Kerjatitis Jamur

7/24/2019 Kerjatitis Jamur

1/22

PAPER

DEPARTEMEN ILMU PENYAKIT MATA

FAKULTAS KEDOKTERAN USU/ RSUP H. ADAM MALIK MEDAN

NAMA : STEFANIE TARIGAN

NIM : 100 100 161

PAPER

KERATITIS JAMUR

Disusun ol!:

STEFANIE TARIGAN

100 100 161

P"#i"#in$:

dr. Fithria Aldy, M.Ked (Oph), Sp.M

PROGRAM PENDIDIKAN PROFESI DOKTER

DEPARTEMEN ILMU KESEHATAN MATA

FAKULTAS KEDOKTERAN

UNI%ERSITAS SUMATERA UTARA

RSUP H. ADAM MALIK

MEDAN

&01'

1


2/22

PAPER




NIM : 100 100 161

KATA PENGANTAR

Pu(i )*n s+u,u- nulis *n(*,*n ,*)* Tu!*n +*n$ M*!* Es* +*n$ sn*ni*s*""#-i,*n -*!"* )*n ,*-uni*N+* s!in$$* nulis )** "n+ls*i,*n *- ini

* *)* *,un+*. P*- ini #-(u)ul 2Keratitis Jamur3 +*n$ "-u*,*n s*l*! s*u

u$*s -o$-*" n)i)i,*n -o4si )o,- )i )*-"n Il"u Pn+*,i M** F*,ul*s

K)o,-*n Uni5-si*s Su"*-* U*-*.

Pn+usun*n *- ini i)*, l*s )*-i #i"#in$*n n$*-*!*n )*n #*nu*n )*-i

#-#*$*i i!*,. Ol! ,*-n* iu )n$*n s$*l* -*s* !o-"* nulis in$in "n+*"*i,*n

-i"* ,*si! s#s*- 7 #s*-n+* ,*)* s"u* i!*, +*n$ l*! ""#*nu ,!ususn+*

su-5iso- ,*"i )-. Fi!-i* Al)+ M.K) 8O!9 S.M +*n$ l*! #*n+*, ""#i"#in$

,*"i sl*"* -oss n)i)i,*n ,*"i )i )*-"n il"u n+*,i "** ini.

Pnulis "n+*)*-i #*!* nulis*n *- ini "*si! (*u! )*-i s"u-n*. Ol!

,*-n* iu nulis "n$!*-*,*n s*-*n )*n ,-ii, +*n$ ""#*n$un )*-i "#** *$*-

nulis )** "n+"u-n*,*n *- ini. D"i,i*nl*! ,** n$*n*- ini nulis

s*"*i,*n. S"o$* *- ini )** ""#-i,*n "*n4** #*$i ,i* s"u*.

M)*n & S"#- &01'

Pnulis

S4*ni T*-i$*n

&


3/22

PAPER




NIM : 100 100 161

DAFTAR ISI

KATA PENGANTAR......................................................................................................

DAFTAR ISI....................................................................................................................

A ! PENDA"U#UAN............................................................................................

1.1. L**- ;l*,*n$.................................................................................................

1.&. Tu(u*n Pnulis*n..............................................................................................

A $ TINJAUAN PUSTAKA..................................................................................

&.1. An*o"i Ko-n*................................................................................................

&.&. I"unolo$i Ko-n*.............................................................................................

&.*"u-..................................................................................................

&.=.1. D4inisi K-*iis >*"u-

.........................................................................................................................................

.........................................................................................................................................

?

&.=.&. Eiolo$i )*n F*,o- Rsi,o K-*iis >*"u-

.........................................................................................................................................

?

&.=.*"u-

.........................................................................................................................................

10

&.=.'. Di*$nosis K-*iis >*"u- .........................................................................................................................................

11

&.=.6. Pn**l*,s**n K-*iis >*"u-

.........................................................................................................................................

1'

A % KESIMPU#AN

1@

DAFTAR PUSTAKA.............................................................................................................................

1?

