Referat keratitis pungtata.doc

8/11/2019 Referat keratitis pungtata.doc

1/20

BAGIAN ILMU KESEHATAN MATA

FAKULTAS KEDOKTERAN REFARAT

UNIVERSITAS HASANUDDIN MARET 2014

OD KERATITIS PUNGTATA

DISUSUN OLEH:

Andi Besse Fatryani

C111 09 361

PEMBIMBING :

dr. Andi Hasyim Asyari

SUPERVISOR:

dr. Sitti Soraya Taufik, Sp., .!es

BAGIAN ILMU KESEHATAN MATA

FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

MAKASSAR

2014

!"#AT$T$S %&'(TATA

7


2/20

$. %"')AH&*&A'

Kornea adaa! "ar#n$an %ran&'aran (an$ )*)ran dan &%r)*%)rn(a &e+and#n$

den$an *r#&%a &e+)a! "a, %an$an *e-#. Kornea +er/)n$ &e+a$a# ,e,+ran

'e#nd)n$ dan "endea (an$ d# a)# oe! +er*a& -a!a(a &aa% ,en)") *e re%#na.

Kornea #n# d#'*an *edaa, &*era 'ada #,+)&. Kornea ,e,')n(a# ena,

a'#&an (an$ +er+eda+eda (a#%) a'#&an e'#%e a'#&an +o,an &%ro,a d)a3&

a(er ,e,+ran de&-e,en% dan a'#&an endo%e. La'#&an e'#%e 'ada *ornea

,er)'a*an &aar (an$ e/#en %er!ada' ,a&)*n(a ,#*roor$an#&,e *e daa,

*ornea. Na,)n &e*a# *ornea #n# -edera&%ro,a (an$ aa&*)er dan a'#&an

+o,an ,)da! %er#n/e* +er+a$a# ,a-a, or$an#&,e &e'er%# +a*%er# a,oe+a

dan "a,)r.5126

Radan$ *ornea 5 Kera%#%#& 6 +#a&an(a d#*a/#*a*an daa, a'#& *ornea

(an$ %er*ena (a#%) &e'er%# *era%#%#& &)'er/#-#a dan #n%er%#a a%a) 'ro/)nda.

Kera%#%#& da'a% d#&e+a+*an oe! +er+a$a# !a &e'er%# *)ran$n(a a#r ,a%a

*era-)nan o+a% rea* aer$# %er!ada' 'en$o+a%an %o'#-a (an$ d# +er#*an dan

rea* %er!ada' *on")n$%##%#& ,ena!)n.*era%#%#& a*an ,e,+er#*an $e"aa ,a%a

,era! ra&a a) dan ,era&a *e##'an. Kera%#%#& ')n$%a%a ,e,+er#*an

$a,+aran &e'er%# #n/#%ra% !a)& 'ada 'er,)*aan *ornea. 576

$$."T$+*+($

Kera%#%#& ')n$%a%a ,er)'a*an *era%#%#& (an$ %er*),') d#daera! +o,an

den$an #n/#%ra% +er+en%)* +er-a*+er-a* !a)&. Kera%#%#& ')n$%a%a d#&e+a+*an oe!

!a!a (an$ %#da* &'e/#* dan da'a% %er"ad# 'ada ,o)&*), *on%an$#o&), a*ne

ro&a&ea !er'e& 8oo&%er !er'e& ,'e*& +e/ar#%#& *era%#%#& ne)ro'ara#%#* #n/e*

#r)& dr( e(e& %ra),a rad#a a$o/%a,)& dan *era-)nan o+a%. Kera%#%#&

')n$%a%a &an$a% &er#n$ d#%e,)*an ,en$#n$a% e%#oo$# dar# 'en(a*#% #n# +era&a dar#

+er+a$a# /a*%or e*&o$en &e'er%# +enda an$ 'ada +a$#an daa, 'a'e+ra en&a

*on%a* a&a' dan a#na#n.546

8


3/20

Kera%#%#& ')n$%a%a &)'er/#a &an$a% &er#n$ d#%e,)*an ,en$#n$a%

e%#oo$# dar# 'en(a*#% #n# +era&a dar# +er+a$a# /a*%or e*&o$en &e'er%# +enda

an$ 'ada +a$#an daa, 'a'e+ra en&a *on%a* a&a' dan a#na#n. Pen(a*#%

#n# ')n da'a% +er)'a $e"aa &e*)nder dar# *era%#%#& "en#& a#n. Kera%#%#&

')n$%a%a &)'er/#a#& #n# ')n da'a% d#&e+a+*an oe! /a*%or endo$en (a#%)

Thygeson disease.596

Be+era'a 'en(e+a+ *era%#%#& ')n$%a%a &)'er/#a: 56

1. In/e* #r)& ,er)'a*an 'en(e+a+ )%a,a. V#r)& (an$ &er#n$ ,en$#na

#aa! !er'e& 8o&%er adeno#r)& epidemic keratoconjunctivitis pharyngo-

conjunctival feverdan !er'e& ,'e*&.

