pp keratitis
DESCRIPTION
keratitisTRANSCRIPT
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Keratitis Nurul Najiha Noor Azhar
Dicky Harlan
Kepaniteraan Ilmu Kesehatan Mata
RS Mata Dr Yap
Yogyakarta
2013
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Keratitis =Peradangan kornea
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Keluhan / gambaran klinispasien :
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Patofisiologi
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Klasifikasi keratitis :
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Keratitis pungtata
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Keratitis marginal
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Keratitis interstitial
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Keratitis bakterialis
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Keratitis jamur/Keratomikosis
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Komplikasi :Endoftalmitis
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Keratitis virus Gambaran : keratitis pungtata superfisial infiltrat
halus bertitik2
Bilateral
Kronis
E/ virus herpes simpleks, herpes zoster Keratitis Herpetik
Infeksi herpes simpleks :
Keratitis dendritik
Keratitis diskiformis
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Keratitis herpes zoster
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Keratitis dendritik
Keratitis superfisial membentuk garis infiltrat kemudian bercabang dendrit bentuk geografik
SLD
Th/- debridement
- Acyclovir salep 3% tiap 4 jam
- sikloplegik
- antibiotika
- bebat tekan
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Keratitis diskiformis
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Keratokonjungtivitis flikten
Reaksi imun
Gambaran :
Bilateral
Papul/pustul di kornea/konjungtiva
Flikten (+) : benjolan berbatas tegas warna putih ± neovaskularisasi ke arah benjolan
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Histopatologi :
Eosinofil (+)
Degenerasi hialin
Pengelupasan sel tanduk epitel kornea
Keratokonjungtivitis flikten + inf. 2º tukak kornea wander phlyctaen Mudah sembuh
mudah kambuh geographic pattern
Th/- steroid
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Konjungtivitis vernal
Peradangan tarsus dan konjungtiva bilateral.
Gambaran :
Hipertrofi papil di kelopak mata atas dan limbus Cobble stone
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Keratitis sika Permukaan kornea & konjungtiva kering
merandang
Keluhan :
Mata kering
Sekret lengket
Seperti ada pasir
Gatal
Pemeriksaan :
Konjungtiva bulbi edema, merah, kering, tak mengkilat
Infiltrat kecil di epitel
Filamen (+) keratitis filamentosa
Tes fluoresen (+)
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Keratitis numularis
Dugaan : virus
Gambaran :
Infiltrat bulat2 di subepitel : tengahnya lebih jernih (halo)
Tes fluoresen (-)
Sikatrik sembuh
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Soft lens keratitis ?
Lensa hidrogel lensa silikon hidrogel
Meningkatkan akumulasi karbon dioksida
Menurunkan kadar oksigen di bawah lensa
Menurunkan aktivitas metabolik epitel kornea
Mengganggu pembuangan debris di kornea
Tidur pakai lensa resiko menigkat
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Matur
Nuhun