#AMPIRAN


4/22

PAPER




NIM : 100 100 161

A I

PENDA"U#UAN

!.!. #atar ela&a'

K-*iis (*"u- "-u*,*n s*l*! s*u n+#*# nin$ )*-i ,!il*n$*n n$li!**n

+*n$ -(*)i )i n$*-* #-,"#*n$. Ul,us ,o-n* (*"u- +*n$ *lin$ #*n+*, )i(u"*i

*)* ,-(* -*ni*n ,ini "ul*i #*n+*, )i(u"*i *)* n)u)u, -,o**n s(*,

"*-*,n+* n$$un**n o#* ,o-i,os-oi) )*l*" n$o#**n "**. Si-in$ )n$*n

#-*"#*!n+* -5*lnsi ,-*iis (*"u- )*l*" ),*) -*,!i- Fus*-iu" ,-*iis *,i#*

n$$un**n lns* ,on*, "ul*i "n(*)i -!*i*n s-ius ol! )o,- "** )i slu-u!

)uni*.1&

K-*iis (*"u- "-u*,*n n+#*# u"u" )*-i ul,us ,o-n* )i n$*-* #-,"#*n$.

P-5*lnsi )*-i ul,us ,o-n* *,i#* (*"u- "n**i == )i In)i* Sl**n


5/22

PAPER




NIM : 100 100 161

(*"u- )** "n+#*#,*n -4o-*si ,o-n* '6 ,*li l#i! in$$i )i#*n)in$,*n )n$*n

,-*iis #*,-i.'6

!.$. T*a' Pe'li+a'

Pnulis*n "*,*l*! ini #-u(u*n unu, ""#*nu "#** *$*- l#i! ""*!*"i

"n$n*i olo$i *o$nsis )*n "*n*("n )*-i ,-*iis (*"u- sl*in s#*$*i s+*-*

unu, "n(*l*ni ,$i**n ,*ni-**n snio- 8KKS9 )i )*-"n Il"u Pn+*,i M**

RSUP H*(i A)*" M*li, M)*n. Pnulis**n "*,*l*! ini )i!*-*,*n (u$* )** "n(*)i

su"#- -4-nsi #*$i "#**.

'


6/22

PAPER




NIM : 100 100 161

A II

TINJAUAN PUSTAKA

$.!. A'at-i Kr'ea

Ko-n* "-u*,*n (*-in$*n -*ns*n )*n *5*sul*- )n$*n *n(*n$ !o-iBon*l 11

1&"" )*n *n(*n$ 5-i,*l 1011"" )n$*n in),s -4-*,i4 1


7/22

PAPER




NIM : 100 100 161

!. Epitel Kr'ea

Eil ,o-n* -)i-i stratified squamous epithelium )*n "n$isi '10 )*-i

,#*l*n ,o-n*. >*-in$*n il )*n *i- "** ""#nu, -"u,**n oi, +*n$ liin.Tight junction*)* l*is*n su-4isi*l sl il "n$*! "*su,n+* *i- "** , s-o"*.

P-oli4-*si *)* sl #*s*l -ili"#*l ""#u* )i4-nsi*si #-,*l* )*-i sl su-4isi*l.

Sl*! "*u- sl -s#u *,*n )il*isi )n$*n "i,-o4ili )*n #*$i*n -lu*- -)s,u*"*si

"n(*)i *i- "**. P-oss )i4-nsi*si *)* "** ""*,*n *,u @1= !*-i. Sl #*s*l

il "ns,-si s*-* -us "n-us "n*"#*! '0n" )*-i ,#*l*n #*s"n

""#-*n +*n$ -)i-i )*-i ,ol*$n i I% l*"inin )*n -oin l*inn+*. K(-ni!*n )*-i

,o-n* #-$*nun$ )*-i ,-***n sl il )*l*" ""-o)u,si l*is*n +*n$ ""#nu,

in),s -)-*,i4 )*n n$!*"#u-*n )*-i sin*- l#i! s)i,i.@

$.Me-ra' /-a'

L*is*n ;o"*nn **u ""#-*n #o"*n *)*l*! l*is*n +*n$ -)i-i )*-i "*ss*

*slull*- 4i#-il ,ol*$n ,n*l +*n$ s*-* **, -s#*-. K#*l*n ""#-*n ;o"*n

#-*)* )i*n*-* ?1&n". ;-#)* )n$*n ""#-*n )s"n l*is*n ini i)*, )**

)i-#*i,i sl*! )-* "l*in,*n )i$*ni,*n ol! (*-in$*n *-u.?

