mata merah 1
TRANSCRIPT
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Oleh
Dr. Firdalena Meutia MKes., SpM
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Visus Normal
Konjungtivitis
Episkleritis
Ptergium
Visus Menurun
Keratitits
!lkus Kornea
!veitis
"laukoma Fakolitik
#$ut #tta$h #ngle%lossure
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De&nisi'
Suatu proses peradangan ang meli(atkanpermukaan mata dan ditandai dengan dilatasivaskular, in<rasi selular dan eksudasi.
Konjungtivitis (akteri' radang konjungtiva ang
dise(a(kan oleh (akteri dan mudah menular
#da ) (entuk'
*. #kut' Serangan ang ti(a), sering dia+alise(elah mata dan dpt terjadi pd matalainna dalam * minggu. - minggu/
). Kronis' 0angka +aktu le(ih dari 12 minggu
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Neisseria gonorrhoea Neisseria meningitidis Neisseria gonorrhoea
subsp kochil
Haemophilus influenza
Staphylococcus aureus Moraxella lacunata Streptococci
Moraxella catarhalis
Coliform
Proteus
Corynebacterium diphteriae
Mycobacterium tuberculosis
pneumonia Pneumococcus Haemophilus aegyplius
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3akteri invasikonjungtiva
pelepasan mediator in4amasi,SitokinDan kerusakan epitel
Edema epitel, kematianseluler
Sel radang migrasike permukaan
Kom(inasi dengan &(rindan lendir dari sel go(let(entuk eksudat $onjungtiva
5ertutupna kelopakmata
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Mani6estasi Klinik'
Mata merah 3erasa ada pasir foreign body sensation)
edema konjungtiva dan hipertropi
kelenjar
disekitar konjungtiva
"atal
7asa panas
Neri di sekitar mata
Epi6ora/
Dijumpai sekret
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pemeriksaan sediaan langsungdengan pewarnaan gram untukmengetahui kuman penyebab
dan uji sensitivitas
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#namnesa
Pemeriksaan &sik
Pemeriksaan penunjang
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Pengobatan antibiotik. Sekret dibersihkan
dengan kapas yangdibasahi air bersih ataugaram fsiologis setiap 15menit dan diberi salep
penisilin. Terapi dihentikan bila
hasil negati selama 3hari berturutturut.
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!onjungtivitis akut hampir slalusembuh sendiri
!onjungtivitis gonokok bila tidak
diobati berakibat perorasikornea dan endotalmitis
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!sahakan tangan tidak megang2megang +ajahdan hindari mengu$ek2ngu$ek mata.
Mengganti sarung (antal dan handuk denganang (ersih setiap hari.
8indari (er(agi (antal, handuk dan saputangan
dengan orang lain. Men$u$i tangan sesering mungkin. 3agi penderita konjungtivitis, hendakna segera
mem(uang tissue atau sejenisna setelahmem(ersihkan kotoran mata.
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Smptoms'
Mata merah akut
Neri ringan * atau ) mata/
5idak ada sekret
Sign'
mata merah sektoral jarang di9used/ tajam penglihatan normal
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5reatment
7ingan ' arti&$ial tears
Moderate to severe'
Steroid 5opi$al
Non2steroid oral
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Sign' Ptergium' 0aringan &(rovaskular ang
(er(entuk segi tiga mun$ul darikonjungtiva
interpalpe(ral sampai kornea Pengeu$ulum' lesi datar, putih2kekuningan
pada konjungtiva (iasana pada&ssura
interpalpe(ra dkt lim(us, tidak mengenai kornea
Etiolog' eksposure $ahaa matahari
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;ork2up Slit2lamp e<amination untuk identi&kasi dan evaluasi
lesi
5reatment Melindungi mata dari sinar matahari, de(u dan angin
ka$amata/ =u(rikasi arti&$ial tears/
:n4amasi'
topi$al vasokonstriktor
5opikal S#:D> NS#:D Surgi$al jika sdh ada indikasi.
