siap print - lapsus dr.tita,sp.m.pptx

8/17/2019 SIAP PRINT - Lapsus dr.Tita,Sp.M.pptx

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Dr. Tita Octavia, SpM

LAPORAN KASUS


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IDENTITAS PENDERITA

Nama : Tn. MUmur : 55 tahunAlamat : S !ur", # para

N". $M : 5%&'()P ! r*aan : P tani

Tan++al MRS : '' april )'-

KASUS '


3/28

ANAMNESIS

K luhan Utama :Mata !iri t ra a n/ ri

Ri0a/at P n/a!it S !aran+ :

') hari 1 lum MRS mata !iri t r! na 1i*i pa2i,! mu2ian m n*a2i m rah, t ra a m n++an*al 2ann/ ri, 2i rtai p n+lihatan !a1ur 1 r"1at !pu ! ma 2i1 ri t t mata 3ti2a! tahu naman/a4

ti2a! m m1ai!, t ra a ma!in n/ ri hari 1 lum MRS mata !iri ma!in n/ ri,

mani! mani! mata !iri tim1ul putih putih 2anp n+lihatan ma!in !a1ur


4/28

LAN#UTAN ANAMNESIS

Ri0a/at P n/a!it Dahulu :DM 3 46ip rt n i 3 4Al r+i "1at 3 4


5/28

STATUS O7TALMOLO8IS

OD OS

-9- ISUS '9;

T nan+ PALPE

in* ! i 3=4 # rnih KORNEA 6a?/3=4, 2 @ !3=4,

in ltrat3=4, @ ath r/2+ 3=4, *arin+an

n !r"ti! 3=4

Dalam, * rnih $OA 6ip"pi"n B 5mm

T nan+91ulat, ntral,2iam t r (mm, r C !

=9=

IRIS9PUPIL D til ulit 2inilai

# rnih LENSA Sulit 2inilai

Dalam 1ata n"rmal 7UNDUS Sulit 2inilai

< 1a ! +ala arah OM < 1a ! +ala arah


6/28


7/28

LA


8/28

DIA8NOSIS

OS Ul!u K"rn a t cau a Su p. #amurDD : Su p.


9/28

TATALAKSANA

In@u RL ) tpmIn* ! i $ @tria>"n '>' +r iv

L v"C">acin / 2r"p9*am7luc"na?"l / 2r"p 9 *amSul@a Atr"pin ' / 2r"p 9 % *amK t"c"na?"l ( > )) m+

8lau!"n ( > ' 5 m+Kcl ' > ta1l t


10/28

7OLLOF UP 6ARI KE os

vi u '9;palp 1ra Spa m 3=4

!"n*un+tiva Mi> in* ! i3=4!"rn a 6a?/3=4,

2 @ !3=4,@ ath r/2+ 3=4,

*arin+ann !r"ti! 3=4

$OA 6ip"pi"n B5mm

Iri 9pupil Sulit 2inilail n a Sulit 2inilai

@un2u Sulit 2inilai Tatala! ana : lan*ut


11/28

7OLLOF UP 6ARI KE -os

vi u '9())

!"n*un+tiva Mi> in* ! i1 r!uran+

!"rn a 6a?/ 1 r!uran+$OA 6ip"pi"n B Gmm

Iri 9pupil M m1a/an+, pupil! an 1ulat

l n a Sulit 2inilai

@un2u Sulit 2inilai

Tatala! ana : lan*ut


12/28

7OLLOF UP 6ARI KE %

Visus 1/300

K"n*un+tiva Mi> 2 in* ! i 1 r!uran+

K"rn a 6a?/ 1 r!uran+

$OA hip"pi"n ( mm

Iri M m1a/an+

Pupil K an 1ulat

L n a D tail ulit 2inilai

Tatala! ana : lan*ut


13/28

6ARI KE &

PRO OS ASPIRASI 6IPOPION

2 n+an LA


14/28

Lap"ran "p ra i : T t pant"cain A pti! anti pti! 2a rah "p ra iIn* ! i li2"cain u1!"n*un+tivaInci i 2i lim1u c"rn a *am G 5A pira i hip"pi"n

In* ! i + nta=2 >a u1!"n*un+tivaSal p 2an 1 1at pl t r


15/28

7OLLOF UP POST OPERASI 6='

Visus 1/300

K"n*un+tiva Mi> 2 in* ! i1 r!uran+

K"rn a 6a?/ minimal

$OA Dalam, hip"pi"n ),5mm

Iri Kript =

Pupil


16/28

IDENTITAS

Nama : N/. NUmur : -% thN" $M : 5( 5Alamat : P"tr"/u2an, # paraP ! r*aan : I1u Rumah Tan++a

Tan++al MRS : '- april )'-

KASUS


17/28

ANAMNESIS

K luhan Utama :Mata !iri n/ ri c !"t c !"t

Ri0a/at P n/a!it S !aran+ :5 hari 1 lum MRS mata !iri t ra a n/ ric !"t c !"t, m rah 2an p n+lihatan !a1ur.K luhan ti2a! m m1ai! 2 n+an "1at /an+

lama ini pa i n pun/a, lalu pa i n1 r"1at ! RSU.


18/28

Ri0a/at P n/a!it Dahulu :a!it +lau!"ma *a! )' , p rnah m"n2"! !ar na a!it

rupa tahun )'G

DM 3 4a ma 3 46ip rt n i 3 4Al r+i "1at 3 4

R. t t mata 3=4


19/28

STATUS O7TALMOLO8IS

OD OS

i u NLP '9())

Palp 1ra t nan+ t nan+

K"n*un+tiva t nan+ 6ip r mi =

K"rn a # rnih E2 ma ===$OA 6 +ra2 ' 6 +ra2 '

Iri Kript =, in !iap" t ri"r

Kript =, in !iap" t ri"r

Pupil


20/28


21/28

LA


22/28

DIA8NOSIS

OD 8lau!"ma A1 "lutOS Primar/ An+l $l" ur ! a r1a ia!ut


23/28

TATALAKSANA

In@u manit"l G) cc iv 2i1 ri!an 2alam' *am

Tim"l"l mal at 2 ),5 >' t t ODSJ/tr"l 2 ->' t t OS8lau!"n (>' 5 m+K$l '>'9 ta1l tPr" OS p ri@ r iri2 !t"mi t lah TIO

turun


24/28

STATUS O7TALMOLO8IS

OD OS

i u NLP '9-)

Palp 1ra t nan+ t nan+

K"n*un+tiva t nan+ 6ip r mi minimal =

K"rn a # rnih * rnih$OA 6 +ra2 ' 6 +ra2 '

Iri Kript =, in !iap" t ri"r

Kript =, in !iap" t ri"r

Pupil


25/28

OS pr" iri2 !t"mi p ri@ r 2 n+an LA


26/28

POST OPERASI 6='

OS

i u (9-)

TIO '' mm6+

Palp 1ra E2 ma H pa m

K"n*un+tiva In* ! i K"rn a # rnih

$OA 6 +ra2 , u2ara = '9( $OA

Iri Kript = /n !hia H !"l"1"ma =

Pupil


27/28

POST OPERASI


28/28

7UNDUS$OP

Papil N.II : 1ulat, 1ata t +a , $DR ),- ,>cavati" +lauc"mat" a =, m 2iali a i

=, n"tchin+ =a a : A R 9( , pa m , cr" in+

ph n"m n HR tina 2 ma , p r2arahan , a1lati" HMa!ula @"v a r C ! c m rlan+

siap print - lapsus dr.tita,sp.m.pptx

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