kuliah mata 1 - hyphaema
DESCRIPTION
Kuliah Mata 1 - HyphaemaTRANSCRIPT
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HYPHEMAHYPHEMAHYPHEMAHYPHEMADr RITA HENDRAWATI , SpM
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� Darah di COA
� Asal : cabang a. corpus siliaris , pembuluhdarah iris pada sekeliling pupil
� Hifema Primer : Terjadi setelah trauma
� Hifema sekunder : Terjadi pada hari 3 – 5 paska trauma / perdarahan setelahperdarahan pertama teresorbsi
HIFEMAHIFEMA
perdarahan pertama teresorbsi
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� Mata nyeri
� Mata merah
� Pandangan kabur
� Riwayat trauma
SymptomSymptom
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� Pericorneal injection
� Visus turun
� Hifema
� Test fluoresin +/_
� Tanda trauma yg lain
SignSign
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� Anestesi lokal bila ada blefarospasme
� Tes Fluoresin
� Pemeriksaan bilik mata depan : dng loupe + lampu senter , slit lamp biomikroskop
� Pemeriksaan tekanan bola mata
� Pemeriksaan USG
Cara Cara PemeriksaanPemeriksaan
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Tergantung :
1. Jumlah Perdarahan
2. Tekanan Intraokuler
3. Kejernihan kornea
TERAPITERAPI
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� KONSERVATIF
� Hifema < ½ COA , kornea jernih◦ Tirah baring sempurna dengan posisi kepalaelevasi 60 derajat
◦ Bebat mata
◦ Pada anak –anak kalau perlu di beri obatpenenang
TERAPITERAPI
penenang
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� Obat :
1. Transamin 3x 500 mg
2. Sulfas Atropin 1% unt mencegah blokpupil dan mengistirahatkan iris
3. Acetazolamide : bila TIO meningkat
4. Steroid sistemik / topikal : mencegah
TERAPI TERAPI -- KONSERVATIFKONSERVATIF
4. Steroid sistemik / topikal : mencegahuveitis
5. Antibiotik tetes mata : tanda-tandainfeksi
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� Indikasi :
1. TIO tetap tinggi > 35 mmHg selama 7 hari / 50 mmhg selama 5 hari
2. Hifema yg menetap tidak berkurang > 5 hari
3. Terjadi Hemosiderosis kornea
TERAPI TERAPI -- OPERATIFOPERATIF
Tehnik operasi : Parasintesis�mengeluarkan darah dari COA
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� 1 GLAUKOMA SEKUNDER
◦ tersumbat fibrin
◦ Sel-sel , Gumpalan darah � blok pupil
◦ Kerusakan anatomi
KOMPLIKASIKOMPLIKASI
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� 2 . HEMOSIDEROSIS KORNEA / corneal blood staining◦ Terjadi imbibisi hemogobin di kornea / endotel
◦ Terjadi ‘ corneal staining “
KOMPLIKASI HIFEMAKOMPLIKASI HIFEMA
◦ Kornea keruh � visus turun
3. HIFEMA SEKUNDER
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Corneal Blood StainingCorneal Blood Staining
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