stase mata/ mata merah/ ppt

8/17/2019 stase mata/ mata merah/ ppt

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PASIEN DENGAN MATA MERAH DISERTAI MATA

NYERI SEJAK 1 MINGGU YANG LALU

Oleh :

Justhesya Fitriani F.P (03007128)

Pembimbing :

dr. Bambang Riyadi !."


2/26

LAPORAN KASUS

#dentitas Pasien $ama : %n. ant&s&

'sia : tahun

Jenis *e+amin : ,a*i-,a*i

+amat : /aret Pe*eraan : /aryaan sasta

Pendidi*an : ,%

u*u Bangsa : #nd&nesia

gama : #s+am

Pemeri*sa : Justhesya Fitriani F.P


3/26

namnesis /e+uhan 'tama : "ata nyeri sea* 1 minggu yang +a+u

/e+uhan tambahan : "ata merah hi+ang timbu+ terasa ada yang

menggana+ di*edua mata Riayat !enya*it se*arang : Pasien datang *e !&+i*+ini* mata dengan

*e+uhan *edua mata nyeri tiba-tiba sea* 1 minggu yang +a+u. s menga*u

aa+nya saat me+a*u*an !e*eraannya sebagai s&!ir sasta yang sedang

mengendarai *endaraannya dari $gai menuu emarang &s ham!ir tia!

saat membu*a *a4a m&bi+ dengan ma*sud tida* terus-terusan ter*ena 5

m&bi+. aat me+anut*an !era+anan dari emarang menuu Ja*arta &smu+ai merasa *edua matanya terasa *abur dan berair disertai rasa nyeri.

/ees&*an harinya setiba di a*arta &s *e Pus*esmas teta!i tida* diberi

&bat me+ain*an diruu* *e R,. e+ain itu &s uga menge+uh*an saat ini

tia! ter*ena *i!as angin atau nai* m&t&r tan!a !e+indung mata *edua

matanya menadi 4e!at merah dan nyeri dan terasa ada yang menggana+

di *edua mata. Riayat !enya*it dahu+u : 6% (-) " (-) Riayat &!erasi *atara* ()

!ada tangga+ 119119201 dan 19129201


4/26

Pemeri*saan Fisi* /eadaan umum : tam!a* sa*it ringan

/esadaran : 4&m!&s mentis

%anda ;ita+

uhu : 30

5 $adi : 8


5/26

P>">R#/$ "% : %%' ,/,#

Mata Kanan Mata Kiri

Sentral, normal Kedudukan Sentral, normal

6/2 S!1," 6/6 Visus 6/2 S!1, #!," $ 1" 6/6

Ke %e&ala ara' Pergerakan Ke %e&ala ara'

E(ema )!* Palpebrae E(ema )!*H+erem+ )-*, %e.ret )!*, Pa+l an& 0e%ar) o0le %tone* , tama.%era0t 3+0ro4a%.lar )-*

Konjungtiva H+erem+ )-*, %e.ret )!* , Pa+lan& 0e%ar) o0le %tone*, tama.%era0t 3+0ro4a%.lar )-*

5ern+' Sklera 5ern+'

Jern+' Kornea Jern+'

Re&ler)normal* Iris Re&ler)normal*

Jern+' Lensa 5ern+'

latLeta. (+ %at mata7 - 8 mmRe3le. a'aa )-*

Pupil latLeta. (+ %at mata7 - 8 mmRe3le. a'aa )-*

T+(a. (+la..an Funduskopi T+(a. (+la..an

T+(a. (+la..an Tonometri T+(a. (+la..an

T+(a. (+la..an Tes Fluorescen T+(a. (+la..an

Normal Palpasi normal


6/26


7/26

D+a&no%+% Ker5a

Pter+&+m

D+a&no%+% an(+n&

%e(oter+&+m


8/26

%ata+a*sana 1.%era!i $&n-medi*ament&sa

edu*asi !asien

2. %era!i "edi*ament&sa

Pada !terigium yang ringan tida* !er+u di &bati. 'ntu*!terigium deraat 1-2 yang menga+ami in?+amasi !asien da!atdiberi*an &bat tetes mata *&mbinasi antibi&ti* dan ster&id 3 *a+isehari se+ama -7 hari.

Pr&gn&sis d @itam : d B&nam

d Fungsi&nam : d B&nam

d anati&nam : d B&nam


9/26

PEMB!S" KS#S

Kel'an a%+en 9

Ke(a mata ner+, mera' t+0a!t+0a tertama 5+.a ter.enaan&+n (ar+ .+a% an&+n atana+. motor tana el+n(n&

mata, tera%a a(a an&men&&an5al (+ mata

Pa(a emer+.%aan lo.al+%mata 9 .e(a .on5n&t+4a&am0aran '+erem+ )-*,%e.ret )!*, a+l an&

0e%ar) o0le %tone* , tama.%era0t 3+0ro4a%.lar )-*:

Ge5ala (an tan(a ter+&+m 9

men&alam+ +r+ta%+ (aatmen5a(+ mera' (an mene0al(aat (+%erta+ ra%a ner+, 'alter%e0t an& ter.a(an&

