idk case 7
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Transcript of idk case 7
Episcleritis
Nodular episcleritis : acute in onset
symptoms:unilateral 、 wine 、 round or ellipse limited nodular uplift , diameter 2 ~ 3mm
redness 、 edema irritation Vission not affected concurruent mild iritis the inflammation subsided in 2 to 4
weeks , easily recurrent 。
Episcleritis
Simple episcleritis : periodicity redness and edema light irritation,Vission not affected concurruent lid edema , disease
course deferment often found in Women's menstrual
period self-limited
Episcleritis
Episcleritis Conjunctivitis scleritisCongestion Localized Diffused,
palpebral conjunctiva affected
Congestion and edema
Not affect sclera Affect sclera
Nodules movable unmovable
Adrenaline Disappear Disappear Not disappear
different diagnoses
Skleritis
gangguan granulomatosa kronik yang ditandai oleh destruksi kolagen, sebukan sel dan kelainan vaskular
Rasa sakit dapat terbatas pada mata, tetapi dapat pula menjalar ke sekitar mata sampai ke pelipis
Etiologi
proses imunologi yakni terjadi reaksi tipe IV (hipersensitifitas tipe lambat) dan tipe III (kompleks imun) dan disertai penyakit sistemik.
diffuse anterior scleritis
about 40% prognosis preferably sclera diffuse redness bulbar conjunctiva
edema
necrotizing anterior scleritis
often Vision decrease , about 14 %
pain , Rapid development occlusive vasculitis , sclera
necrosis areas of avascularity; lark nodula perforated scleromalacia perforans often bilateral eyes concurruent Serious Autoimmune
diseases
Posterior Scleritis:• skleritis posterior ditandai dengan rasa nyeri dan
penurunan kemampuan melihat. • Dari pemeriksaan objektif didapatkan adanya perubahan
fundus,• adanya perlengketan massa eksudat di sebagian retina
Scleritis