G*"#*- 1.&. Eil ,o-n* )*n M"#-*n ;o"*n?

@


8/22

PAPER




NIM : 100 100 161

%. Str-a

Susun*n )*-i slsl s-o"* )*n "*,-o"ol,ul "-u*,*n !*l +*n$ #--*n nin$

)*l*" ,(-ni!*n ,o-n*. Sl s-o"* -)i-i )*-i sl ,ol*$n +*n$ ""-o)u,si ,-*osi$-oun) su#s*n )*n l*"l* ,ol*$n. Fi#-il *)* ,ol*$n s*-* "n+il*n$ "n)u)u,i

l*"l* )*-i s*u - i$* *n-io- )*-i s-o"* )*n *-*ll )*-i )u* - i$* l*"l*. Fi#-il

)*-i ,ol*$n ,o-n* "n*,ui !*"i- slu-u! )*-i )i*"- ,o-n* )*n #-lili*n s*-*

"ln$,un$ *)* li"#us. U,u-*n )*-i 4i#-il -l*i4 s*"* )*n ""ili,i (*-*, s!in$$*

-$ul*-i*s )*-i 4i#-il ""#*nu -*ns*-*nsi )*-i ,o-n*. S-o"* ,ol*$n ""ili,i

##-** i +*iu I III % )*n %I. Kol*$n i %II "-u*,*n n*!*n )*-i il.

G-oun) su#s*n *)* ,o-n* )i-i )*-i -oo$li,*n +*n$ #-(*l*n )i s*n(*n$

,o-n* )*n )i*n*-* s-*s-* ,ol*$n. Ko"onn $li,os*"ino$li,*n 8s-iC sul4*

,-**n9 #--*n )*l*" -(*)in+* "n$,*,*n s-o"* K-*osi -l*, )i*n*-*

l*"l* ,o-n* )*n (u$* #-4un$si )*l*" "nsinsi ,ol*$n )*n -oo$li,*n.

Ko-n* ""ili,i s,i*- &= (u* ,-*osi +*n$ "n"*i s,i*- ' )*-i 5olu"

s-o"* )i"*n* #*$i*n *n-io- "-u*,*n #*$i*n +*n$ l#i! *)* )*-i*)* #*$i*n

os-io-. K-*osi *)*l*! sl +*n$ s*n$* *,i4 )*n ,*+* *,*n "io,on)-i* -i,ulu"

n)ol*s"* ,*s*- )*n #*)*n $ol$i. Sl ini ""ili,i s-u,u- *"#*!*n +*n$

#-,o"uni,*si "l*lui $* (union +*n$ ""ili,i su*u 4ns-*si )n$*n ""#-*n sl.

Su)i "nun(u,*n -)** "un$,in s)i,in+* i$* i #-#)* )*-i ,-*osi.?

0, Me-ra' De+1e-e't

M"#-*n Ds"n )*n l*"in* #*s*l n)oliu" s*-* -io)i, osi4 -!*)*

*i)S!i44 8PAS9. M"#-*n ini "-u*,*n l*is*n ""#-*n +*n$ ,u* )n$*n ,#*l*n

+*n$ s"*,in *"#*! )n$*n #-*"#*!n+* usi*. S** l*!i- **ln+* #*l ""#-*n

)s"n *)*l*!


9/22

PAPER




NIM : 100 100 161

2. E'dtel

En)ol ,o-n* -)i-i **s s*u l*is*n sl )i"*n* s#*$i*n #s*- slsl !**$on*l

#-*s*l )*-i nu-*l -s. K*)**n sl n)oliu" *)*l*! s,i*-


10/22

PAPER




NIM : 100 100 161

G*"#*- 1.< on* Too$-*i, Ko-n*.

