refractive error management dr. erin aarsianti, sp.m... · 2020. 3. 2. · contact lens indications...
TRANSCRIPT
![Page 1: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/1.jpg)
REFRACTIVE ERROR MANAGEMENT
dr Erin Arsianti, SpM. MSc. MPH
![Page 2: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/2.jpg)
Gejala Kelainan Refraksi
Tidak jelas untuk melihat jauh1
2
3
Tidak jelas untuk melihat dekat
Penglihatan kabur / dobel
![Page 3: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/3.jpg)
Jenis-Jenis Kelainan Refraksi
Rabun Jauh/ Myopia1
2
3
Rabun Dekat/ Hipermetropia
Silinder/ Astigmatisme
Mata tua/ Presbiopia34
![Page 4: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/4.jpg)
Rabun Jauh /
Myopia
Normal
![Page 5: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/5.jpg)
Rabun Dekat / Hipermetropia
![Page 6: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/6.jpg)
Astigmatisme/ Silinder
![Page 7: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/7.jpg)
Presbiopia / Mata Tua
![Page 8: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/8.jpg)
Refractive error management
Myopia
• Spectacles
• Contact lens
• Surface ablation procedure (PRK)
• Laser in situ keratomileusis (LASIK)
• Refractive lenticule extraction(Relex-Smile)
• Lens surgery (CLE) +IOL
• Iris clip
• Phakic posterior chamber implant
• Radial keratotomy
Hipermetropia
• Spectacles
• Contact lens
• Surface ablation procedure (PRK)
• Laser in situ keratomileusis (LASIK)
• Refractive lenticule extraction(Relex-Smile)
• Lens surgery + IOL
![Page 9: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/9.jpg)
Refractive error management
Astigmatisma
• Spectacles
• Contact lens
• Surface ablation procedure (PRK)
• Laser in situ keratomileusis (LASIK)
• Refractive lenticule extracton(Relex-Smile)
• Lens surgery +IOL toric
• Limbal Relaxing Incisions (LRI)
Presbiopia
• Spectacles
• Contact lens
• Lens surgery +IOL multifocal
• Laser-induced monovision
• Corneal multifocality
• Corneal inlays
![Page 10: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/10.jpg)
Lensa koreksi myopia
![Page 11: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/11.jpg)
Lensa koreksi hypermetropia dan astigmatisma
![Page 12: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/12.jpg)
JENIS LENSA KOREKSI PRESBIOPIA
40 th� S+1D, 50 th � S+2D dst….
![Page 13: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/13.jpg)
Jenis lensa koreksi presbiopia
![Page 14: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/14.jpg)
Contact Lens Indications
Visual Pekerjaan Kosmetik
Anisometropia
Myopia tinggi
Afakia
Astigmat irregular
Keratokonus
Gl bedah refraktif
Artis
Atlet Menolak kacamta
Change iris colour
Restorasi cornea
(sikatrik dsbny)
Medikamentosa
Terapeutik
Bandage
![Page 15: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/15.jpg)
Contact Lens Contraindications
Visual Medical
Low refraction error
Presbiopia
Visus memburuk dg
contact lens
Infeksi mata
Erosi kornea
recurent
Alergi
DM (epitel rentan)
Blefaritis
Dry eyes
Occupational
Legal constrainst
(commercial pilot)
Cosmetic,
environment
Squint eyes, dust,
fumes, dryness
![Page 16: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/16.jpg)
Factors should be carefully considered
• Age → the ability to handle the lens, reduced pupil size,
reduced lid tonus, reduced lid aperture, tear film
• Mo8va8on → pa8ent’s mo8va8on
• Compliance → lens cleaning and disinfec8on, correct us
e, general hygiene
![Page 17: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/17.jpg)
Jenis dan tipe lensa kontak
• Pertama kali pakai
• Pemakai sementara
• Terapi defek cornea
• More comfortable, less healthy lens,
easy to fit, more forgiveness fitting
Lunak
(Soft Lens)
• Gagal memakai soft lens
• Severe dry eyes
• Kornea irregular
• Keratokonus
• More healthy, little bit less
comfortable
Keras
(Hard Lens)
![Page 18: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/18.jpg)
LENSA KONTAK
Cara Perawatan
• Cuci tangan dengan sabun dan air mengalir sebelum
menyentuh lensa kontak
• Gunakan cairan pembersih khusus untuk
membersihkan lensa kontak
• Lepaskan lensa kontak segera bila mata terasa tidak
nyaman, merah, dan berair secara berlebihan
• Jangan mandi/ berenang menggunakan lensa kontak
karena berisiko memicu infeksi mata
• Periksakan kesehatan mata secara rutin
![Page 19: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/19.jpg)
Prosedur Bedah refraktif
Mengubah kornea atau lensa sebagai komponen utama refraksi
PRK � mengurangi gangguan refraksi ringan – sedang
Lasik � mengurangi gangguan refraksi sedang – tinggi *
Relex-Smile � teknis terbaru utk mengurangi gangguan
refraksi ringan-tinggi*
![Page 20: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/20.jpg)
SYARAT BEDAH REFRAKSI?
• Usia lebih dari 18 tahun
• Kelainan refraksi stabil 1 tahun terahir
• Mata kondisi sehat
• Tidak menggunakan lensa kontak
Soft lens minimal 14 hari berturut – turut
Hard lens minima 30 hari berturut – turut
![Page 21: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/21.jpg)
Laser Refractive Procedure
Photo Refractive Keratomileusis (PRK)
Laser In-situ Keratomileusis (LASIK)
Refractive lenticule extraction
(relex-smile)
![Page 22: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/22.jpg)
![Page 23: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/23.jpg)
SIAPA SAJA YANG PERLU BEDAH REFRAKSI?
Semua orang yang ingin merdeka dari kacamata dan lensa kontak
![Page 24: REFRACTIVE ERROR MANAGEMENT dr. Erin Aarsianti, Sp.M... · 2020. 3. 2. · Contact Lens Indications Visual Pekerjaan Kosmetik Anisometropia Myopia tinggi Afakia Astigmatirregular](https://reader030.vdokumen.com/reader030/viewer/2022012002/608f1d91ea6389792b7f82de/html5/thumbnails/24.jpg)
TERIMA KASIH