2. In/e* -!a,(d#a %er,a&)* d# daa,n(a %ra-!o,a dan *on")n$%##%#&

#n*).

7. Le %o** da'a% +era&a dar# %o*n &%a'!(o-o--a (an$ +er!)+)n$an

den$an +e'!aro*on")n$%##%#&.

4. Le %ro'#* &e'er%# *era%#%#& exposure keratitisdanneuroparalytic keratitis.

9. Le aer$#* &e'er%# erna *era%o*on")n$%##%#&.

. Le #r#%a ,er)'a*an e/e* dar# +e+era'a o+a% &e'er%# #do;)r#d#ne.


4/20

&*era d#&e+)% *ornea (an$ +er/a% %ran&'aran &e!#n$$a ,e,)da!*an

-a!a(a ,a&)* *edaa, +oa ,a%a. Keen$*)n$an 'ada *ornea e+#! +e&ar

d#+and#n$*an 'ada &*era.

2. ?ar#n$an )ea ,er)'a*an "ar#n$an a&*)er (an$ %erd#r# dar# #r#& *or')&

#ar#& dan *oro#d. Pada #r#& d#da'a%*an ')'# (an$ %erd#r# oe! 7 &)&)nan

o%o% da'a% ,en$a%)r "),a! nar (an$ ,a&)* *edaa, ,a%a. O%o% d#a%a%or

d#'er&ara/# oe! ,'a%#& &edan$*an &/#n$%er #r#& dan o%o% #ar#&

d#'er&ara/# oe! 'ara ,'a%#&. O%o% #ar#& (an$ %ere%a* d#+adan #ar#&

,en$a%)r +en%)* en&a )n%)* *e+)%)!an a*o,oda. @or')& #ar#& (an$

,en$!a*an !),or a*)o& (an$ d#*e)ar*an ,ea)# %ra+e*)), (an$

%ere%a* 'ada 'an$*a #r#& d#+a%a& *ornea dan &*era.

7. La'#&an *e%#$a +oa ,a%a adaa! re%#na (an$ %ere%a* 'a#n$ daa, dan

,e,')n(a# &)&)&an &e+an(a* 10 a'#& ,e,+ran ne)ro&en&or#& (an$ a*an

,er)+a! nar ,en"ad# ran$&an$an 'ada &ara/ o'%#* (an$ d#%er)&*an *e

o%a*.

Badan *a-a a%a) !),or #%re)& ,en$# ron$$a daa, +oa ,a%a dan

+er/a% $ea%#n (an$ !an(a ,ene,'e 'ada 'a'# &ara/ o'%#* ,a*)a dan 'ar&

'eana. Len&a %ere%a* d#+ea*an$ ')'# (an$ d#'e$an$ d# daera! e*)a%orn(a

oe! 8on)a 8#n##. Len&a ,e,')n(a# 'eranan 'ada a*o,oda a%a) ,e#!a%

10

Ga,+ar 1 : Ana%o,# Boa Ma%a


5/20

de*a% &e!#n$$a nar da'a% d#/o*)&*an d# daera! ,a*)a )%ea. Terda'a% o%o%

'en$$era* +oa ,a%a dan %erda'a% *een"ar a*r#,a (an$ %ere%a* 'ada daera!

%e,'ora a%a& daa, ron$$a or+#%a.546

A'AT+$ !+#'"A

Kornea 5La%#n cornum = &e'er%# %and)*6 adaa! &ea')% +en#n$ ,a%a

,er)'a*an +a$#an &ea')% ,a%a (an$ %e,+)& -a!a(a dan ,er)'a*an a'#&an

"ar#n$an (an$ ,en)%)' +oa ,a%a &e+ea! de'an. Kornea ,er)'a*an +a$#an

,a%a (an$ %e,+)& -a!a(a dan ,en)%)' +oa ,a%a d#&e+ea! de'an.

