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SecondaryGlaucoma

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Ectopia Lentis

Defnition:

Ectopia lentis is defned as displacement ormalposition o the crystalline lens o the eye.

Pathophysiology:

Disruption or dysunction o the zonular fbers othe lens, regardless o cause(trauma or heritable

condition), is the underlying pathophysiology oectopia lentis. he degree o zonular impairmentdetermines the degree o lens displacement.

8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma

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Klinis:

• !ed painul eye (secondary to trauma)

• Decreased distance "isual acuity (secondary to astigmatism or myopia)

• #oor near "ision (loss o accommodati"e po$er)

• %onocular diplopia

Pemx:

• &isual 'cuity

• Eternal ocular eamination

• !etinoscopy and reraction

• Slit lamp eamination

Treatment

• Lensectomy

Ectopia Lentis

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Complication:

• 'mblyopia

• "eitis

• Glaucoma

Prognosis:

• Depending on the degree o lens dislocation, the age o onset,and its associated secondary complications, most patients do$ell.

Patient Education:

• *eritable condition  ollo$ing up $ith a primary care physician

• Saety glasses are ad"ocated $hen ris+ o eye inury is possible

Ectopia Lentis

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-ataract

-ataract

#hacomorphic

Glaucoma

#hacolyticGlaucoma

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#hacomorphic Glaucoma

Patoffologi

Lensa dapat membeng+a+ (intumesen)dengan menyerap cu+up banya+cairan dari +amera anterior yangmenimbul+an sumbatan pupil danpendesa+an sudut sehingga alinan

trabe+ular terblo+ serta menyebab+anglau+oma sudut tertutup.

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Klinis:

• acute pain

• blurred "ision

• rainbo$colored halos around lights

• nausea and "omiting

•

#atients generally ha"e decreased "ision beore the acute episode because oa history o a cataract.

Pemx/

•  01 tinggi (2 34 mm*g)

• #upil dilatasi sedang, iregular

•Edema +ornea

• 0ne+si +onungti"a dan "ena epis+lera

• Sudut +amera anterior dang+al

• #embesaran lensa dan displasi +e depan

• #embentu+an +atara+ tida+ sama antara +edua mata

#hacomorphic Glaucoma

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 reatment

• 5eta bloc+er

• 0ridotomy

60E/

#atients should be ollo$ed or at least 7

years postoperati"ely, because 789 ocases may re:uire urther glaucomainter"ention or 01# control.

#hacomorphic Glaucoma

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#hacolytic Glaucoma

• #ada +atara+ stadium hipermaturteradi +ebocoran protein lensa danmasu+ +e dalam +amera anterior dan

ditelan oleh ma+roag. %a+roagmenadi membeng+a+ danmenyumbat alinan trabe+ular yang

memacu pening+atan 01. Glau+omayang teradi adalah glau+oma sudutterbu+a.

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Klinis

• #asien dengan glau+oma a+oliti+ secara +has mempunyai ri$ayatpenurunan penglihatan yang lambat selama beberapa bulanmaupun tahun sebelum teradi nyeri dengan onset a+ut, matamerah, dan sering+ali teradi penurunan penglihatan yang lebih

 auh.• #englihatan mung+in hanya dapat persepsi cahaya +arena densitas

+atara+

• Gealanya sama dengan glau+oma sudut tertutup a+ut

• !i$ayat penurunan penglihatan yang lambat sebelum onset a+ut

adalah geala yang "ital untu+ diagnosis.•  01 mening+at sangat tinggi

• #emeri+saan lampu slit menampa++an edema +orne mi+rositi+,+amera anterior sembab, ma+roag, agregasi material putih.

• #enemuan genios+opi biasanya normal.

#hacolytic Glaucoma

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 reatment

• lo$ering o 01# using a combination otopical and systemic 01#lo$ering agents.

 opical steroids also may acilitate 01#lo$ering and decrease pain.

• Etracapsular cataract etraction (eg,phacoemulsifcation) $ith an intraocular

lens implant has largely replacedintracapsular cataract etraction as theprocedure o choice.

#hacolytic Glaucoma