Konjungtivitis2

7/25/2019 Konjungtivitis2

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P E N Y A J I

S U L I S T Y A W A T I N 1 1 1 1 4 0 1 7

L E S T A R I I R A W A N H A D I N 1 1 1 1 4 0 1 3

W I N D Y M E N T A R I N 1 1 1 1 4 0 2 6

R E Z A A D I T Y A N 1 1 1 1 4 0 3 3

TUTORIAL KLINIKKONJUNGTIVITIS DAN OMPHALITIS

PEMBIMBING KLINIK : dr.SULDIAH, Sp.A


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PENDAHULUAN

Konjn!"#$#"#% &'rp()(n r(d(n! )onjn!"#$( ("(r(d(n! %'*(p" *'nd'r +(n! &'n"p# '*()(n!)'*op() d(n o*( &("(, d(*(& 'n") ()" &(pn

)ron#%.

P'n+'( )onjn!"#$#"#% (n"(r( *(#n ()"'r#, (*'r!#,$#r(* "o)%#), 'r)(#"(n d'n!(n p'n+()#" %#%"').


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DE-INISI

O"(*( n'on("or& &'rp()(n )onjn!"#$#"#%pr*'n" /#p'r()" +(n! "'rj(d# p(d( (+# d#(0(/%#( 1 *(n, d#%'()(n p'n*(r(n d#j(*(n *(/#r d(r#

%'2r'" $(!#n(.


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ETIOLOGI

Non In')%# Ir#"(%# n#"r(" (r!'n"#

In')%#

In')%# &'n*(r %')%(* p("o!'n "'rp'n"#n! +(n! &'n+'()(no"(*( n'on("or& (d(*(/N. gonorrhoeae d(n C.trachomatis.

P'n+'( *(#nn+( (d(*(/Staphyllococcus aureus,Streptococcus pneumoniae,Haemophillusspesies d(n

Pseudomonas sp. Herpes simplex virus (HSV) dapat menyebabkan neonatal

keratoconunctivitis


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ANATOMI DAN PATOLOGI

Konjn!"#$( d(p(" d#(!# &'nj(d# p(*p'r(*, *(r,d(n orn#3.

Konjn!"#$( 'r#%# 'p#"'* %)(&o%( "#p#% non)'r("#n#4#n!, )(+( $(%)*(r#%(%# %%"(n%#( propr#(5&'n!(ndn! p'&*/ *#&("#) d(n %'*, %'p'r"#*#&o%#", %'* p*(%&(, %'* &(%", d(n &()ro(!6.

Konjn!"#$( j!( &'*#)# )'*'nj(r *()r#&(* ()%'%or#d(n %'* !o*'"


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P'r(d(n!(n )onjn!"#$( d(p(" &'n+'()(np'*'(r(n p'&*/ d(r(/, )'&o%#%, d(n %')r'%#

'r*'#/(n.

R'()%# #n# "'rj(d# d#p'n!(r/# #&n#"(%, "#d()(d(n+( j(r#n!(n *#&o#d d# )onjn!"#$(, d(n "#d()(d(n+( (#r &("( %((" *(/#r.


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EPIDEMIOLOGI

In%#d'n #n')%# )onjn!"#$#"#% n'on("(* 'r)#%(r 1789, "'r!(n"n! p(d( )(r()"'r %o%#(* ')onod('r(/.

In')%# +(n! &'n+'()(n o"(*( n'on("or&"'r(n+() (d(*(/N. gonorrhoeae d(n C.trachomatis.


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GEJALA

Bo*( &("( %()#" d(n p'!(*

M("( &'n!'*(r)(n %'2r'" d(*(& 'n") pr*'n,&)o#d d(n &)opr*'n "'r!("n! p'n+'(n+(.

K(d(n! d#%'r"(# d(r(/.Konjn!"#$( /#p'r'% d(n )'&o"#)

K'*op() &("( #(%(n+( 'n!)()

Korn'( d(p(" "'r)'n( p(d( /'rp'% %#&p*')%.