G*"#*- 1.= P"#nu,*n G*-is K!o)*)ous H*sil Pnol*,*n )*-i G-*4 En)ol )n$*n

E)"* Eil )*n S-o"*

10


11/22

PAPER




NIM : 100 100 161

$.%. Keratiti+

K-*iis *)*l*! in4l*"*si )*-i ,o-n* +*n$ )** )is#*#,*n ol! #*,-i 5i-us

*"u#* "*uun (*"u-. K-*iis )** "n$in4,si #-#*$*i "**" oul*si u"u- #*i,-i* "*uun *ni*. Ko-n* ""ili,i ##-** ",*nis" -*!*n*n )i*n*-*n+*:

-4l,s "n$)i "#-si!*n/ n$lu*-*n *i- "** )i4usi #*-i- il )*n -$n-*si

+*n$ *. >i,* ",*nis" -*!*n*n -s#u $*$*l )*n "n+#*#,*n i)-* il

*o$n "n(*)i )** "*su, )*n ""iu in4l*"*si *)* ,o-n* 8,-*iis9. Mnu-u

lo,*si *n*o"is in4l*"*si *)* ,o-n* +*n$ -#**s *)* il )is#u )n$*n ,-*iis

su-4isi*l. A*#il* in4l*"*si su)*! -,n* *)* #*$i*n s-o"* "*,* )is#u s#*$*i

,-*iis s-o"*l **u in-sii*l.

K-*iis )** )i#)*,*n "n(*)i ,-*iis in4,sius )*n nonin4,sius. K-*iis non

in4,sius )is#*#,*n ol! *)*n+* in4l*"*si ,o-n* *n* )i,*ui n+#*#n+*. D4,

il +*n$ -sisn )is#*#,*n ol! $*n$$u*n s,-si *i- "** *no"*li )*-i ,lo*,

"**. K-*iis in4,sius "-u*,*n n+#*# *lin$ s-in$ )*-i ,-*iis )n$*n

,*-*,-isi, )4, *)* il ,o-n* )n*n in4l*"*si *)* s-o"*. Kl*si4i,*si ,-*iis

#-)*s*-,*n iolo$i )i*n*-*n+*: ?1&1*"u- ini i)*,

n-*si s*-* l*n$sun$ *)* il +*n$ in*, )*n in4*sin+* -(*)i s,un)-

-!*)* -*u"*. T-*u"* "-u*,*n 4*,o- -)isosisi ,uni +*n$ -(*)i =0

60 *)* *sin. F*,o- -si,o l*inn+* #-u* o-*si "** s#lu"+* )*n

n+*,i *)* -"u,**n "** )*n n$$un**n ,o-i,os-ioi) 8#*i, oi,*l

"*uun sis"i,9 )*n n$$un**n lns* ,on*,.

Ssis )*-i Fus*i-u" As-$illus u-5ul*-i* )*n !*o!+o"+s

S)oso-iu" *ios-"u" )*n P*ilo"+s *)*l*! n+#*# u"u" )*-i

,-*iis (*"u- 4il*"nous. F*,o- lin$,un$*n 8,l"#*#*n u-*! !u(*n )*n

*n$in9 "-u*,*n "iu )*l*" i"#uln+* ,-*iis (*"u- 4il*"nous.

Fus*-iu" s. "-u*,*n n+#*# )*-i i"#uln+* ,-*iis (*"u- *,i#*

n$$un**n lns* ,on*,.

&.K-*iis A,i#* >*"u- $east%&ike.

K-*iis +*n$ )is#*#,*n ol! *n)i)* *l#i*ns )*n (*"u- l*inn+* s*u **u

l#i! )*-i 4*,o- o,ul*- 8,u-*n$n+* s,-si *i- "** )*n )4, *)* nuu*n

,lo*, "**9 )*n 4*,o- sis"i, 8 )i*#s "llius i"unosu-ssi9 "-u*,n

,on)isi +*n$ ""iu unu, -(*)in+* in4,si. ;nu, )*-i ,-*iis (*"u- (u$*

)** i"#ul )*-i )4, il *,i#* ,-*iis !-s )*n *#-*si +*n$ i"#ul )*-i

lns* ,on*,.

