5. Retinopathy of Prematurity (Rop)
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Transcript of 5. Retinopathy of Prematurity (Rop)
7/21/2019 5. Retinopathy of Prematurity (Rop)
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RETINOPATHY OF
PREMATURITY (ROP)
ROCHASIH MUDJAJANTI
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DEFINISI
DULU DIKENAL SEBAGAI
RETROLENTAL FIBROPLASI
RETINOPATI PROLIFERATIF PADA BAYI
BBLR DAN PREMATUR
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EPIDEMIOLOGI
JARANG
BBLR <1000 GR – RISIKO TINGGI
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ETIOLOGI
PREMATUR
BBLR
PAPARAN OKSIGEN KONSENTRASI
TINGGI & BERLEBIHAN –
BERHENTINYA PERKEMBANGN
VASKULER, OBLITERASI KAPILER BARU,
PEMBENTUKAN ARTERIOVENOUSSHUNT MAYOR
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PATHOGENESIS AND STAGING
VASKULARISASI RETINA NORMAL :
OPTIC DISC KE PERIFER KOMPLIT
PADA KUADRAN NASAL ± 36 MG
GESTASI, KUADRAN TEMPORAL ± 40MG GESTASI.
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VASKULARISASI RETINA PERIFER
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KLASIFIKASI DAN TERMINOLOGI
ZONA I : LINGKARAN 2 X RADIUS
OPTIC DISC – FOVEOLA
ZONA II : LINGKARAN DG PUSAT
OPTIC DISC, RADIUS OPTIC DISC –
ORA SERRATA NASAL
ZONA III : SISA FUNDUS DI LUAR
ZONA I & II, PROGNOSIS BAIK
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DERAJAT ROP SESUAI LOKASI
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PROGRESIFITAS ROP
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SEVERITY(International Committee
on Classification of Acute ROP)
STAGE 1 : GARIS DEMARKASI ANT VASCULARIZED& NON VASCULARIZED RETINA
STAGE 2 : GARIS DEMARKASI DG TINGGI, LUAS &VOLUME (RIDGE)
STAGE 3 : RIDGE DG PROLIFERASIFIBROVASKULER EXTRARETINA (RINGAN, SEDANG,BERAT, DITENTUKAN JML JAR. PROLIFERATIF)
STAGE 4 : RD SUB TOTAL, A. EXTRAFOVEAL &B. FOVEA TERLIBAT
STAGE 5 : RD TOTAL DG FUNNEL (ANT & POST,TERBUKA & SEMPIT)
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ROP STAGE 2
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ROP STAGE 3
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ROP STAGE 4
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ROP STAGE 5
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CICATRICIAL ROP
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CICATRICIAL ROP
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PROBLEM YG BERHUB DG ROP
REGRESI
MIOP DG ASTIGMAT
ANISOMETROPIA
STRABISMUS
AMBLIOP
KATARAK
GLAUKOMA
RETINAL DETACHMENT
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TERAPI
VIT E & ANTIOKSIDAN LAIN CRYOTERAPY PADA RETINA AVASKULER;
ROP THRESHOLD SEPARO INSIDEN,OUTCOME BURUK (MACULAR DRAGGING
RD, RETROLENTAL CICATRIX); VISUS ~ANATOMIS
LASER TERAPI : FULL SCATTER PD RETINAAVASCULER, PD ROP THRESHOLD & PRETHRESHOLD, < TRAUMATIK
SB, VITRECTOMY ROP STAGE 4
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JEJAS LASER FOTOKOAGULASI
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CRYOTHERAPY PD ROP