Download - III. Blefaritis
![Page 1: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/1.jpg)
III. BLEFARITIS Peradangan kronik tepi palpebra Bilateral, >> anak-anak Predisposisi : - lingk. kotor
- debu, asap - konjungtivitis kronik
2 btk : - b. skuamos (seboroik, non ulseratif) - b. ulseros (stafilokok)
2 type : - b. kronik ant, - b.kronik post
![Page 2: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/2.jpg)
Blefaritis kronik anterior : - blefaritis anterior stafilokok - blefaritis anterior seboroik
Blefaritis posterior : - seboroik meibomian - meibomitis primer - meibomitis dgn blefaritis
sekunder
![Page 3: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/3.jpg)
Blefaritis kronik anterior
• 1. Blefaritis ant stafilokokDisebabkan o/ inf kronik pd akar silia → abses intrafolikelGej klinik : tepi palp inf hiperemi, telangiektasi, terkelupas (keras, rapuh, mengelilingi akar silia berbtk kolaret) → jk diangkat berdrhKomplikasi : trikiasis, madarosis, poliosis (silia berwarna putih), hordeolum
![Page 4: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/4.jpg)
Penanganan : Higiene palpebra → bersihkan sisik dg cotton bud, dgn shampo bayiSalep antibiotik, mis basitrasin a/ eritromisinSteroid topikal yg lemah, mis clobetasone a/ fluorometolone 4x/hariArtificial tears
![Page 5: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/5.jpg)
2. Blefaritis anterior seboroik
>> dermatitis seboroik 2 tipe : tipe berminyak & tipe kering Gbr klinik : tepi palp ant mengkilat,
eritema, telangiektasi. Ep mengalami deskuamasi spt ketombe, tdk berdrh jk diangkat
R/ Bersihkan dgn sodium bikarbonat Air mata buatan
![Page 6: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/6.jpg)
Blefaritis posterior Disebabkan o/ disfungsi kel. Meibom Gbr klinik bervariasi Ada 3 tipe :
1. Seboroik meibomian 2. Meibomitis primer 3. Meibomitis dgn blefaritis sekunder
![Page 7: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/7.jpg)
1. Seboroik meibomianGbr klinik :
Dilatasi kel. Meibom → tepi palp spt tetesan minyak a/ kumpulan material lilin
Air mata sgt berminyak & berbusa
![Page 8: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/8.jpg)
2. Meibomitis primer Inflamasi difus disekeliling orifium kel
meibom Gbr klinik :
1. Orifisium kel. Meibom tercabik & disumbat o/ minyak (meibomana) 2. Obliterasi duktus meibom utama → dilatasi → kista meibom 3. Perub sek yg srg terjd → konj papiler & epiteliopati pungtat inf
![Page 9: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/9.jpg)
Penanganan Antibiotik sistemik, bisa digunakan :
- Tetrasiklin 250 mg, 2x sehari selama 1 bln. KI : Hamil, lakrasi, umur <12 thn - Doksisiklin 100 mg, 1x/hari - Eritromisin, jika KI thd tetra & doxy
Higiene palpSteroid topikalArtificial tearsKompres hangat u/ melunakan sebum yg mengeras
![Page 10: III. Blefaritis](https://reader036.vdocuments.pub/reader036/viewer/2022082320/5695d4b01a28ab9b02a263c0/html5/thumbnails/10.jpg)
THANK YOU