KMN Doctor Patients

Retina treatment at KMN EyeCare

KMN EyeCare’s retina division is highly experienced in treating retina disorders. The retina, which consists of light-sensitive layers of tissue, is responsible for converting the light waves that are projected from the cornea and lens into electrical impulses that will be transmitted to the brain for processing. The neural layer of the retina consists of photoreceptors. As photoreceptors are unable to regenerate themselves, any damage to the neural layer of the retina can cause permanent vision loss.

The retina is the target of a wide range of structural and functional medical conditions. These conditions can be hereditary or acquired. Careful and meticulous examinations are thus required in order to produce a precise diagnosis for a certain retina condition.

Retina treatments: KMN EyeCare patient testimonials

KMN EyeCare is committed to providing our patients with professional, friendly care as well as successful medical treatment. Below are our patient testimonials regarding KMN EyeCare retina treatments.

“From the moment that I arrived, the staff and experts guided me through the necessary procedures with a friendly and welcoming attitude.”

Mekky Imam

More retina testimonials

Retina conditions: Symptoms & treatments at KMN EyeCare

Retina condition symptoms

Symptoms that are usually related to damage of or diseases of the retina include decreased visual acuity, metamorphopsia (distorted vision, such as straight lines looking crooked) , flashes of lights, floating dark spots in the visual field, sudden constriction of the visual field, and history of trauma or accidents. Some of these symptoms can appear when changes to the retina are still very subtle, hence a careful and thorough examination is required.

Medical retina at KMN EyeCare

Our experts encounter a wide range of medical retina conditions on a daily basis. These conditions include diabetic retinopathy and diabetic macular edema, age-related macular degenerations (AMD), polypoidal choroidovasculopaty (PCV), central serous chorioretinopathy (CSR), retinopathy of prematurity, and other less frequent disorders too. These conditions require accurate assessments prior to the commencement of treatment in order to achieve the best possible treatment results. Our vitreoretinal diagnostic tools range from less-invasive ones such as ultrasonography and optical coherence tomography (OCT), to the more invasive fluorescein and indocyanine green angiographies. To date, KMN EyeCare is the only eye center in Indonesia that provides indocyanine green angiography.

Another treatment in the field of medical retina is the intravitreal injection of medicine directly into the vitreous cavity located in the center of the eye. We also offer laser photocoagulations, either using conventional laser photocoagulation or photodynamic therapy (PDT, or “Cold Laser”) using verteporfin (Visudyne®). Like indocyanine green angiography, KMN EyeCare is the only clinic throughout Indonesia to offer PDT. We also deal with a great number of cases of subretinal bleeding, which often results from a late stage polypoidal choroidovasculopathy (PCV, a type of macular degeneration common to Asians). This is treated with intravitreal injections of a combination of a drug to liquify the blood and a gas to shift the blood from underneath the central part of the retina, known as the macula.

The combination of our experienced experts and state of the art diagnostic and therapeutic tools allows KMN EyeCare to provide high-quality medical retinal treatment to our patients throughout Indonesia. 

Intravitreal injections as retina treatment

There was a time where the only available treatment for certain macular conditions, such as wet age related macular degeneration (wet AMD), retinal neovascularization due to vascular disorders, and diabetic macular edema, was laser photocoagulation. Lasers were applied to these patients in order to prevent their vision from further deterioration. Those lasers did not, however, offer improvement of vision.

It was not until the introduction of drugs known as anti-vascular endothelial growth factor (anti VEGF), that one could improve their vision in such treatment cases. These agents are injected directly into the vitreous cavity in the center of the eye according to predetermined intervals so as to halt disease progression and even reverse the pathology of the retina. Thus, this method yields better results both structurally and functionally. There are three anti VEGF agents that are widely used in the present time: aflibercept (Eylea), ranibizumab(Patizra), and bevacizumab (Avastin. At KMN EyeCare, the injection process of the drugs are done in a sterile environment in our operating theater.

Considering the importance of these agents as first line treatments of many retinal conditions, it is our priority at KMN EyeCare to ensure that they are available at any given time in any of our hospitals or clinics. Furthermore, we offer a very competitive rate for these injections to ensure the accessibility of the medicine for anyone in need of such treatment.