(+.el'.an ole' en(er+ta Pa(a emer+.%aan lo.al+% 9

tama. 5ar+n&an3+0ro4a%.lar 0er0ent.%e&+t+&a an& ter0entan& (ar+

.on5n&t+4a +nterale0ra%ama+ .ornea, te+ 5ar+n&an 0er0ata% te&a% %e0a&a+ %at&ar+% an& 0er;arna o.lat.emera'an,(an mmatm0' (+ (aera' na%al

P ( + + + + + 5 (+


10/26

Pa(a a%+en +n+ (+a&no%+% 0an(+n&na +ala' %e(oter+m.arena a(a &am0aran .l+n+%na%era 'ana %a5a 0e(ana

%e(oter+m mera.an

erle.atan .on5n&t+4a (en&an.ornea an& aat:

Tatala.%ana

1:Tera+ Non!me(+.amento%a

E(.a%+

2: Tera+ Me(+.amento%a Unt. ter+&+m (era5at 1!2 an&

men&alam+ +n3lama%+, a%+en(aat (+0er+.an o0at tete% mata.om0+na%+ ant+0+ot+. (an %tero+(

8 .al+ %e'ar+ %elama "!< 'ar+.

P%e(oter+&+m +n+ %er+n& ter5a(+ a(a ro%e% enem0'an t.a..ornea%e'+n&&a .on5n&t+4ament+ .ornea

Tatala.%ana

1:Tera+ Non!me(+.amento%a

E(.a%+

2: Tera+ Me(+.amento%a Pa(a ter+&+m an& r+n&an

t+(a. erl (+ o0at+: Unt. ter+&+m (era5at 1!2 an&men&alam+ +n3lama%+, a%+en(aat (+0er+.an o0at tete% mata.om0+na%+ ant+0+ot+. (an%tero+( 8 .al+ %e'ar+ %elama "!<'ar+


11/26

TI"$#" P#STK


12/26


13/26

De3+n+%+ Pter+&+m

Pter+&+m mera.an %at ertm0'an 3+0ro4a%.lar.on5n&t+4a an& 0er%+3at (e&enerat+3 (an +n4a%+3: Pertm0'an+n+ 0+a%ana terleta. a(a ela' .eloa. 0a&+an na%al atantemoral .on5n&t+4a an& mela% .e (aera' .ornea:=


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15/26

Etiologi Pterigium

Et+olo&+ ter+&+m 0elm (+.eta'+ %eara 5ela%: D+(&a mera.an

%at ro%e% era(an&an (an (e&enera%+ an& (+%e0a0.an ole' +r+ta%+

.ron+% a.+0at (e0, a%+r, a'aa mata'ar+, l+n&.n&an 0eran&+n,(an

(ara an& ana%: Sela+n +t 3a.tor &enet+. (+r+&a+ men5a(+ %ala' %at3a.tor re(+%o%+%+:>,8

Fa*t&r risi*& : Ra(+a%+ ltra4+olet

?a.tor Genet+.

?a.tor la+n 9De0, .elem0a0an an& ren(a',trama .e+l (ar+ 0a'an art+.el

tertent, dry eye,(an 4+r% a+lloma 5&a (aat men5a(+ ene0a0

ter+&+m:@


16/26

Pato%isiologi

Kon5n&t+4a 0l0+ %elal 0er'0n&an (en&an (n+a lar:

Konta. (en&an ltra4+olet, (e0, .e.er+n&an men&a.+0at.an

ter5a(+na ene0alan (an ertm0'an .on5n&t+4a 0l0+ an&

men5alar .e .ornea:

6

(e&enera%+ ela%tot+. .ola&en (an rol+3era%+ 3+0ro4a%.lar,

(en&an erm.aan an& ment+ e+t'el+m


17/26

Ge5ala Kl+n+% 9

mata %er+n& 0era+r (an tama. mera'

mera%a %eert+ a(a 0en(a a%+n&

t+m0l a%t+&mat+%me a.+0at .ornea tertar+. ole' ertm0'an

ter+&+m ter%e0t, 0+a%ana a%t+&mat+%me ;+t' t'e rle atana%t+&mat+%me +rre&ler %e'+n&&a men&&an&& en&l+'atan

a(a ter+&+m an& lan5t )(era5at 8 (an =* (aat ment+

+l (an a.%+% 4+%al %e'+n&&a ta5am en&l+'atan menrn:8

i i i


18/26

Pemeriksaan Fisik

A(ana ma%%a 5ar+n&an .e.n+n&an a.an terl+'at a(a la+%an lar mata

)%lera* a(a l+m0%, 0er.em0an& men5 .e ara' .ornea (an a(a

erm.aan .ornea: Slera (an %elat len(+r lar mata ).on5n&t+4a*

(aat mera' a.+0at (ar+ +r+ta%+ (an era(an&an:@

: Dera5at ertm0'an ter+&+m (+tent.an 0er(a%ar.an 0a&+an .orneaan& tertt ole' ertm0'an ter+&+m, (an (aat (+0a&+ men5a(+ =