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-()"or R'%#)o

V(!#n#"#% &("'rn(*

P'r%(*#n(n p(d( *#n!)n!(n non%"'r#*, d(n'ndo&'"r#"#% p(%2(p'r%(*#n(n

K'"(n p'2(/ d#n#premature rupture o!membrane 5PROM6

P'n+()#" &'n*(r %')%(* 5+(n! po%#"# &(pn%%p')6

Tr(&( *o)(* p(d( &("( %'0()" p'r%(*#n(n.


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P'&'r#)%((n !r(& d#*())(n p(d( %'&( )(%%)onjn!"#$#"#% n'on("or&


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516 %'"r#()%on 5;< &!)!BB= do%#% "o"(* 1;< &! IMdo%#% "n!!(*6

586 )(n(%#n 58; &!)!BB= do%#% "o"(* >; &! IM

do%#% "n!!(*65?6 oxytetracycline eye ointment ("(

5@6 chloramphenicol eye ointment p(d( )'d( &("((+# %'%'r#n! &n!)#n 5%'"#(p j(&,1 ("(

%'"#d()n+( @ )(*# p'r/(r#6 d##r#!(%# d'n!(n *(r"(nnor&(* %(*#n' n") &'n!'*#n(%# %')r'".


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T'r(p# p(d(Herpes simplex conunctivitis d'n!(n(%#)*o$#r do%#% r'nd(/ 5?< &!)!BB/(r# IV "'r(!#? do%#%6 %'*(&( %'"#d()n+( 8 n!! n")&'n2'!(/ #n')%# %#%"'). T'r(p# "op#)(* d'n!(nacyclovir ophthalmic solution d( )(*# p'r/(r# d(p("d#"(&(/)(n


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PROGNOSIS

Konjn!"#$#"#% n'on("(* #(%(n+( &'r'%pon +(n!%'%(# p'n!o("(n, d(n pro!no%#% &&n+( (#).

An"##o"#) "'*(/ %'2(r( %#!n##)(n &'n!(/pro!no%#% )onjn!"#$#"#% n'on("(*, "'r"(&( d'n!(n#n')%#Neisseria gonorrhoeae.

K'&("#(n "'r)(#" d'n!(n )onjn!"#$#"#% n'on("(*(d(*(/ )(r'n( )'"'r*#("(n #n')%# %#%"') (!'n.


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TERIMA KASIH


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DA-TAR PUSTAKA

I*+(%, S. I*& p'n+()#" &("(. Ed#%# ?. J()(r"(: ()*"(%)'do)"'r(n n#$'r%#"(% Indon'%#(. 8


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O&p/(*#"#%

In')%# &'rp()(n %(*(/ %(" p'n+'( )'%()#"(n"'r"#n!!# p(d( (+# (r *(/#r. Un") &'n!r(n!#)'j(d#(n #n')%# "'r%'", p'r* d#*())(n

p'r(0("(n "(*# p%(" (+#.


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D'#n#%#

O&p/(*#"#% (d(*(/ #n')%# +(n! &'&p'n!(r/#p(n!)(* "(*# p%(". O&p/(*#"#% &&n+(

'r&(n#'%"(%# %'(!(# %'**#"#% +(n! %p'r#%#(*.P'n+()#" #n# d(p(" &'n+'(r )' d#nd#n! p'r".J(r#n!(n n')ro"#) "(*# p%(" &'rp()(n &'d#( +(n!%(n!(" (#) n") p'r"&/(n ()"'r# d(n)o*on#%(%# o*'/ ()"'r# d(r# %(*r(n !'n#"(* # d(n

d(r# *#n!)n!(n %'!'r( %'"'*(/ *(/#r.


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E"#o*o!#

S')#"(r "#!( p'r'&p(" d(r# )(%% o&p/(*#"#% 'r(%(*d(r# po*+ro#(*. B()"'r# ('ro "'rj(d# %')#"(r ;9d(r# #n')%#, d#don(%# o*'/Staphylococcus aureus,

Streptococcus grup ",#scherichia coli, d(nProteusmirabilis.