Retina surgery with KMN EyeCare

Our highly-experienced vitreoretinal surgeons perform vitreoretinal surgery both in elective and emergency settings on a daily basis. These surgeries include vitrectomy, scleral buckling, as well as a combination of both. Unlike other eye centers that still routinely perform surgeries under general anaesthesia, almost all of our surgeries are done under local anaesthesia, which is intraoperatively safer for our patients and fosters an earlier recovery as well.

In addition to common surgical retinal conditions such as retinal detachments, we also perform surgeries for more complex retinal cases. These include conditions stemming from accidents or trauma including intraocular foreign body extractions; surgeries for macular puckers/epiretinal membrane and macular holes; retinopathy of prematurity; and tractional retinal detachments due to diabetic retinopathy or other proliferative processes. Furthermore, while several of our patients come directly to KMN EyeCare for retina treatment, we also perform a great number of surgeries on referral cases that have been sent to us by other eye care providers and centers nationwide.

Aside from their clinical activities with KMN EyeCare, our surgeons are also well-acknowledged as vitreoretinal lecturers and trainers both throughout Indonesia and abroad.

Retina technology at KMN EyeCare

KMN EyeCare services are built upon the values of personal care, professionalism, and technological application. That’s why KMN EyeCare is proud to use the latest technological developments in the field of eye care. Below, you can read about the technological equipment we use to treat retina conditions in adults and infants.

OPTOS

Optos is the latest addition to KMN EyeCare’s technology in the field of retina. KMN EyeCare is the first and only center in Indonesia to utilize the OPTOS. The OPTOS is a diagnostic photographic tool for the retina that can produce 200 degree images of the retina in a single shot, which is called an “optomap.” This ability to capture such wide images is crucial to detecting retinal pathologies in the periphery, such as retinal tears or holes, tumors, or areas of insufficient blood perfusions that can be caused by diabetic retinopathy or other vascular diseases. Occasionally, these abnormalities appear in the periphery before spreading centrally to the back of the eye. Thus, being able to detect the disease at its early stages, while it is still in the periphery, is beneficial to both doctors and patients in the management of the patient’s eyes. This early detection reduces the potential cost of treatment while preserving the patient’s sight.

Heidelberg Spectralis®

Heidelberg Spectralis® is a multidiagnostic eye care equipment that can perform three simultaneous tasks, Optical Coherence Tomography (OCT), Fluorescein Angiography (FA) and Indocyanine Green Angiography (ICGA), thus significantly reducing the time needed to undergo these treatments. Another advantage of Heidelberg Spectralis® is that it is able to produce a “real time” video imaging of the initial angiographies, which is key in identifying subtle abnormalities of the retina that may otherwise be overlooked with procedures that only capture images rather than videos.

Heidelberg Spectralis® also allows clinicians to compare the conditions of specific parts of the retina from different examination time points. This is highly important in long-term retinal disorders, such as age-related macular degenerations, to determine whether an ongoing treatment is still working or if another treatment is needed. This greatly enhances the end result of retinal disease treatments.

RetCam2 at KMN EyeCare

Assessing an infant’s retina can be challenging, as young children are often unable to hold still in front of conventional imaging equipment. Nonetheless, there are a number of retinal conditions specific to infants that require serial retinal examinations, such as retinopathy of prematurity (ROP). The RetCam2 is an imaging tool that eases the diagnostic process of such situations, as the device is hand-held by the physician and thus can be applied from any position. It enables clinicians to monitor the retinal condition of premature babies so that ROP can be identified as early as possible. The window of opportunity to treat ROP is very narrow and delayed treatment could cause infants to suffer permanent vision loss. As such, the RetCam2 plays a vital role in identifying such conditions.

Aside from producing color photographs and videos of an infant’s eye, RetCam2 can also do Fluorescein Angiography (FA) that records the vascularization of the entire retina.  KMN EyeCare is the first health institution in Indonesia to use the RetCam and is the only institution to conduct RetCam FA in Indonesia

Photodynamic therapy (PDT)

Photodynamic therapy (PDT) is non-thermal or cold laser treatment for exudative macular degeneration (wet AMD). It is used in cases where a conventional laser cannot be used if the leakage is located at or near the macula, the central part of the retina that is responsible for detailed color and central vision. Using a conventional laser in such cases may burn the macula, resulting in loss of central vision.