)Gra(a%+ .l+n+% menrt Yon&%on *9

Dera5at 1 9 J+.a ter+&+m 'ana ter0ata% a(a l+m0% .ornea

Dera5at 2 9 J+.a ter+&+m %(a' mele;at+ l+m0% .ornea teta+ t+(a.

le0+' (ar+ 2 mm mele;at+ .ornea

Dera5at 8 9 J+.a ter+&+m %(a' mele0+'+ (era5at (a teta+ t+(a.

mele0+'+ +n&&+ran +l mata (alam .ea(aan a'aa normal )(+ameter

+l %e.+tar 8!= mm*

Dera5at = 9 J+.a ertm0'an ter+&+m %(a' mele;at+ +l

%e'+n&&a men&&an&& en&l+'atan:8


19/26

&iagnosa

Pen(er+ta (aat melaor.an 9

a(ana en+n&.atan ra%a %a.+t a(a %ala' %at ata .e(a

mata, (+%erta+ ra%a &atal,

.emera'an (an ata 0en&.a., en&l+'atan ter&an&&,

.et+(a.namanan (ar+ era(an&an (an +r+ta%+:

Sen%a%+ 0en(a a%+n& (aat (+ra%a.an,

%e5ara' aaran 0erle0+'an ter'a(a %+nar mata'ar+ ata

art+.el (e0:@


20/26

&iagnosa Banding

P+n&e.la

Pene0alan ter0ata% a(a .on5n&t+4a 0l0+, 0er0ent. no(l

an& 0er;arna .e.n+n&an:6

P%e(oter+&+m Pter+&+m mmna (+(+a&no%+% 0an(+n& (en&an

%e(oter+&+m an& mera.an %at rea.%+ (ar+ .on5n&t+4a

ole' .arena l.% .ornea: Pa(a en&ee.an (en&an %on(e,

%on(e (aat ma%. (+ antara .on5n&t+4a (an .ornea:

P%e(oter+&+m mera.an erle.atan .on5n&t+4a (en&an

.ornea an& aat a.+0at l.%:


21/26

Beda !terigium dengan !seud&!terigium

Pter+&+m P%e(oter+&+m

Se0a0 Pro%e% (e&enerat+3 Rea.%+ t0' enem0'an (ar+ l.a 0a.ar, G, (+3ter+, (ll:

Son(e Ta. (aat (+ma%..an (+ 0a;a'na

Daat (+ma%..an(+0a;a'na

Ke.am0'

an

Re%+(+3 T+(a.

U%+a De;a%a Ana.

Tera+


22/26

Tera+

Non ?arma.olo&+

Pa%+en (+%aran.an nt. men&&na.an to+ an& mem+l+.+ +n&&+ran(an men&&na.an .aamata el+n(n& nt. men&ran&+ aarana'aa mata'ar+, an&+n, (an (e0 a(a mata:

Kon%er4at+3

Pa(a ter+&+m an& r+n&an t+(a. erl (+ o0at+:

Unt. ter+&+m (era5at 1!2 an& men&alam+ +n3lama%+, a%+en (aat(+0er+.an o0at tete% mata .om0+na%+ ant+0+ot+. (an %tero+( 8 .al+ %e'ar+%elama "!< 'ar+:8


23/26

e(a'

Pa(a ter+&+m (era5at 8!= (+la..an t+n(a.an 0e(a' 0era a4l%+

ter+&+m:In(+.a%+ era%+

Pter+&+m an& men5alar .e .ornea %ama+ le0+' 8 mm (ar+ l+m0%

Pter+&+m menaa+ 5ara. le0+' (ar+ %ear' antara l+m0% (an te+ +l

Pter+&+m an& %er+n& mem0er+.an .el'an mata mera', 0era+r (an%+la .arena a%t+&mat+%m%

Ko%met+., tertama nt. en(er+ta ;an+ta:6

Koml+.a%+


24/26

Koml+.a%+

Koml+.a%+ (ar+ ter+&+m mel+t+ %e0a&a+ 0er+.t

Gan&&an en&l+'atan!Mata .emera'an

Ir+ta%+

Gan&&an er&era.an 0ola mata:

T+m0l 5ar+n&an art .ron+% (ar+ .on5n&t+4a (an .ornea

Dr Ee %+n(rom: 8

Koml+.a%+ o%t!oerat+3 0+%a %e0a&a+ 0er+.t9

In3e.%+

Ul.% .ornea

Gra3t .on5n&t+4a an& ter0.a

D+lo+a

A(ana 5ar+n&an art (+ .ornea: 8


25/26

Pro&no%+%

Keta5aman en&l+'atan (an (ar+ %e&+ .o%met+. a%+en %etela' ter+&+m (+e.%+%+ men5a(+ 0a+.


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&FT' P#STK

1: Amer+an Aa(em o3 3t'almolo&: 212: ;;;:AA:or&

2: Bo&'an C A%0r: 3talmolo&+ mm , Pal R+or(an!e4a, Jo'n P: '+t'ere(+%+ 1

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