Aris Jurnal Mata Fix
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EFFICACY OF INTRALESION TRIAMCINOLONE ACETONIDE INJECTION IN MANAGEMENT OF CHALAZIONARIS MAULANA012106092
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PENDAHULUAN
Chalazion peradangan kronik infiltrasi granulomatosa pada kelenjar meibom yang disebabkan karena sumbatan muara kelenjar meibom dan stagnasi sekresi sebasea.
Triamcinolone Acetonide kortikosteroid dengan lama kerja sedang waktu paruh = 12 – 36 jam.
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OBJECTIVE
Tujuan : melihat keamanan dan kemanjuran injeksi intralesi Tramcinolone Acetonide dalam pengobatan Chalazion.
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MATERIAL & METHOD
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Pengumpulan Data
Ukuran lesiLamanya lesiPrimer / rekuren lesiPemeriksaan mata lengkap
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KRITERIAINKLUSI
BERUMUR ≥ 12 TAHUN
DATA PASIEN
LENGKAPPRIMER DAN
REKUREN CHALAZION
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KRITERIAESKLUSI
BERUMUR< 12 TAHUN
CHALAZION YG NYERI
CHALAZION BERSAMA DGN PENYAKIT MATA
LAINNYA
SUSPECT KEGANASAN
PADA CHALAZION
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Prosdur Penelitian
04/22/23
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04/22/23
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PROSEDUR INJEKSI INTRALESI
Injeksi TA 40 mg/ml dilarutkan dengan 3 ml 2% injeksi lignocaine membentuk 10 mg/ml konsentrasi
1 ml triamcinolone diambil menggunakan 1 ml insulin syringe dengan jarum ukuran no. 27
Dilakukan anastesi tetes pada conjungtiva dengan 0,4% oxybuprocaine
Kulit dari kelopak mata dibersihkan dengan 5% povidone iodine dan disapu menggunakan cottonbath
Kelopak mata di eversi tanpa menggunakan klem dilakukan suntikan melewati transconjungtiva ke dalam chalazion diberikan salep mata chloramphenicol 3 kali selama 5 hari dan
dilakukan masssse digital diatas chalazion selama 5 menit setelah pemberian salep mata
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TEKNIK INJEKSI INTRALESI
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HASIL PENELITIAN
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TABEL I GROUP AAngka Kesuksesan Injeksi Triamcinolone acetonide berdarsarkan ukuran lesi
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TABEL II GROUP BAngka Kesuksesan Insisi dan kuratase berdasarkan ukuran lesi
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TABEL III GROUP Arespon injeksi triamcinolone acetonide berdasarkan kronisitas lesi
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TABEL IV GROUP Brespon injeksi triamcinolone acetonide berdasarkan kronisitas lesi
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TABEL V GROUP Ahasil injeksi triamcinolone setelah injeksi pertama dan kedua (n=50)
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TABEL VI GROUP Bhasil kelompok insisi dan kuratse setelah operasi pertama dan kedua (n=40)
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TABEL VIIGROUP A : GROUP Bperbandingan angka kesuksesan antara kelompok A dan kelompo B
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TABEL VIII KOMPLIKASIkomplikasi injeksi triamcinolone acetonide versus insisi dan kuratse setelah di follow up
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KEUNTUNGAN
Murah dan cepat
Perdarahan minimal
Risiko kerusakan kelopak mata minimal
Tidak membutuhkan instrumen khusus dan ruang
OK
Dapat menangani multiple chalazion
KERUGIAN
Membutuhkan injeksi kedua – pembedahan
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KESIMPULAN
Injeksi intralesi triamcinolone acetonide merupakan pengobatan utama untuk chalazion.
Injeksi intralesi triamcinolone acetonide merupakan alternative pengobatan untuk chalazion.
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Analisis PICO
Patient and Problem : pasien dengan chalazion dengan kriteria inklusi umur mulai 12 tahun keatas.
Intervention : injeksi triamcinolone acetonide Comparison : tindakan insisi dan curatase Outcome of interest :
04/22/23
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