Publikasi Scopus 2024 per tanggal 31 Mei 2024 (409 artikel)

Sumual V.; Sutanto R.L.; Chandra A.P.
Sumual, Vera (57218375739); Sutanto, Reynardi Larope (57222060277); Chandra, Angelina Patricia (59130022900)
57218375739; 57222060277; 59130022900
Emergency surgical management for ocular trauma with confirmed COVID-19 symptoms: A case report
2024
International Journal of Surgery Case Reports
119
109761
0
Department of Ophthalmology, Faculty of Medicine, Sam Ratulangi University - Prof. R. D. Kandou General Hospital, Indonesia; Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Sumual V., Department of Ophthalmology, Faculty of Medicine, Sam Ratulangi University - Prof. R. D. Kandou General Hospital, Indonesia; Sutanto R.L., Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Chandra A.P., Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Introduction and importance: Conducting urgent eye trauma surgery amidst the COVID-19 pandemic poses distinct difficulties, as strict infection control measures are crucial to safeguard both patients and medical staff. Nonetheless, eye trauma remains a significant contributor to avoidable vision loss in developing countries. Case presentation: A 57-year-old man presented with redness, bleeding, and injury in the left eye after a motorcycle accident 9 h prior to hospital admission, along with a torn wound on his left cheek. The visual acuity in the left eye showed no light perception. Limited eye movement in all directions, eyelid hematoma, conjunctival injection, hyphema, and tissue protrusion from the limbus at 6 to 8 o'clock positions were observed. The patient had a history of cataract surgery (+) in both eyes and was diagnosed with an open globe injury with zone II penetrating trauma, accompanied by full hyphema, vitreous and choroid prolapse in the left eye, and a confirmed case of COVID-19. Evisceration of the left eye was performed following the basic guidelines for ocular trauma surgery during the COVID-19 pandemic. Postoperative follow-up was conducted as usual by the operator in isolation for confirmed COVID-19 patients with no significant complaints. Clinical discussion: Urgent surgical intervention is necessary to prevent visual impairment, following guidelines recommending surgery within 4–72 h. Ocular tissue may facilitate COVID-19 transmission via the nasolacrimal system, posing risks to healthcare workers, particularly during surgery. Preoperative measures, including obtaining COVID-19 status and providing appropriate personal protective equipment (PPE), are crucial. Minimizing aerosol-generating procedures and employing virucidal disinfection further mitigates the transmission risks. This case underscores the need to balance immediate intervention for eye injuries with safety protocols for COVID-19, emphasizing standardized PPE and surgical procedures to safeguard healthcare professionals. Conclusion: Incorporating insights gained during the COVID-19 pandemic will fortify healthcare systems against future pandemics. In particular, it enables effective surgical emergency response while mitigating infectious disease risks. © 2024 The Author(s)
Case report; COVID-19; Global surgery; Ocular injury
virus antigen; adult; anterior eye chamber; Article; case report; cheek; choroid; clinical article; cornea limbus; coronavirus disease 2019; emergency surgery; eye evisceration; eye examination; eye movement; eye protection; eye redness; eyelid; follow up; hematoma; hospital admission; human; hyphema; intraocular hemorrhage; laceration; male; middle aged; pandemic; patient history of cataract surgery; patient isolation; penetrating eye injury; physical examination; traffic accident; virus transmission; visual acuity; vitreous body; zygoma
Kandou General Hospital; Universitas Sam Ratulangi, UNSRAT
The authors would like to express their gratitude to Prof. R. D. Kandou General Hospital, Manado, Indonesia and Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia for their support and assistance towards this report. Their contributions are highly appreciated.
Elsevier Ltd
22102612
Article
Q3
193
19555