioned back into the orbit. Eyelid lacerations were repaired, and finished by temporary blepharorrhaphy. Conclusion: Eyeball saving was chosen in this case where the end result showed a successfully repositioned globe maintained by temporary blepharorrhaphy. Eyeball conservation is preferred even if the visual prognosis is poor and the eye could become phthisical.

Research paper thumbnail of Good Outcome of Corneal Ulcer With Hypopion After Long Use of Contact Lens

Vision Science and Eye Health Journal

Introduction: Microbial keratitis is a corneal infection caused by microorganisms and is characte... more Introduction: Microbial keratitis is a corneal infection caused by microorganisms and is characterized by a profound corneal epithelial defect that infects the cornea and causes severe and progressive visual loss. In recent years, the incidence of microbial keratitis has increased. One of the critical risk factors for increasing this incidence is using contact lenses. As the number of contact lens users increases, the number of corneal ulcers associated with contact lenses also increases. Case Presentation: A 25-year-old man was admitted to the emergency department with a complaint of gradually blurry vision in his left eye four days after using contact lenses for overnight uses since the previous few days and did not routinely clean contact lenses or replace contact lens cleaning fluid. The visual acuity of the patient's left eye was hand movement with conjunctival and pericorneal injection in the conjunctiva and 6 x 7 mm stromal level infiltrate, blurred margin, and whitish co...

Research paper thumbnail of The effectiveness of using peek acuity in vision screening for the admission of elementary school students

Bali Medical Journal, Jul 31, 2022

Background: Limiting close physical contact is key to helping reduce the spread of the coronaviru... more Background: Limiting close physical contact is key to helping reduce the spread of the coronavirus by using the portable eye examination kit (Peek Acuity), which has been recognized as a reliable and valid tool to measure visual acuity. This study is aimed to compare the effectiveness of the Peek Acuity and ETDRS (Early Treatment Diabetic Retinopathy Study) chart as the gold standard for screening in school-age students. Methods: This study used an observational research design with cross-sectional data collection methods to compare the effectiveness of the Peek Acuity application diagnostic test and ETDRS chart for screening in school-age students. Sample collection was done by total sampling technique on students aged 6-12 from one of the elementary schools in Surabaya. The study was conducted from October 2019 to November 2019. OpenEpi analyzed the validity and reliability of the results to compare the effectiveness of Peek Acuity and the ETDRS chart. Results: There were 231 students with details aged 6-9 years, as many as 150 students and aged 10-12 years, as many as 81 students. On examination of visual acuity using peek acuity and ETDRS chart, it indicated that the number of subjects with refractive errors was more than normal eyes. Peek acuity has been shown to have low sensitivity and high specificity. Higher specificity was found in children aged 10-12 years compared to 6-9 years. Conclusion: The Peek Acuity application has higher effectiveness in screening than the ETDRS chart. It is practical, fast, and easy to use. The Peek Acuity application is considered effective for screening school-age students due to its high rate of specificity

Research paper thumbnail of Managing a middle-aged patient with bilateral neglected keratoconus

International journal of health sciences

The Orbscan's benefits include providing a thickness map and being noncontact for keratoconus... more The Orbscan's benefits include providing a thickness map and being noncontact for keratoconus screening. However, several developing countries have delayed keratoconus management due to a lack of resources and qualified examiners. Here we report a case of underdiagnosed and mistreated by high astigmatism, leading to a neglected case of keratoconus. A 34-year-old woman is bothered by her developing blurred eyesight and habit of scratching her eyes. The streak retinoscopy examination revealed the right eye was 5/20 cc S+7.75 C-6.00 Axis 150 became 5/15 and 5/20 cc S+7.25 C-6.00 Axis 80 became 5/15 for the left eye. The Placido test revealed irregular lines. The Schirmer test showed dry eyes. Slit-lamp examination revealed irregular thin cornea, Munson sign, Rizzuti's sign, and Vogt's striae were positive. The manual keratometer showed remarkably high corneal powers. The corneal topography showed characteristics of keratoconus. Scleral contacts with AS-OCT guiding were inse...

Research paper thumbnail of Case Report: Low Vision Management in A 5-Years-Old Due to Retinopathy of Prematurity for Life Quality Improvement

Folia Medica Indonesiana, 2020

Management of low vision in pediatric patients with greater result can affect their quality of li... more Management of low vision in pediatric patients with greater result can affect their quality of life than in adult low vision patients. Retinopathy of prematurity is the main cause of blindness in children. A case study highlights the tertiary prevention (low vision examination and management) in a 5 year old boy with ROP related blindness to optimize his remaining visual capacity by using optical and non-optical aids that support daily activity and educational learning. A 5-year-old boy with ROP related blindness visited to the low vision clinic after receiving the several treatments for ROP before. His visual acuities were light perception in the right eye and hand movement in the left eye using his current spectacle correction. He had anti VEGF bevacizumab intravitreal injection, vitrectomy and complicated cataract extraction history on the left eye. He was difficult to learn and read numbers and alphabets caused by visual impairment. Upon evaluation by assessment low vision metho...

Research paper thumbnail of Low Vision Management in A 5-Years-Old Due to Retinopathy of Prematurity for Life Quality Improvement

Folia Medica Indonesiana, 2021

Introduction: Management of low vision in pediatric patients with greater result can affect thei... more Introduction: Management of low vision in pediatric patients with greater result can affect their quality of life than in adult low vision patients.. Retinopathy of Prematurity is the main cause of blindness in children. A case study highlights the tertiary prevention (low vision examination and management) in a 5 year old boy with ROP related blindness to optimize his remaining visual capacity by using optical and non optical aids that support daily activity and educational learning.Case Report: A 5 year old boy with ROP related blindness visited to the low vision clinic after receiving the several treatments for ROP before. His visual acuities were light perception in the right eye and hand movement in the left eye using his current spectacle correction. He had anti VEGF bevacizumab intravitreal injection, vitrectomy and complicated cataract extraction history on the left eye. He wasdifficult to learn and read numbers and alphabets caused by visual impairment.Discussion : Upon e...