Follo+2up
*2) minggu untuk tappering o(at
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Keratitis Merupakan peradangan pada kornea
Diklasi&kasi' keratitis super&sialis, interstitialatau
pro6unda
"ejala' mata merah, 6oto6o(ia dan (erairmata,
sensasi (enda asing, penglihatan
ka(ur Pene(a(' in6eksi virus, (akteri, 0amur.
Penatalaksanaan'
5erapi tergantung pada pene(a(' (akteri,virus,
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"ejala'
Mata merah, neri, 6oto6o(ia dan foreign-bodysensation.
5anda'De6ek epitel kornea pe+arnaan 4uores$ein/
:njeksi konjungtiva, sekret $air atau mukous
Etiolog'
Dr ee sndrome, trauma, exposurekeratopathy, ultraviolet (urn>photokeratopath,
o(at topikal.
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;ork2up8istor
Evaluasi ' $ornea2palpe(ra
5reatment
#nti(iotik, sikloplegik, arti&$ial tears
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!veitis
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"veitis merupakan suatu peradangan p jaringan uvea bisa disebabkan oleh in trauma# neoplasma# atau proses autoi
Jaringan uvea : Iris
Badan Siliar Koroid
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PANUVE
ITIS
Uveitis Anterior
Uveitis Intermediet
Uveitis Posterior
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!veitis anterior adalah suatu in4amasi pada traktusuvea anterior aitu iris dan
korpus siliar pars pli$atadengan (er(agaipene(a(na
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ETIOLOGI
Autoimun
Trauma
Keganasan
Metabolik
Ineksi
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Etiologi
Eksogen!•Trauma•Invasi MO dariluar tubuh
Endogen!Berasal dari
dalam tubuhmisalnya uveitisyangberhubungan
dengan penyakitsistemik
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Klinis
Akut!" # Minggu
Kronik!$ # minggu
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1.1.MMata Merahata Merah
2.2.FotofobiaFotofobia
3.3.NyeriNyeri
4.4.Penurunan VisusPenurunan Visus5.5.HiperlakrimasiHiperlakrimasi
Keratik Presipitate:Keratik Presipitate:• Small KPSmall KP
• Medium KPMedium KP
• Large KP/ MuttonLarge KP/ MuttonFatFat
• Fresh KPFresh KP
$ejala
Subjekti
$ejala %bjekti
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Visus dan TIO
white'ells#(are#hipopi
on
)odule!oeppe
dan*usa''a
!P +,-# edemastromakornea
In%eksiSiliar
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Nodule Koeppe danNodule 3usa$$a
Nodule Koeppe danNodule 3usa$$a
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Sel
? ' tdk ditemukansel
@* ' A2*? sel
@) ' **2)? sel
@1 ' )*2A? sel
@ ' B A? sel
lare
?' tidak ditemukan sel
@*' terlihat hanya dg px ygteliti
@)' moderat, iris terlht bersih
+3: iris & lensa terlht keruh
+4: terbtk fibrin pd cairan akuos
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&oto '()a*
Lab +ara,!
ANA test- ),ematoid a.tor
Pemeriksaan S/esiik
Sar.oidosis-
Ank*losing S/ondilitis-
0)A-
Tuber.ulosis-To1o/lasmosis
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/engembalikan tajam penglihatan
/engurangi rasa nyeri
/en'egah terjadinya komplikasi
/engendalikan tekanan intraokular
TujuanTerapi /engeliminasi peradangan
beserta penyebabnya
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+++.themegaller.$om
/idriatik Siklopegik
Pengobatan)onspesifk
!ortikosteroid
0munosupresan
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memberikankenyamananpada pasien
/emberikan!enyaman
an padapasien /enghan'urkan Sinekia
/en'egahterbentuk nya
sinekiaposterior
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!ortikoster!ortikoster
oidoid
•okal2okal2
Tetes mataTetes mata0njeksi0njeksi
PeriokulerPeriokuler
•Sistemik Sistemik
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Sitostati
kaSiklosporin&
0mmunosupresan
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!ebanyakan kasus uveitisanterior berespon baik jikadapat
didiagnosis se'ara awal dandiberi pengobatan
"veitis anterior mungkinberulang jika adapenyebabnya sistemiknya
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De&nisi'
merupakan glaukoma in4amasiang dise(a(kan olehmerem(esna protein lensa melalui
kapsul lensa
katarak matur atau hipermatur
sehingga terjadi o(struksi alirantra(ekular mesh+ork.
