trauma tumpul mata
DESCRIPTION
TRAUMA TUMPUL MATA. Dr.SRI HANDAYANI MP,SpM BAGIAN ILMU KESEHATAN MATA FAKULTAS KEDOKTERAN UNIVERSITAS ANDALAS / RS.Dr.M.DJAMIL PADANG . Ocular trauma sering terjadi pada anak dan dewasa muda Rumah , tempat kerja , sekolah , jalan , olah raga KLL, berkelahi , terjatuh - PowerPoint PPT PresentationTRANSCRIPT
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TRAUMA TUMPUL MATADr.SRI HANDAYANI MP,SpM
BAGIAN ILMU KESEHATAN MATAFAKULTAS KEDOKTERAN UNIVERSITAS
ANDALAS / RS.Dr.M.DJAMIL PADANG
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Ocular trauma sering terjadi pada anak dan dewasa muda
Rumah, tempat kerja, sekolah, jalan, olah raga› KLL, berkelahi, terjatuh› Kayu, besi, pensil› badminton, football, tennis, golf
Kerusakan jaringan dapat ringan berat Dapat menjadi penyebab kebutaan
unilateral
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PELINDUNG :rongga orbitapalpebrajaringan lemak retrobulber
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PEMERIKSAAN Anamnesis Detailed…! Anamnesis yang lengkap faktor
penting untuk membantu menegakkan diagnosis- Penurunan tajam penglihatan pre & post trauma- mekanisme : apa, bagaimana, kapan,
dimana, pertolongan sebelumnya
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Inspeksi melihat abnormalitas Asimetri wajah atau orbita Anomali gerak kelopak mata dan bola
mata Pembengkakan Lakrimasi Blefarospasme Discharge
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Pemeriksaan Fisik senter, lup, slit lamp, oftalmoskop
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Funduskopi / Oftalmoskopi
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VISUAL ACUITY - apakah terdapat kelainan refraksi
sebelumnya?- apakah visus sama dengan sebelum
kecelakaan?- apakah visus sama pada kedua mata
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- Visus normal : 20/20 atau 6/6- Pemeriksaan masing-masing mata- Children and Illiterate
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Palpebra Hematoma, hematoma kaca mata,
edema, ptosis
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KonjungtivaKhemosis, Perdarahan
sub konjungtiva
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- KorneaErosi, edema, laserasi
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- COAHifema
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- COAHifema
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- IrisIridodialisis
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PupilMidriasis, iridoplegiaRelatif Afferent Pupillary Deffect (RAPD)
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PupilMidriasis, iridoplegiaRelatif Afferent Pupillary Deffect (RAPD)
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- LensaSubluksasi, luksasi,
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katarak
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- Corpus VitreousPerdarahan
RetinaEdema, perdarahan, ablatio retina
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- Khoroidruptur khoroid
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Nervus OptikusAtropi papil
Posisi bola mataEnoftalmos, eksoftalmos
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- Gerakan bola mataterbatas akibat : perdarahan rongga orbita, gangguan otot ekstraokuler
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- Tekanan bola matarendah, tinggi
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Pemeriksaan Penunjang
RontgentCT ScanUSG Orbitadll
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HIFEMATRAUMATIKA
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Sering pada pria dewasa muda Trauma pada pembuluh darah di iris
perifer atau di corpus siliaris anterior
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Perdarahan terdapat di COA bagian inferior, sering dapat dilihat dengan penlight
Microhyphema slit lamp
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Nyeri, epifora, blefarospasme Visus menurun
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PENATALAKSANAAN
Rawat di Rumah Sakit Istirahat total Kepala ditinggikan 30-450
Mata ditutup Observasi sering
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OBAT Penenang Analgetik jika perlu Kortikosteroid
topikaloral
Sikloplegik long acting Jika TIO meningkat antiglaukoma Rujuk
Awasi Rebleeding (hari ke-2 s/d ke-5)
Glaukoma, Atropi Optik, Corneal blood staining
Operasi (parasentesis, irigasi COA dengan BSS)
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PROGNOSIS Baik jika tidak terdapat komplikasi
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TERIMA KASIH