PDT uses certain laser wavelengths that do not cause heat but are still able to seal leaking blood vessels. With PDT, a light-sensitive medicine called verteporfin (Visudyne) is injected into the bloodstream. The medicine collects in the abnormal blood vessels under the macula. Laser light is then focused on the retina, which activates the drug and causes it to create blood clots that block the abnormal blood vessels.

By sealing the leaky blood vessels, photodynamic therapy slows down:

  • Fluid build-up under the retina, which distorts the shape and position of the macula.
  • The growth of scar tissue and abnormal membrane under the retina, which can cause further damage to macular cells.
  • Central vision loss.

Retina pricing and costs at KMN EyeCare

As retina treatments vary greatly from patient to patient, costs and pricing per condition may vary. Nonetheless, the costs for intravitreal injections at KMN EyeCare are as follows:

InjectionsCosts
Avastin injectionRp3.820.000
Patizra injectionRp10.500.000
Eylea injectionRp14.800.000

Retina doctors & surgeons at KMN EyeCare

KMN EyeCare’s retina unit is composed of some of the best retinal surgeons and medical retinal specialists in Indonesia. They are highly trained by well-recognized vitreoretinal centres in the region, such as Lions Eye Institute (Perth, Australia), Sydney Eye Hospital (Sydney, Australia), Tan Tock Seng Hospital (Singapore), and Siriraj Hospital (Bangkok, Thailand). In managing the patients, our retina experts are equipped with the most sophisticated diagnostic, therapeutic, and surgical tools in eye care, several of which are only available at KMN EyeCare in Jakarta or greater Indonesia. As such, KMN EyeCare is one of the top referral sites for vitreoretinal disorders throughout the country.

Find your doctor

KMN EyeCare - Dr. Annette
Dr. Annette Mariza

After graduating from University of Indonesia Medical School in 2004, Dr. Annette began her career in the Cilandak Naval Hospital and Cipto Mangunkusumo Hospital and joined KMN EyeCare in 2005.

KMN EyeCare - Dr. Ari Djatikusumo
Dr. Ari Djatikusumo

After completing his retinal fellowship in Japan and Singapore, Dr. Ari returned to Indonesia and worked as faculty at the University of Indonesia’s Medical School. He then joined KMN EyeCare to strengthen our retina unit.

KMN EyeCare - Dr. Arief
Dr. Arief Wildan

Dr. Arief joined KMN EyeCare in Semarang in 2010 and completed his retinal fellowship in Thailand between 2012 – 2013.

KMN EyeCare - Dr. Bondan
Dr. Bondan Harmani

After completing his ophthalmology residency, Dr. Bondan joined the Faculty of Ophthalmology at the University of Indonesia Medical School, Cipto Mangunkusumo Hospital.

KMN EyeCare - Dr. Danang
Dr. Danang Dwinaryono

Dr. Danang joined the team at KMN EyeCare after completing his ophthalmology residency at the University of Gadjah Mada Medical School in 2013.

KMN EyeCare - Dr. Eko Karim
Dr. Eko Firdianto Karim

Dr. Eko joined KMN EyeCare’s retina unit. He has expertise in medical and surgical retina treatment.

KMN EyeCare - Dr. Emil Sjahreza
Dr. Emil F. Sjahreza

After graduating from the University Indonesia Medical School, Dr. Emil practiced at KMN EyeCare in Semarang between 2010 and 2012. He then completed his fellowship in vitreoretinal surgery at the Sydney Eye Hospital where he was involved in 1,105 cases of vitreoretinal surgery.

Dr. Hadi Prakoso

After completing his residency in ophthalmology in 1989, Dr. Hadi performed government service in Bali for 18 months, then worked as a lecturer at the Faculty of Ophthalmology at the University of Indonesia Medical School between 1992 - 2001. He began practicing at JEC in 1993 and joined KMN EyeCare in 2004.

KMN EyeCare - Dr. Henry
Dr. Henry Warouw

Dr. Henry joined KMN EyeCare in Semarang after graduating from the University of Gadjah Mada Medical School in 2010.

Dr. Sudarmadji
Dr. Ira Sudarmadji

Dr. Ira joined KMN EyeCare since its inception in 2004 and continues to practice in cataract, oculoplasty, and LASIK treatment.

KMN EyeCare - Dr. Barliana
Dr. Julie Dewi Barliana, M Biomed

Dr. Julie earned her ophthalmologist degree from the University of Indonesia Medical School, as she also previously completed General Practitioner and Master of Biomedicine at the same university.