Pe,+#a&an nar %er*)a% d#a*)*an oe! *ornea d#,ana 40 d#o'%r# dar# 90

d#o'%r# 'e,+#a&an nar ,a&)* d#a*)*an oe! *ornea. Ra%a ra%a *e%e+aan

*ornea 'ada oran$ dea&a adaa! &e*#%ar 092 ,, d# &en%ra dan 09 ,, d#

'er#/er. D#a,e%er !or#8on%a *ornea ra%a ra%a oran$ dea&a adaa! 11


6/20

*oa$en ,e,a*an a*%) a,a (an$ *adan$ *adan$ &a,'a# 19 +)an.

S%ro,a #n# adaa! ,er)'a*an &e*#%ar >0 dar# *e%e+aan *ornea.

4. La'#&an D)a3& %a!)n 2017 oe! Har,#nder S. D)a dan re*anre*ann(a d#

Un#er%( o/ No%%#n$!a,. ,er)'a*an &e+)a! a'#&an d#*ornea ,an)a.

Te+an(a !an(a 19 ,#*ron dan %ere%a* an%ara &%ro,a *ornea dan

,e,+ran De&-e,e%. Me&*# %#'#& a'#&an #n# &an$a% *)a% dan *eda' )dara.

9. Me,+rane De&-e,en% ,er)'a*an ,e,+ran a&e)er dan ,er)'a*an +a%a&

+ea*an$ &%ro,a *ornea (an$ d#!a*an dar# &e endo%e dan ,er)'a*an

,e,+ran +a&an(a. Me,+rane #n# +er/a% &an$a% ea&%#- dan +er*e,+an$

%er)& &e),)r !#d)'.

. Endo%e %erd#r# a%a& 1 a'#&an &e den$an +en%)* !e;a$ona +e&arn(a

&a,'a# 40 0 ,,. endo%e %#da* ,e,')n(a# da(a re$enera.

12

Ga,+ar 2 : La'#&an Kornea Nor,a
http://id.wikipedia.org/wiki/University_of_Nottinghamhttp://id.wikipedia.org/wiki/Korneahttp://id.wikipedia.org/wiki/Mikronhttp://id.wikipedia.org/w/index.php?title=Stroma_kornea&action=edit&redlink=1http://id.wikipedia.org/w/index.php?title=Membran_Descemet&action=edit&redlink=1http://id.wikipedia.org/wiki/University_of_Nottinghamhttp://id.wikipedia.org/wiki/Korneahttp://id.wikipedia.org/wiki/Mikronhttp://id.wikipedia.org/w/index.php?title=Stroma_kornea&action=edit&redlink=1http://id.wikipedia.org/w/index.php?title=Membran_Descemet&action=edit&redlink=1


7/20

S)'a# dara! *ornea +era&a dar# 'e,+))! 'e,+))! dara! *on")n$%#/a

e'#&*era dan &*era (an$ +era*!#r d# &e*#%ar #,+)& *orneo&*era. Kornea #%)

&end#r# +er/a% aa&*)er.5


8/20

D#/) dar# /#, a#r ,a%a

Kornea ,enda'a%*an 'e,a'aran *on&%an dar# ,#*ro+a dan 'en$ar)!#n$*)n$an oe! &e+a+ #%) )n%)* ,e#nd)n$#n(a *ornea ,e,##*# +e+era'a

,e*an#&,e 'er%a!anan. Me*an#&,e 'er%a!anan %er&e+)% %er,a&)* re/e*&

+er*ed#' /)n$ an%#,#*ro+a /#, a#r ,a%a 5#&o,6 e'#%e !#dro/o+#* (an$

,e,+en%)* +arr#er %er!ada' d#/) &er%a *e,a,')an e'#%e )n%)*

+ere$enera &e-ara -e'a% dan en$*a'.56

Ke%#*a 'a%!o$en %ea! ,en$#na "ar#n$an ,ea)# e *ornea &)'er/#a

+e+era'a ran%a# *e"ad#an %#'#*a a*an %er"ad# (a#%): 56

Ter"ad# e 'ada *ornea

Pa%o$en a*an ,en$#na dan ,en$*oon#&a &%r),a *ornea

An%#+od# a*an ,en$#n/#%ra o*a #na 'a%!o$en Han(a a*an

%a,'a* $a,+aran o'a%a& 'ada *ornea dan %#%#* #na 'a%!o$en

a*an ,e,+)*a e+#! )a& dan ,e,+er#*an $a,+aran #n/#%ra

*ornea.