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iff i l i i
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Differential Diagnosis
Glaukoma inflamasi
peningkatan T! akut u"eitis anterior #se"ere$% Glaucomatouscyclitis crisis
ecurrent idiopathic attacks peningkatan T! Lensparticle glaucoma
material lensa terlihat di '!(
ada ri)ayat trauma yang atau ekstraksi lensa$ *ndoftalmitis
ri)ayat baru operasi atau trauma, sangat nyeri$
Phacomorphic glaucoma,
merupakan glaucoma sudut tertutup primer%
sangat mempengaruhi adalah ukuran lensa
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Workup
i)ayat: baru mengalami tauma atau operasi mata *pisode rekurensi ernah menderita u"eitis% emeriksaan slitlamp:
-% (danya partikel putih seperti sel dan flare '!(%
.% *"aluasi adanya katarak dan3% eningkatan T! edema kornea%
Gonioskopi kedua sudut bilik mata depan% emeriksaan retina dan diskus optikus /ika mungkin%
emeriksaan 01scan ultrasound: seblm ekstraksi katarak arasintesis
Terapi
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Terapi
2egera menurunkan T!
engurangi in4amasi. Katarak harus dioperasi pada saat angtepat-% 1blocker topikal #timol 5%.67 sampai 5%67 . x sehari$,
.% 8arbonik anhidrase inhibitor #aseta9olamid, .65 mg 4 x sehari$%
3% 2ikloplegik topical #skopolamin 5%.67 3 x sehari$
4% 2teroid topical #prednisolon asetat -7 -6 menit 4 kali,
kemudian tiap /am$
!" Hyperosmotic agent /ika mungkin dan tidak ada kontra
indikasi #manitol -1. grkg00 ; selama 46 menit$%
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Follow-up
<arus diperiksa ulang sehari setelah operasi dilakukan%
asien biasanya dira)at T! dimonitor #.4 /am$ T! kembali normal setelah operasi:
pasien dapat kontrol ulang - minggu kemudian%
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?*>?)>* A
"lau$oma is an opti$ dis$ neuropath+hi$h is $hara$teried (' 8igh intra o$ular pressure :OP/ B )*
mm8g,
Opti$ nerve &(ers death opti$ dis$damage,
Progressive visual &eld de6e$t,
%ause o6 third permanent
(lindness.
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?*>?)>* A
#8 &lls posterior $ham(er pupil
5ra(e$ular route anterior $ham(er
S$hlemmGs $anal uveos$leral route*?H/
supra$horoidal spa$e $iliar (od
leaves the ee
through epis$leral vein venous sstem in the $iliar(od
I? H
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?*>?)>* AJ
J?H is se$reted ( non pigmented$iliar epithelium via a$tive meta(oli$pro$ess that depends on a num(er o6enmati$ sstems $ar(oni$anhdrase enme/,
)?H is produ$ed ( passive pro$essesas ultra<ration and di9usion.
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?*>?)>* ?
Primar open2angle glau$oma
Se$ondar open2angle glau$oma
Primar $losed2angle glau$oma
Se$ondar $losed2angle glau$oma Primar $ongenital glau$oma
Se$ondar $ongenital glau$oma
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?*>?)>* *
5he main tpes o6 tonometer'
"oldmann tonometer $onsists o6 dou(le prism+ith 1.? mm in diameter, applanation, morea$$urate,
Perkins tonometer, hand held, applanation,
5he air pu9 tonometer, non $onta$t,applanation, jet o6 air to 4atten the $ornea.