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D# d('r(/ "(*# p%(" d(p(" "'rj(d# )o*on#%(%# ()"'r# p("o!'n%'*(&( ("( %'!'r( %'"'*(/ *(/#r. B()"'r# #n# &'n(r#) *')o%#"po*#&oron)*'(r )' "(*# p%(". P(n!)(* "(*# p%(" +(n!&'n!(*( *)( &'rp()(n &'d#( +(n! &'nd)n!

p'r"&/(n ()"'r#.

B()"'r# #n# &'*#)# po"'n%# n") &'n+'r(n! p(n!)(* "(*#p%(", &'n+'()(n o&p/(*#"#%. J#)( #n# "'rj(d#, #n')%#

d(p(" 'r*(nj" d# *(r j(r#n!(n %)"(n &'*#(")(n (r'((%#( 5necroti$ing !asciitis6, d#nd#n! (do&'n o"o"5myonecrosis6, d(n, )'"#)( ()"'r# &'n+'r(n! p'&*/*#)(*#% d(n $'n( por"(* 5*'#"#%6.


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T(nd( d(n G'j(*(

T(nd(7"(nd( #%#) 'r$(r#(%# d'n!(n *(%n+(p'n+()#". T(nd(7"(nd( #n')%# *o)(* &'*#p"#: %ischargepr*'n ("( discharge'r( %) d(r# p(n!)(*

"(*# p%(" Er#"'&( p'r#*#)(*#% Ed'&( N+'r# "')(n.


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D'r(j(" o&p/(*#"#% 'rd(%(r)(n )'p(r(/(nn+( +(#": R#n!(n

K'&'r(/(n &'*(% )' p(n!)(* "(*# p%(" "(p# C8 2& d(r# d#nd#n!p'r" %')#"(r "(*# p%(" p(n!)(* +(n! "'r*#(". T#d() (d( discharge

pr*'n M'n'n!(/

K'&'r(/(n d# %')#"(r p(n!)(* "(*# p%(" C8 2&, "'rd(p(" d#%2/(r!'pr*'n, ("( /(n+( "'rd(p(" dischargepr*'n %'nd#r# "(np()'&'r(/(n.

P(r(/ K'&'r(/(n d# %')#"(r p(n!)(* "(*# p%(" d'n!(n 8 2& &'*(% )'

d#nd#n! p'r", d(n ("( p'&'n!)()(n d# %')#"(r *#)%.D'n!(n ("( "(np( dischargepr*'n.


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P'&'r#)%((n P'nnj(n!

R(d#o!r( po*o% (do&'n 'r!n( j#)( d#2r#!(#necrotising enterocolitis.

USG (do&'n 'r!n( d(*(& p'n2#"r((n d#nd#n!

p'r" j#)( d#d!( (d( )#%"(.S'(/ #%"*o!r(& d##nd#)(%#)(n j#)( d#"'&)(n

)on')%# #%"*( )' *#)%.


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T("(*()%(n(

An"##o"#) (d(*(/ p'n!o("(n (nd(*(n d(r#o&p/(*#"#%. L(&( p'n!o("(n #(%(n+( %'*(&( 1/(r# 2)p '')"# n") )(%% o&p/(*#"#% "(np()o&p*#)(%#. A&o)%#%#*#n %(n!(" '')"# "'r/(d(p

Streptococcus sp.d(n ''r(p( (%#* !r(&7n'!("#d(n &'*#)# 2("("(n )'(&(n(n +(n! %(n!(" (#).


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D# ''r(p( r&(/ %()#", (*)o/o* >


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Pro!no%#%

O&p/(*#"#% "(np( )o&p*#)(%# +(n! %'!'r( d#o("##(%(n+( %'&/ "(np( &or#d#"(% +(n! %'r#%.N(&n, )'"#)( pr'%'n"(%# d(n p'n!o("(n d#"nd(,(n!)( )'&("#(n #%( "#n!!#, &'n2(p(# >71;9.


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TERIMA KASIH

Konjungtivitis2

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