*"u- Di"o-4i,.

>nis (*"u- ini "-u*,*n (*"u- +*n$ ""ili,i )u* #nu, )i*n*-*n+* (*"u-

Fil*"nous 8*)* 4*s s*-o!+i9 *)* "-*u- &&o)*n *)* su!u


13/22

PAPER




NIM : 100 100 161

in4,sius #*i, 5i-us #*,-i )*n (*"u-. Ko-i,os-oi) )** "nn$,*,*n 5i*#ili*s

"i,-o#* )*n "nin$,*,*n -son in4l*"*si )*-i !os s!in$$* )** "ni"#ul,*n

-4o-*si. Pn$$un**n ,o-i,os-oi) )*l*" (*n$,* *,u +*n$ sin$,* **ln+* !*n+**,*n "ni"#ul,*n 4, )lusi )*-i -#*i,*n $(*l* *i )** "nin$,*,*n

-oli4-*si (*"u- )*n #*,-i s!in$$* )** ""-#u-u, $*n$$u*n n$li!**n. P*)*

*sin +*n$ su)*! "n)**,*n -*i ,o-i,os-oi) s#lu"n+* !*-us )il*,u,*n

*-in$ o44 )*-i )osis "#-i*n ,o-i,os-oi) s#lu" ""ul*i -*i *ni4un$*l.

Pnu-un*n )osis ,o-i,os-oi) s*-* i#*i#* )** "ni"#ul,*n 5i*#ili*s )*-i

"i,-o#* "n(*)i l#i! in$$i. T-*i )n$*n n$$un**n ,o-i,os-oi) (*n$,* *n(*n$

(u$* )il*o-,*n )** "n+#*#,*n ,**-*, )*n $l*u,o"*.?111&1


14/22

PAPER




NIM : 100 100 161

G*"#*- 1.'. K-*iis >*"u- Fil*"nous )n$*n in4il-*si10

G*"#*- 1.6. K-*iis >*"u- )n$*n Lsi S*li16

$.0.0 Dia'+i+ Keratiti+ Ja-r

Pn$*,*n )i*$nosis **l )*-i ,-*iis (*"u- s*n$* nin$ #*$i -*i )*n

n$*!*n )*-i ,o"li,*si l*n(u*n +*n$ )** #-u* !il*n$n+* n$li!**n

-#nu,n+* !ioion n)o!*l"iis )*n l*inn+*. Di*$nosis **ln+* )i"ul*i )*-i

1=


15/22

PAPER




NIM : 100 100 161

,u-i$**n ,linis +*n$ ,"u)i*n )il*n(u,*n )n$*n n$-u,*n ,o-n* )*n #iosi )*-i

*us*n l*nsun$ )*n ,"u)i*n )i-lu,*n ,ulu- unu, "nnu,*n iolo$i +*n$ *si.

Ku-i$**n -!*)* i"#uln+* ,-*iis (*"u- !*-us )i*s*)*i *)* )*-*! )n$*nisi)ns ,-*iis (*"u- +*n$ in$$i )n$*n -i*+* n+*,i ,o-n* s#lu"n+*

n$$un**n ,o-i,os-oi) +*n$ ,-onis -*u"* *,i#* n$$un**n lns* ,on*,

-"*su, LASIK.