Ir#%a dar# +##* ,a%a de'an den$an !#'o'#on 5),)n(a +er)'a ')&

(an$ a*an +era*),)a 'ada an%a# dar# +##* ,a%a de'an6. Pa%!o$en a*an ,en$#na &e)r)! *ornea

Han(a &%ro,a a*an ,en$aa,# a%ro'# dan ,ee*a% 'ada

,e,+rana de&-e,e% (an$ rea%#/ *)a% dan a*an ,en$!a*an

de&-e,a%o-ee (an$ d#,ana !an(a ,e,+rana de&-e,en% (an$

#n%a*.

Ke%#*a 'en(a*#% &e,a*#n 'ro$re/ 'er/ora dar# ,e,+ran

de&-e,en% %er"ad# dan !),or a)o& a*an *e)ar. Ha #n# d#&e+)%

)*)& *ornea 'er/ora%a dan ,er)'a*an #nd#*a +a$# #n%eren

+eda! &e-e'a%n(a. Paen a*an ,en)n")**an $e"aa 'en)r)nan

#&)& 'ro$re/ dan +oa ,a%a a*an ,en"ad# )na*.

. !*AS$F$!AS$

Kera%#%#& da'a% d# +a$# +erda&ar*an :

1. *esi !ornea

!eratitis epit-eia

14


9/20


10/20

!ae,o'!#)&. Ke+an(a*an +a*%er# %#da* da'a% ,ene%ra *ornea &e'an"an$ e'#%e

*ornea ,a! #n%a*. Han(a +a*%er# $ono-o--# dan d#/%er# (an$ da'a% ,ene%ra

e'#%e *orea (an$ #n%a*. Ge"aa $e"aan(a an%ara a#n (a#%) n(er# /o%o/o+#a #&)&

e,a! a*r#,a dan &e*re% ')r)en. Se*re% ')r)en *!a& )n%)* *era%#%#& +a*%er#

&edan$*an *era%#%#& #r)& ,e,')n(a* &e*re% (an$ +era#r.5196

Tera'# *on&era%#/ 'ada *era%#%#& +a*%er# adaa! an%#+#o%#* %o'#*a

5o/o;a-#n dan 'o(,#;#n6 (an$ +er&'e*%r), )a& )n%)* +a*%er# $ra, 'o%#/ dan

+a*%er# $ra, ne$a%#e &a,'a# !a *)%)r 'a%!o$en dan re&%en d#*e%a!)#.

I,,o+##&a +adan #ar dan #r#& oe! %era'# ,#dr#a& d##nd#*a*an "#*a ada

#r#%a #n%rao-)ar. Kera%#%#& +a*%er# da'a% d#%era'# 'er%a,a *a#n(a den$an %e%e&

,a%a a%a)')n &ae'. Tera'# 'e,+eda!an +er)'a *era%o'a&%# e,er$en-( d#a*)*an

"#*a %erda'a% de&-e,a%o-e a%a) )*)& *ornea (an$ 'er/ora.596

!eratitis ira

16

Keratitis Bateri


11/20

!eratitis Herpes Simpe2

Terda'a% d)a +en%)* *era%#%#& !er'e& ,'e; (a#%) 'r#,er dan re*)ren&.