KMN EyeCare - Dr. Lumongga
Dr. Lumongga B. S.

After graduating from the University of Indonesia Medical School in 1970, Dr. Lumongga completed her ophthalmology residency with a focus in pediatric ophthalmology.

KMN EyeCare- Dr. Martin Sondak
Dr. Martin Sondak

Dr. Martin immediately joined the team at KMN EyeCare after graduating from the University of Sam Ratulangi Medical School in 2010.

KMN EyeCare - Dr. Maya E. Suwandono
Dr. Maya E. Suwandono

Dr. Maya joined the KMN EyeCare team after graduating from the University of Indonesia Medical School in 2010. She performs LASIK, glaucoma and cataract surgeries.

KMN EyeCare - Dr. Nelandriani
Dr. Nelandriani Yudapratiwi

Dr. Nelandriani joined the KMN EyeCare team after graduating from the Padjadjaran University Medical School in 2011.

KMN EyeCare - Dr. Rasoebala
Dr. R. Viktor Rasoebala

After graduating from his residency in ophthalmology at the University of Indonesia, Dr. Viktor joined KMN EyeCare in 2005.

KMN EyeCare - Dr. Ricky
Dr. Ricky E. Rooroh

After graduating from the University of Sam Ratulangi Medical School in 2002, Dr. Ricky underwent several fellowships before joining the team at KMN EyeCare in 2004.

KMN EyeCare - Dr. Rien
Dr. Rien Widyasari

After graduating from the University of Indonesia Medical School in 2012, Dr. Rien immediately joined KMN EyeCare.

Dr. Rifna Lutfiamida
Dr. Rifna Lutfiamida

After graduating from the University of Indonesia Medical School in 2003, Dr. Rifna joined KMN EyeCare in 2004 and has expertise in inflammations and infections, cataract, and LASIK treatment.

KMN EyeCare - Dr. Rini Hersetyati
Dr. Rini Hersetyati

After graduating from the University of Gadjah Mada Medical School in 2000, Dr. Rini completed additional training at the Cipto Mangunkusumo Hospital and the Jakarta Eye Center (JEC) before finally joining the team at KMN EyeCare in 2004.

KMN EyeCare - Dr. Supit
Dr. S.M.I. Supit, PhD

Dr. Supit graduated from the Universitätsklinikum der Goethe Medical School in Germany in 1981 and also completed his specialization in ophthalmology in 1986.

KMN EyeCare - Dr. Sjakon
Dr. Sjakon G. Tahija

After completing his retinal fellowship at the Lions Eye Institute, Perth, Australia in 1994, Dr. Tahija returned to Indonesia and practiced as a Vitreoretinal Consultant at Jakarta Eye Center before establishing his own chain of ophthalmology clinics, KMN EyeCare, in 2004.

KMN EyeCare - Dr. Soeharnila
Dr. Soeharnila

After completing her specialization in ophthalmology and several fellowships, Dr. Nila immediately joined KMN EyeCare since its inception in 2004. Dr. Nila has expertise in corneal transplants.

KMN EyeCare - Dr. Upik
Dr. Upik Mahna Dewi

After graduating as an ophthalmology specialist from the University of Gadjah Mada Medical School in 2003, Dr. Upik practiced at the Gatot Subroto Army Hospital for one year before joining KMN EyeCare in 2005.

Dr. Vinsensius G. Budiman

After completing his ophthalmology residency at the University of Sam Ratulangi Medical School, Dr. Vinsen practiced at Medistra Hospital and joined the team at KMN EyeCare in 2004.

KMN EyeCare - Dr. Wijarso
Dr. Widowati S. Wijarso

After completing her residency in ophthalmology at the University of Indonesia, Dr. Widowati (Dr. Ike) continued a fellowship in glaucoma at The New York Eye and Ear Infirmary, New York, USA.

KMN EyeCare - Dr. Wulan
Dr. Wulan Aprianti

After completing her ophthalmology residency at the University of Indonesia Medical School 2012, Dr. Wulan worked at the Royal Progress Hospital for one year before joining KMN EyeCare in 2013.

KMN EyeCare - Dr. Yulinda Soemiatno
Dr. Yulinda I. Soemiatno

After graduating from the Padjadjaran University Medical School, Dr. Yulinda underwent a postgraduate internship in the field of pediatric ophthalmology and strabismus.

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