P"-i,s**n )n$*n "n$$un*,*n sli l*" )*n #io"i-os,oi, )i-lu,*n unu,

"-i,s**n l#i! )*il -!*)* "** +*n$ -in4,si s-i "nnu,*n u,u-*n ul,us

#s*- )*l*" )*n in4il-*si -#nu,n+* *#ss )*n -4o-*si l*inn+*. Di*$nosis *si

su*u ,-*iis (*"u- )** )i$*,,*n "l*lui ,on4i-"*si )*-i !*sil l*#o-*o-iu". Unu,

n$*"#il*n ssi"n sl*! )il*,u,*n -os)u- "#-i*n *n*si, "** #-u*

-o+"**in !+)-o!lo-i) )*n )il*,u,*n n$-u,*n ,o-n* )*-i )*s*- in$$i- ul,us

+*n$ )il*,u,*n )n$*n metal blade)n$*n n$li!**n l*n$sun$ )*-i l*"u sli. Aus*n

l*n$sun$ )il*,u,*n )n$*n "n$$un*,*n KOH *et mount **u )n$*n *-n**n

G-*". Snsii5i*s )$*n *-n**n $-*" )il*o-,*n l#i! -n)*! )i#*n)in$,*n )n$*n

*-n**n KOH *et mount. P*-n**n )** )il*,u,*n )n$*n B* *-n* l*in s-i

Gi"s*. S#*$*i i)ni4i,*si )*-i (*"u- l*o!nol cotton blue *et mount)i-si*,*n

)*n )i*$nosis -s#u #-$*nun$ )*-i "o-4olo$i ,ulu- )*n "-i,s**n "o-4olo$i

s*-* "i,-os,oi, +*n$ )*l*" !*l ini u,u ssi4i,. Din)in$ sl (*"u- )** )i*-n*i

)n$*n #*i, )n$*n Go"o-i menthenamine sil+er*i i)*, unu, *n)i)* i)*, )**

)i*-n*i )n$*n *-n**n G-*".

S*"l )** )iino,ul*si l*n$sun$ *)* -"u,**n ")i* ,ulu- s-i s! #loo)

*$*- *$*- o,l* *$*- Mon,+ )*n Sabouraud ,etrose Agar -S,A)*l*" ,on)isi

"n*! )*n )n$*n #nu, J. Pi-in$ SDA )** )iin,u#*si *)* su!u &@ o )*n )**

)i5*lu*si si* !*-in+*. Di*$nos* )** )i$*,,*n **#il* sl*"* &1 !*-i -)**

-u"#u!*n. S*"l )** )iin,u#*si s*-* *-o#i, *)* su!u


16/22

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NIM : 100 100 161

)n$*n "ns,*n cellucose acetat *)* -"u,**n lu*- il "** s!in$$* sl

-s#u )** )i-i,s* s*-* !isolo$is i"uno!iso,o"i* )*n #io"ol,ul-.1


17/22

PAPER




NIM : 100 100 161

G*"#*- 1.@ P*-n**n )n$*n KOH "oun11

G*"#*- 1.? P*-n**n Dn$*n Mn$$un*,*n Gi"s*11

G*"#*- 1. Sabaraud ,etrose Agar1&

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18/22

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NIM : 100 100 161

T*#l.1.& Kunun$*n )*n ,-u$i*n )*-i T,ni, Pn$*"#il*n S*"l K-*iis

>*"u-.11

$.0.2. Pe'atala&+a'aa'

P"#-i*n N**"+in ' susnsi )i-,o"n)*si,*n unu, -*i )*-i s#*$*i*n

,*sus ,-*iis (*"u- 4il*"nous -u*"* +*n$ )is#*#,*n ol! Fus*-iu" s. +*n$

"-u*,*n *$n ,*us*i4 -#*n+*, )*-i ,-*iis (*"u- ,so$n +*n$ -(*)i *)* *-*

+*n$ l"#*# )i Sl**n A"-i,*. ;*n+*,n+* )*-i #u,i -o#**n ,linis )i)**,*n

#*!* "#-i*n *"!o-iin ; oi,*l "-u*,*n *$n *lin$ 4,i4 )*l*"

"n$o#*i ,-*iis (*"u- )n$*n $*"#*-*n -*$i )*n )i-,o"n)*si,*n (u$* -!*)*

,-*iis (*"u- As-$illus sis. %o-ion*Bol oi,*l 1 *,*n "nin$,*,*n

4,i4i*s )*l*" n$o#**n s#*$i*n ,-*iis (*"u- +*n$ i)*, -son -!*)* -*i

"s,iun )il*o-,*n -sisnsin+* u,u in$$i )*n -o#**n ,linis -,*!i- *$n -*i

ini in4-io- -!*)* -*i "i-is +*n$ "n$$un*,*n n**"+in.