Kera%#%#& "en#& #n# ,er)'a*an 'en(e+a+ )*)& (an$ 'a#n$ ),), dan 'en(e+a+

*e+)%aan *ornea (an$ 'a#n$ ),),. Ge"aan(a (a#%) &an$a% n(er# photophobia

!#'era*r#,a dan 'e,+en$*a*an 'ada *eo'a* ,a%a. Ben%)* *era%#%#& #r)&

!er'e& ,'e*& d#+eda*an +erda&ar*an o*a e 'ada a'#&an *ornea. Kera%#%#&

dendr#%#- ,e,')n(a# *!a& e e'#%e (an$ +er-a+an$ &en%#/#%a& *ornea ,en)r)n

dan da'a% +er*e,+an$ ,en"ad# *era%#%#& &%ro,a. Kera%#%#& &%ro,a #n# ,e,')n(a#

e'#%e (an$ #n%a* 'ada 'e,er#*a&aan %a,' ,en)n")**an #n/#%ra%e *ornea

d#r/or,#& &en%ra. Sedan$*an *era%#%#& endo%!e#), %er"ad# *arena #r)& !er'e&

,'e*& %erda'a% 'ada !),or a)o& (an$ ,en(e+a+*an 'e,+en$*a*an &e

endo%e. Dan ndro, ne*ro& re%#na a*)% ,en$ena# +oa ,a%a +a$#an 'o&%er#or

(an$ %er#+a% 'ada 'aen #,)no*o,'ro,#& 5AIDS6.596

Pen$o+a%an da'a% d#+er#*an #r)&%a%#*a &e'er%# IDU %r#/)or#%#,#d#n dan

a*o#r. Pe,+er#an &%rero#d 'ada 'ender#%a !er'e& &an$a% +er+a!a(a *arena

$e"aa a*an &an$a% +er*)ran$ a*an %e%a'# 'ro&e& +er"aan %r)& *arena da(a %a!an

%)+)! (an$ +er*)ran$.596

!eratitis Herpes ooster

Kera%#%#& !er'e& 8o&%er ,er)'a*an ,an#/e&%a #n/e* #r)& !er'e& 8o&%er

'ada -a+an$ 'er%a,a &ara/ %r#$e,#n)& %er,a&)* ')n-a* !#d)n$ dan de,#*#an

17


12/20

')a den$an *ornea a%a) *on")n$%#a. B#a %er"ad# *ea#nan &ara/ %r#$e,#n)& #n#

,a*a a*an ,e,+er#*an *e)!an 'ada daera! (an$ d#'er&ara/#n(a dan 'ada !er'e&

8o&%er a*an ,en$a*#+a%*an %erda'a%*an e*e 'ada *)#%. Pada ,a%a a*an %era&a

&a*#% den$an 'era&aan (an$ +er*)ran$ 5ana&%ea dooro&a6. Pen$o+a%an adaa!

,%o,a%#* &e'er%# 'e,+er#an ana$e%#*a #%a,#n dan an%#+#o%#* %o'#-a a%a)

),), )n%)* ,en-e$a! #n/e* &e*)nder.596

!eratitis 4amur

Pa%!o$en (an$ e+#! &er#n$ adaa! A&'er$#)& dan @and#da a+#-an&.

Me*an#&,e (an$ &er#n$ adaa! %ra),a %er*ena +a!an +a!an or$an#- (an$

,en$and)n$ "a,)r &e'er%# ran%#n$ 'o!on. Paen 'ada ),),n(a ,en$e)!*an

$e"aa (an$ &ed#*#%. Pada #n&'e* d#da'a%*an ,a%a ,era! )*)& (an$ +er+a%a&

%e$a& dan da'a% ,e)a& ,en"ad# )*)& *ornea &er'#$#n)o)&. Pada 'e,er#*&aan

%a,' ,en)n")**an #n/#%ra%e &%ro,a (an$ +erarna ')%#! *ea+)an *!)&)!n(a

"#*a 'en(e+a+n(a adaa! -and#da a+#-an&. Le e (an$ e+#! *e-#

+er*eo,'o* ,en$###n$# e (an$ +e&ar ,e,+en%)* e &a%e#%. Inden%#/#*a

,#*ro+#oo$# "a,)r &)#% dan ,e,a*an a*%). Pen$o+a%an *on&era%#/ +er)'a an%#

n#*o%#* %o'#*a &e'er%# na%a,(-#n n(&%a%#n dan a,'!o%er#n B &edan$*an

%#nda*an 'e,+eda!an +er)'a *era%o'a&%# "#*a den$an 'en$o+a%an *on&era%#/

$a$a dan *eadaan ,a*#n ,e,+)r)* daa, 'eraa%an.596

18


13/20

$. ("4A*A !*$'$S

Pada ana,ne& 'aen +#&a d#da'a%*an +e+era'a $e"aa *#n#& 'ada 'aen

(an$ %er*a#% den$an 'er"aan 'en(a*#% *era%#%#& ')n$%a%a &)'er/#a. Paen

da'a% ,en$e)!*an adan(a ra&a n(er# 'en$e)aran a#r ,a%a +ere+#!an

/o%o/o+#a 'en)r)nan #&)& &en&a +enda an$ ra&a 'ana& #r#%a o*)er dan

+e/aro&'a&,e. Oe! *arena *orea ,e,##*# +an(a* &era% &era% &ara/

*e+an(a*an e *ornea +a#* &)'er#a a%a)')n 'ro/)nda da'a% ,en(e+a+*an

n(er# dan /o%o/o+#a. N(er# 'ada *era%#%#& d#'er'ara! de$an 'er$era*an dar#

'a'e+ra 5),)nn(a 'a'e+ra &)'er#or6 %er!ada' *ornea dan +#a&an(a ,ene%a'