5ono2pen
"as 5onometer
Ele$tri$al 5onometer
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?*>?)>* )
Porta(le, simple, lo+ $ost,
Measure the depth o6 indentation o6$ornea ( a plunger +ith spe$i&$
+eight A gr ,A gr *? gr/ 5he indentation represented in S$hiot
s$ale is $onverted into mm8g (Freiden+ald ta(le,
=o+ a$$ura$ (e$ause it is in4uen$ed( o$ular rigidit high mop, DM,$orneal leu$oma/.
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?*>?)>* 1
More a$$urate, not in4uen$ed (o$ular rigidit
5he 6oot plate is smaller 1.? mm/ Disadvantages' $annot (e applied to
%orneal edema Keratitis, $orneal ul$er
Keratokonus 8igh astigmatism
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?*>?)>*
;ater drinking test, dark room test,midriati$ test, steroid test,
Positive i6 :OP at the end o6 the tests aremore than J mm8g,
:ndi$ations' Narro+ > $losed angle glau$oma Normal tension glau$oma 3ias :OP
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?*>?)>* A
5hree main purposes o6 gonios$op' 5o :denti6 the a(normal angle stru$ture,
5o Estimate the +idth o6 the $ham(er
angle, 5o Visualie the angle during these
6ollo+ing pro$edures' goniotom, lasertra(e$uloplast.
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?*>?)>*
"rade :V ' A degrees angle
::: ' )? 2 )A degrees angle
:: ' )? degrees angle $losed
: ' *? degrees angle $losed
"rade ? ' $losed angle, irido$orneal$onta$t.
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?*>?)>*
Di9use nerve &(er atrophNormal nerve &(er laer
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?*>?)>* ?
Normal dis$ +ith small $up
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?*>?)>* *
%up and dis$ ratio B ?.,
Peripapillar atroph at temporalregion,
Splinter2shaped hemorrhage on thedis$ margin.
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?*>?)>* )
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; k
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;orkup
8istor Slit2lamp e<amination
Measure :OP
"onios$op o6 (oth anterior2$ham(erangles
E<amination o6 Fundus
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DEF:N:S:!=K!S
KO7NE#
hilangna se(agian permukaan kornea
aki(at kematian jaringan kornea, angditandai dengan adana in<rat supurati6
disertai de6ek kornea (ergaung, dandiskontinuitas jaringan kornea ang dapat
terjadi dari epitel sampai stroma.
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Eritema pada kelopak mata dankonjungtiva
Sekret mukopurulen
Merasa ada (enda asing di mata Pandangan ka(ur
Mata (erair
3intik putih pada kornea, sesuai lokasi
ulkus Silau
Neri
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De&nisi'
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Peradangan jaringan intraokular termasukvitreous ang (iasa dise(a(kan oleh in6eksi.
Klasi&kasi'
*.Pas$a(edah' staphlo$o$$us epidermis,
staphlo$o$$us aureus gram 2/ proteus dan P.aeruginosa
). Pas$atrauma tem(us' jamur, kuman gram
@/ (a$illus $ereus.
1. Disertai (le(, pas$a(edah glaukoma, katarak(erminggu2(er(ulan/' strepto$o$$us, gram 2/haemophillus in4uena.
Mani6estasi Klinis'
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Mani6estasi Klinis'
penurunan visus
Neri mata dan iritasi Sakit kepala
Foto6o(ia
Sekret Peradangan (ola mata dan periokular
:njeksi konjungtiva
5anda klinis'
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Edem palpe(ra
:njeksi konjungtiva dan kemosis Edema kornea
8popion
7e4 . %ahaa merah tdk ada
Vitritis
7etinitis
Papilitis
Proptosis pano6thalmitis/
Prinsip penatalaksanaan'
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p p
7a+at
:denti&kasi organisme pene(a( danpem(erian #nti(iotik se$ara langsung intravitreal/ sistemik
Pem(edahan
Pemeriksaan o6thalmolog !S" segmenposterior sangat diperlukan dan Kultur
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