yulia cornea

8/20/2019 Yulia Cornea

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CORNEDR. YULIA FITRIANI, SPM


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LAPISAN CORNEA


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KORNEAFISIOLOGI- Sebagi media referaka !" #$

D %

- Pe&i'd('g ) di'di'g b*&a maa.- +eer'ia' k*r'ea

dieraa'ka' *&e /0 +*'di1i deidra1i re&aif 0 S(1('a' 1e& ) 1era k*&age'

2a'g era(r0 Tidak ada'2a emb(&(dara !A3a1k(&er%


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Sa'dard 1ae

* Central zone *f 4-5 mm 6&*1e&2 71 a1eri6a& 1(rfa6e

* Paracentral zone, 5-# mm ri'g, 8i a'

*(er diameer *f 9-: mm, area *fr*gre11i3e ;ae'i'g ! prolate%

* Peripheral zone, *(er diameer *f 44

mm, greae1 ;ae'i'g a'd a1eri6i2* Limbus, *(er diameer a a3erage1 4<

mm, e 6*r'ea 1eee'1 bef*re *i'i'ge 16&era


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LIM=US


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NEO>AS+ULARISASI

+ORNEA


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SENSI=ILITAS +ORNEA


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PLACIDO DIS+


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+ERATOCONUS


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+ERATOGLO=US


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ERROSIO +ORNEA

DEFE+ EPITEL +ORNEA


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TRI+IASIS


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CORPUS ALIENUM CORNEA


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+ERATITIS

PERADANGAN PADA +ORNEA YANG DITANDAIDENGAN /

DEFE+ EPITEL +ORNEA

INFILTRAT DI SE+ELILING DEFE+ OEDEMA DI SE+ITAR INFILTRAT


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+ERATITIS

Rada'g ada k*r'ea Di1rib(1i / dif(1, f*ka&,

m(&if*ka&

+eda&ama' / eie&, 1(b eie&,1r*ma, e'd*e&

L*ka1i / 1e'ra&, erifer =e'(k / de'driik, di16if*rm,

'(m(&ar, ge*gra7ka, ('gaa Ca(1a / 3ir(1, bakeri, am(r


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CORNEAL DRA?ING


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GE@ALA

NYERI memb(r(k de'ga' ergeraka' a&ebra

FOTOFO=IA Iri1 merada'g k*'rak1i '2eri

=ERAIR Re;ek1 kare'a 12araf maa di k*r'ea 2g

merada'g Pe'(r('a' 3i1(1

Se'1a1i be'da a1i'g


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TANDA

Pe'(r('a' 3i1(1

I'ek1i 1i&ier

+*r'ea edem

I'7&ra / S(er71ia&, Pr*f('da

Se& rada'g di bi&ik maa dea' /

T2'da&& ee6, B2*i*'


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PEMERI+SAAN SPESIFI+

SLIT LAMP=IOMICROSCOPY

FLUORESCEIN TEST SENSITI>ITAS

+ORNEA

PEMERI+SAANMI+RO=IOLOGI


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I'ek1i 1i&ier


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OEDEMA +ORNEA


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T2'da& ee6


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SLIT LAMP BIOMICROSCOP

I'7&ra ('gaa1(er71ia&

I'7&ra ge*gra7ka

Infiltrat dendritik

Infiltrat numularis(stromal)

Infiltrat disciformis(stromal)


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FLUORESCEIN TEST


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PEMERIKSAAN

MIKROBIOLO!I


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ARCUS SENILIS

TIM=UNAN LIPID


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Ban" Shape" #eratopath$

B*ri*'a& *a6i2 ! i' e i'era&ebra& area %

O&d dege'eraed e2e1

B2a&i'e dege'erai*' " Ca de*1ii*'


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MICROBIAL KERATITIS%Bacterial&Pa*ge'1 8i6 6a' r*d(6e 6*r'ea&

i'fe6i*' i' i'a6 eie&i(m.

4.Nei11eria g*'*rr*eae


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Staph' aureus an" strep'pneumoniae

O3a&, 2e&&*8-8ie, de'1e&2

*a(e

1r*ma&1((rai*'1(rr*('ded b2re&ai3e&2 6&ear6*r'ea


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FUNGAL +ERATITIS

Fi&ame'*(1 f('ga& keraii1 A1ergi&&(1

F(1ari(m

Gre2i1-8ie (&6er 8i i'di1i'6margi'1

S(rr*('ded b2 feaer2 i'7&erae1

Ri'g i'7&erae E'd*e&ia& &a(e

B2*2*'


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Ca'dida keraii1

U1(a&&2 de3e&*1 i' re-ei1i'g 6*r'ea&di1ea1e *r imm('*6*mr*mi1ed aie'

Sae&ie &e11i*'

Ye&&*8-8ie (&6er De'1e 1((rai*'


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ACANTBAMOE=A +ERATITIS

Pr***a'

a6i3e !r***ie%

d*rma' !621i6%

C*mm*' i' 18immer1 a'd CL 8earer1 =&(rred 3i1i*' a'd di1r**ri*'ae ai'

Pa62 a'eri*r 1r*ma& i'7&erae1

Peri'e(ra& i'7&erae1 !radia& kera*'e(rii1% I'7&erae1 6*a&e16e ri'g ab6e11,

(&6erai*' a'd 2*2*'

?ie 1ae&&ie &e1i*'1


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BERPES SIMPLE +ERATITIS

Primar2 *6(&ar ere1/ =&ear*6*'('6i3ii1

+eraii1 !('6ae eie&ia&%

De'drii6 (&6er

M**re'H1 U&6er ! 6r*'i6 1eregi'*(1


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M**re' 1 U&6er ! 6r*'i6 1eregi'*(1(&6er %4r2 '*' i'fe6i3e 6*r'ea& (&6er

Rare

C*mm*' i' *&d age

Aei*&*g2 ! ('k'*8' % Limba& 3a16(&ii1 Pr*e*&2i6 e'2me1 'e6r*1i1 *f 1(. &a2er1

A(*imm('e di1ea1e

S2m*m1 4


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+eraii1 r*f('da


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UL+US +ORNEA

DEFE+ EPITEL+ORNEA

INFILTRAT DI

SE+ELILING DEFE+ OEDEMA +ORNEA

@ARINGAN

NE+ROTI+


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PERFORASI +ORNEA


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Seide& e1


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STAPBYLOMA +ORNEA


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+ERATOPLASTY

MEM=UANGSE=AGIAN +ORNEA

YANG RUSA+

MENGGANTIDENGAN +ORNEADONOR

MEM=ERI+AN

@ALAN CABAYAMASU+ +E DALAM=OLA MATA


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SI+ATRI+S +ORNEA

NE=UL

A

MA+UL

A

LE+OMA


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+erai6 re6iiae

gra'(&*ma*(1 N*' gra'(&*ma*(1

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