Lapkas Mata Niaadsadasasddsasdasd
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LAPORAN KASUSPTERIGIUM DAN KATAR
Oleh : Tiara Vania Utami
Pembimbing: dr. Hasri Darni Sp.M
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IDENTITAS P
Nama : Ny. S
Tanggal Lahir : 4 Desember !"#
Usia : $# %ah&n
Pe'er(aan : Ib& R&mah Tangga
Alama% : Kay& P&%ih )a'ar%a P&sa%
Tanggal Pemeri'saan : * Desember #+4
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KELU,AN U
Pasien merasa a-a yang menggan(al a-a ma%a 'anan.
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KELU,AN TAM/
Saa% meliha% asien merasa seer%i a-a asa -i-ean 'e-&a ma
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RI0A1AT PEN1AKIT SEKA
Pasien merasa a-a yang menggan(al a-a ma%anya -an mengesela&% a-a ma%a 'anannya se(a' b&lan yang lal& yang sema'in'earah %engah ma%anya. Ma%a 'anan yang bersela&% %erseb&% (&gamemerah -an ga%al2 %er&%ama se%elah %eraar -eb& -an &-ara ya
Pasien (&ga mengel&h saa% meliha% seer%i a-a asa yang meng-i'e-&a ma%a asien yang -irasa'an asien se(a' 3 b&lan yang lal&mem&nyai 'es&li%an &n%&' meliha% (ara' -e'a%2 se(a' # %ah&n yanasien selal& mengg&na'an 'aama%a saa% se-ang membaa yangse'arang %i-a' mengalami en&r&nan a%a&&n ening'a%an.
Pasien %i-a' mengel&h banya' '5%5ran air ma%a. Pasien %i-a' mma%a yang berair -an %i-a' a-a rasa nyeri a-a 'e-&a ma%anya.
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RI0A1AT PEN1AKIT DA
Sebel&mnya asien %i-a' ernah men-eri%a enya'i% seer%i bel&m ernah men(alani 5erasi 'a%ara'. Pasien memili'i ri6ayayang samai saa% ini masih -alam eng5ba%an. Ri6aya% -iabe%e-isang'al 5leh asien.
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RI0A1AT PEN1AKIT KELU
Kel&arga asien %i-a' a-a yang men-eri%a enya'i% seer%i inasien -ah&l& ernah men-eri%a 'a%ara' -an %elah -i5erasi 'e-ma%anya.
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• Alergi 5ba% -isang'al•
Alergi -eb& -an &aa -ingin -• Alergi ma'anan -isang'alRi6aya%Alergi
• Os mengg&na'an 'aa ma%a l5si%i7 se(a' # %ah&n yang lal&Ri6aya%
Kaama%a• Ri6aya% Oerasi ma%a -isang'Ri6aya%
Oerasi
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STATUS O8TALOMOOD OS
6/60 9is&s 6/4
ai! !esegala arah Pergera'an /5la Ma%a ai! !e segala
Udem " # $
Hiperemis " # $
Hemat%m " # $
Si!atri!s " # $
ben&%lan " # $
Palebra S&eri5r Udem " # $
Hiperemis " # $
Hemat%m " # $
Si!atri!s " # $
ben&%lan " # $
Udem " # $
hiperemis " # $
Hemat%m " # $
Si!atri!s " # $
ben&%lan " # $
Palebra In7eri5r Udem " # $
hiperemis " # $
Hemat%m " # $
Si!atri!s " # $
ben&%lan " # $
Hiperemis "#$ '%n&(ngti)a Tarsalis S(peri%r Hiperemis "#$
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STATUS O8TALOMO
Selap(t berbent(! segitiga
dari nasal melebar dan
mem(n*a! !e tepi limb(s
+n&e!si siliar " # $
in&e!si !%n&(ngti)a"#$
'%n&(ngti)a (lbi Selap(t " # $
+n&e!si siliar " # $
in&e!si !%n&(ngti)a" # $
Hiperemis " # $
papil " # $
,%li!el " # $
K5n(&ng%ia Tarsalis In7eri5r Hiperemis " # $
Papil " # $
,%li!el " # $
-ernih
inltrat " # $
'%rnea -ernih
inltrat " # $
OD OS
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Sedang
Hi,ema " # $
Hip%pi%n " # $
O Sedang
Hi,ema " # $
Hip%pi%n " # $
1arna *%!lat2
Sine!ia anteri%r " # $
Sine!ia p%steri%r " # $
Iris 1arna *%!lat
Sine!ia anteri%r " # $
Sine!ia p%steri%r " # $
+s%!%r
re3e *aha5a "$
P&il +s%!%r
re3e *aha5a "$
'er(h
Shad%7 test "$
Lensa 'er(h
Shad%7 test "$
Tida! dapat di e)al(asi
Vitre%(s H(m%r Tida! dapat di e)al(as
OD OS
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RE
Ny.S ber&m&r $# %ah&n -a%ang ber5ba% 'e 5li ma%a RSI) ;em-engan 'el&han seer%i a-a yang menggan(al -an %er-aa% selama%a 'anannya yang %imb&l se(a' b&lan yang lal&. Pasien (&gasaa% meliha% seer%i a-a asa yang menghalangi engliha%annyamen-eri%a rab&n -e'a% se(a' # %ah&n yang lal& -an saa% se-angselal& mengg&na'an 'aama%a. Pa-a emeri'saan ma%a -i-aa
sela&% a-a ma%a 'anan yang %&mb&h -ari nasal -an melebar seer%i segi%iga -i bagian limb&s. Di-aa%'an 'e'er&han a-a 'ema%a -engan sha-56 %es% 5si%i7 -i'e-&a ma%anya.
