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Tabel 1. Diagnosis Banding Penyakit Mata Merah Berdasarkan Keluhan Subjektif dan
Obyektif.2
Gejala subyektif dan obyektif
Glaukoma akut
Uveitis akut
Keratitis K Bakteri K. virus K. alergi
PenurunanVisus
+++ +/++ +++ - - -
Nyeri ++/+++ ++ ++ - - -Fotofobia + +++ +++ - - -Halo ++ - - - - -Eksudat - - -/++ +++ ++ +Gatal - - - - - ++Demam - - - - -/++ -Injeksi siliar
+ ++ +++ - - -
Injeksi konjungtiva
++ ++ ++ +++ ++ +
Kekeruhan kornea
+++ - +/++ - -/+ -
Kelainan pupil
Midriasis nonrekatif
Miosis iregular
Normal/miosis
N N N
Kedalaman COA
Dangkal N N N N N
Tekanan intraokular
Tinggi Rendah N N N N
Sekret - + + ++/+++ ++ +Kelenjar preaurikular
- - - - + -
Tabel 2.3 Perbedaan Konjungtivitis berdasarkan Etiologi5
Tipe Sign and Symptom Management Prevention
Bacterial Conjunctivitis
Red eye Chloramphenicol 0.5% eye drops
Personal hygiene: hand washing
Discharge of pus Gentamicin 0.3% eye drops Correct cleaning and disinfection of
instruments between examinations
Pain/Photophobia (especially if secondary corneal involvement)
Tetracycline 1% eye ointment
Contact lens hygiene
Intensive instillation for first day or until symptoms
and signs reduce
Viral Conjunctivitis
Red eye Cold compresses to relieve discomfort
Personal hygiene: hand washing
Watery discharge Correct cleaning and disinfection of
instruments between examinations
Itch/Irritation
Subconjunctival haemorrhages
Allergic Conjunctivitis
Red eye Reassurance Avoid allergens
Lacrimation +++ Antihistamines (eye drops or orally)
Itch/Irritation Steroid eye drops
Trantas spots Cromolyn sodium 4% eye drops
Cobblestones Lodoxamide 0.1% eye drops
Mucus build up