P"#-i*n -*i sis"i, )i-lu,*n unu, -*i ,-*iis +*n$ #-* **uun

s#*$*i -*i )*-i ,-*iis )$*n ,snsi in-*,*"-*l. Pn$$un**n *Bol -"*su,

,o,on*Bol 8&00600 "$/!*-i9 4luonB*lo 8&00=00"$/!*-i9 )*n i-*on*Blo

1?


19/22

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NIM : 100 100 161

8&00"$/!*-i9 )** )i$un*,*n s#*$*i *$n -*i. O-*l 5o-ion*Bol 8&00=00"$/!*-i9

)*n os*on*Bol 8?00"$/!*-i9 ""ili,i n-*si in-*o,ul*- +*n$ #*i, s!in$$* *

"n$$*ni,*n *ni4un$*l o-*l l*inn+*. Al-n*i4 l*inn+* *)*l*! "l*lui *)"inis-*siin-*s-o"*l )n$*n *uoussolu#l *!o-iin ; 8'10 "$/01 9 **u )n$*n

5o-ion*Bol 8'0100 "$/019 s#*$*i -*i -i"- **u -*i s,un)- )*-i ,-*iis

4un$*l +*n$ )*l*" )n$*n in(,si in-*,*"-*l )*-i ,snsi *$n in-*oul*- "ul*i

)i5*li)*si.

A*#il* -)** ,u-i$**n -!*)* in4,si (*"u- )n$*n *-n**n n$*i4 "*,*

)il*,u,*n n$-u,*n **u #iosi ,o-n* #-ul*n$ unu, "n$i)ni4i,*si "*-i*l (*"u-.

Sl*n(un+* )il*,u,*n )#-i)"n ",*ni,*l +*n$ "un$,in "n$unun$,*n #*$i ,*sus

,-*iis (*"u- su-4isi*l. In4il-*si (*"u- *)* l*is*n s-o"* ,o-n* +*n$ )*l*"

"un$,in i)*, -son -!*)* "#-i*n *ni 4un$*l *i "#-i*n *ni 4un$*l )**

"nu-un,*n i"#uln+* il in*. Pn-*si )*-i n**"+in **uu *"!o!-iin ;

)i$*"#*-,*n l#i! si$ni4i,*n )n$*n )#-i)"n )*-i il ,o-n* )*n *)* -o#**n

)n$*n #in**n$ )i)** )n$*n "#-i*n #-ul*n$ o#* oi,*l si* ' "ni )*l*" 1

(*" )** "n**i l5l -*ui, +*n$ #*i,.

P"#-i*n *ni4un$*l oi,*l )*-i on*Bol *"!o-iin )*n 5o-ion*Bol i)*,

#-#*!*+* #*$i i#u !*"il )*n i#u "n+usui. A,*n *i -)** ,on-*in)i,*si -!*)*"#-i*n *ni4un$*l sis"i, *)* ,!*"il*n )*n l*,*si. P"#-i*n s-oi) !*-us

)i!in)*-i )*l*" ""#-i,*n -*i *)* ,-*iis (*"u-. T-*i )n$*n *ni (*"u-

)i-lu,*n n*"#*!*n sl*"* 6 "in$$u *$*- 4, 4un$is*i, l#i! in$$i )*n li"in*si

4un$*l l#i! #*i,.6?1@

A III

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KESIMPU#AN

K-*iis (*"u- *)*l*! -oss in4,si *)* ,o-n* +*n$ )is#*#,*n ol! ssis

(*"u- +*n$ "*"u "n+-*n$ -"u,**n o,ul*-. ;-)*s*-*,*n n+#*# 4*,o- -si,o

)*n *-$ -*i ,-*iis (*"u- )** )i,on)isi,*n s#*$*i ,-*iis *,i#* (*"u-

4il*"nous )*n ,-*iis *,i#* (*"u-"east%like. P-oo-si )*-i ul,us ,o-n* +*n$ -(*)i

*,i#* (*"u- 4il*"nous in$$i *)* )*-*! -ois )*n *)* i,li" +*n$ l#i! )in$in

*n)i)* "-u*,*n ssis +*n$ l#i! s-in$ "n+#*#,*n ,-*iis (*"u-.