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DIAGNOSA
• Ka%ara' Senil S%a-i&m Ima%&r <ODS=
• P%erigi&m S%a-i&m I <OD=
• Presbi5ia <ODS=
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PENATALAKSA
• Te%es ma%a s%er5i- <OD=
• E;;E > IOL <ODS=
• Kaama%a s7eris >.?+ <ODS=
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ED
• Pasien menghin-ari ma%a %er'ena -eb& -an &-ara anas2 (i'a be
'el&ar selal& mengg&na'an 'aa ma%a
• Men(aga 'ebersihan ma%a2 %i-a' memegang ma%a -engan %angan
• Saa% membaa a%a& meliha% -e'a% selal& mengg&na'an 'aama%-ib&a%
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'T8
• 'eadaan pat%l%gi! lensa• 9ensa men&adi !er(h !ibat hidrasi
*airan "penambahan *airan$ lensa atadenat(rasi pr%tein lensa
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GE)ALA
Pengliha%an 'ab&r -an ber'ab&%
85%575bia
Pengliha%an gan-a
0arna lensa ma%a ber&bah @ &%ih
Sering bergan%i 'aama%a
Seer%i a-a %i%i' gela -i-ean ma%a
Meliha% -e'a% (elas < bersi7a% semen%ara =
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KA
Ka%ara'
Ka%ara''5ngeni%al2
)&enil2 Senil
Ka%ara'
'5mli'a%a
Ka%ara'%ra&ma%i'
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KATARAK
• Ka%ara' senil biasanya m&lai a-a &sia ?+ %ah&n
Insipien Imatur Matur Hipermatur
Kekeruhan Ringan Sebagian Seluruh Masif
Cairan Lensa Normal Bertambah Normal Berkurang
Iris Normal Terdorong Normal Tremulans
Bilik Mata
Depan
Normal Dangkal Normal Dalam
Sudut Bilik
Mata
Normal Sempit Normal Terbuka
Shadow Test Negatif ositif Negatif seudopositif
en!ulit " #laukoma " $%eitis & #laukom
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PENATALAKSA
• Ka%ara' %i-a' -aa% -isemb&ha'an -engan-iberi'an 5ba%
• Oerasi 'a%ara'
• E'%ra'si Ka%ara' In%ra'as&lar <EKIK=
• E's%ra'si Ka%ara' E's%ra'as&lar <EKEK=
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PTERIGIUM
• S&a%& er%&mb&han br5as'&lar '5n(&ng%iayang bersi7a% -egenera%i7 -an inasi7.
• /iasanya %erle%a' a-a elah 'el5a' bagian nasa%a&&n %em5ral '5n(&ng%ia yang mel&as 'e-aerah '5rnea.
• P%erigi&m berben%&' segi%iga -engan &na' -ibagian sen%ral a%a& -i -aerah '5rnea.
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T+O9O;+
•
E%i5l5ginya %i-a' -i'e%ah&i B -i-&ga mer&a'ans&a%& ne5lasma2 ra-ang -an -egenerasi.
• Di-&ga -isebab'an iri%asi 'r5nis a'iba% -eb&2ahaya ma%ahari2 -an &-ara yang anas.
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;-9 '9+<+S
• Daa% %i-a' memberi'an 'el&han a%a& a'an memberi'ama%a iri%a%i72 merah C -% menimb&l'an as%igma% B 'el&
gangg&an engliha%an.
• Mengenai '5rnea B me is&s 'rn menimb&l'an as%igmmen&%&i &il B ahaya %ergangg& er(alanannya
• Taha a6al B %erigi&m %i-a' membahaya'an. Per'emb&'& lamba%. Um&mnya %i-a' ber%&mb&h a%a& membe
• P%erigi&m -aa% (&ga mera-ang -an ber6arna merah2 %menggan(al -iser%ai ma%a berair
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DERA)AT KLINIS PTERMENURUT 1OUN
• Limb&s #mmDera(a%
• An%ara limb&s -an er%engahan (ara'%ei &il #2?mmDera(a% #
• An%ara er%engahan (ara' limb&s 'e"F4mmDera(a% "
• An%ara er%engahan limb&s -an &Dera(a% 4
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Dera&at =
Dera&at 4
Dera&at >
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P<T9'S<
• Peng5ba%an %i-a' -ierl&'an B sering bersi7a% re'&re%er&%ama a-a asien masih m&-a.
• /ila mera-ang B -iberi'an '5r%i'5s%er5i- %5i'al a%a&s&a%& %e%es ma%a -e'5nges%an.
• Dila'&'an embe-ahan B %er(a-i ggn engliha%ana'iba% %er(a-inya as%igma%isme ireg&ler a%a& %erigi&myang %elah men&%&i me-ia engliha%an.
• Saran'an asien &n%&' menghin-ari ling'&ngan
ber-eb& -an ahaya ma%ahari sebisa m&ng'in.
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TERIMA KASI,