Ko-n* "-u*,*n s-u,u- +*n$ uni, ,*-n* *)* #*$i*n n-*l )*n -i4- )*-i

(*-in$*n ""ili,i lin$,un$*n i"unolo$i "i,-o +*n$ #-#)*. P*)* "** no-"*l

"#ulu! )*-*! #-*)* !*n+* *)* #*$i*n li"#us. Li"#us ""ili,i #*n+*, sl

L*n$-!*ns s)*n$,*n *)* *-*sn-*l )*n sn-*l ,o-n* no-"*ln+* i)*, *)* AP.

T*i **#il* -)** ##-** si"ulus s-i -*u"* *)*n+* sio,in -nu 8IL19

**uun in4,si -(*)i )** ""*n$$il AP *)* ,o-n* sn-*l. T-*u"* "-u*,*n

4*,o- -)isosisi ,uni -(*)in+* ,-*iis (*"u- +*n$ -(*)i =060 *)* *sin.

Ssis )*-i Fus*i-u" As-$illus u-5ul*-i* )*n !*o!+o"+s

S)oso-iu" *ios-"u" )*n P*ilo"+s *)*l*! n+#*# u"u" )*-i ,-*iis(*"u- 4il*"nous. F*,o- lin$,un$*n 8,l"#*#*n u-*! !u(*n )*n *n$in9 "-u*,*n

"iu )*l*" i"#uln+* ,-*iis (*"u- 4il*"nous. Fus*-iu" s. "-u*,*n n+#*#

)*-i i"#uln+* ,-*iis (*"u- *,i#* n$$un**n lns* ,on*,. Pnu-un*n i"uni*s u#u!

*sin )** "n(*)i n+#*# i"#uln+* ,-*iis (*"u- +*n$ s-in$ )is#*#,*n ol!

*n)i)*.

P"-i,s**n )n$*n "n$$un*,*n sli l*" )*n #io"i-os,oi, )i-lu,*n unu,

"-i,s**n l#i! )*il -!*)* "** )n$*n ,u-i$**n su*u ,-*iis (*"u-. E5*lu*si

-!*)* "** +*n$ )iu-i$*i -in4,si s-i "nnu,*n u,u-*n ul,us #s*- )*l*"

)*n in4il-*si -#nu,n+* *#ss )*n -4o-*si l*inn+*. Di*$nosis *si su*u ,-*iis

(*"u- )** )i$*,,*n "l*lui ,on4i-"*si )*-i !*sil l*#o-*o-iu". D** )il*,u,*n

*us*n l*n$sun$ )n$*n "n$$un*,*n KOH*et mount"*uun Gi"s* )*n "#i*,*n

"l*lui *$*- S#o-*u) s!in$$* ,i* )** "n$*!ui *$n iolo$i, )*-i ,-*iis (*"u-.

Pn$o#**n -!*)* ,-*iis (*"u- #-$*nun$ *)* *$n iolo$isn+*.

DAFTAR PUSTAKA

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1 Gu"*nn . o-n*l U)*:,iagnostic and Theurapheutic Ad+ances Emerging for

Fungal Keratitis. Eu-o*n Soi+ o4 **-* *n) R4-*i5 Su-$on. &01*"u-: D*l*" O4!*l"olo$i U"u".

E)isi 1@. >*,*-*: &00@. EG. 1


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NIM : 100 100 161

D*-"n o4 P*!olo$+ N*ion*l T*i*n Uni5-si+ Hosi*l T*ii T*i*n.

Els5i-. 1?

1@ K-i$lsin G.K. in-5RN Fungal Keratitis .D*l*": o-n* *n) E-n*l E+

Dis*s.S-in$-.&006. .1'

1? S*lD. Pl+- U .*l. M+oi K-*iis. D*l*": Oul*- In4ion. Son) E)iion.

In4o-"* H*l!*-. &00@ .&?6&0.

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Kerjatitis Jamur

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