!#n$$a %er"ad# 'en(e,+)!an *arena *ornea +er/a% &e+a$a# "endea ,a%a dan

,ere/ra**an -a!a(a e *ornea &er#n$ *a# ,en$a*#+a%*an 'en$#!a%an

,en"ad# *a+)r %er)%a,a *e%#*a en(a +erada d#+a$#an Sen%ra.546

Pada *era%#%#& ')n$%a%a &)'er/#a d#da'a%*an e *ornea +er)'a e

e'#%!e#a ,)%#'e &e+an(a* 1 90 e 5ra%a ra%a &e*#%ar 20 e d#da'a%*an6.

Le e'#%!e#a (an$ d#da'a%*an 'ada *era%#%#& ')n$%a%a &)'er/#a +er)'a

*),')an +#n%#* +#n%#* *ea+) (an$ +er+en%)* oa a%a) +)a% dan -ender)n$

+era*),)a d# daera! ')'#. O'a%a& 'ada *ornea %er&e+)% %#da* %a,'a*

19


14/20

a'a+#a d# #n&'e* &e-ara an$&)n$ %e%a'# da'a% d##!a% den$an %a,'

a%a)')n o)' &e%ea! d#+er# /o)re&en%.576

Sen%#/#%a& *ornea ),),n(a nor,a a%a) !an(a &ed#*#% +er*)ran$ %a'#

%#da* 'erna! ,en$!#an$ &a,a &e*a# &e'er%# 'ada *era%#%#& !er'e& ,'e*&.

aa)')n ),),n(a re&'on& *on")n$%#a %#da* %a,'a* 'ada 'aen a*an %e%a'#

rea* ,#n#,a &e'er%# #n"e* *on")n$%#a +)+ar da'a% d##!a% 'ada 'aen. 546

$$. )$A('+S$S

Ke-)r#$aan a*an adan(a *era%#%#& 'ada 'aen da'a% %#,+) 'ada 'aen

(an$ da%an$ den$an %r#a& *e)!an *era%#%#& (a#%) $e"aa ,a%a ,era! ra&a a)

5/o%o/o+#a6 dan ,era&a *e##'an 5+e/aro&'a&,a6. Ada')n radan$ *ornea #n#

+#a&an(a d#*a/#*a*an daa, a'#&an *ornea (an$ %er*ena &e'er%# *era%#%#&

&)'er/#a dan #n%er&%#a a%a) 'ro/)nda. Kera%#%#& &)'er/#a %er,a&)* e

#n/a,a dar# e'#%e *ornea dan ,e,+ran +o,an &)'er/#a %er*a#%. 526

F)ore&e#n adaa! 'earna *!)&)& (an$ d#'a*a# )n%)* ,e,)a& *ornea

dan ,enon"o*an &e%#a' *e%#da*%era%)ran 'ada 'er,)*aan e'#%en(a. F)ore&e#n

%o'#*a ,er)'a*an ar)%an 'earna !ater-soluble (an$ non%o** dan%er&ed#a

daa, +er+a$a# +en%)* -on%o!n(a d#&er%a# den$an o+a% ane&%e%#* 5+eno;#na%e or

'ro'ra-a#ne6 a%a) den$an an%#&e'%#* 5'o#done#od#ne6. Se-ar#* *er%a& &%er# den$an

/)ore&e#n d#+a&a!# den$an &a#ne &%er# a%a) ane&%e%#* o*a dan d#%e,'e*an 'ada

'er,)*aan daa, 'a'e+ra #n/er#or )n%)* ,e,#nda!*an 'earna *e*)n#n$an #%)

*e daa, a'#& a#r ,a%a.52=6

Fo)ren&-e#n da'a% ,ea*)*an 'ene%ra 'ada #n%ra&e)er *ornea na,)n

"#*a a'#&an e'#%e *ornea #n%a* ,a*a ar)%an /o)ren&-e#n& #n# %#da* +#&a

,ene,+)& e'#%e. Lar)%an /o)ren&-e#n #n# e+#! ,)da! d#o+&era 'ada *ornea

d#+and#n$*an 'ada *on")n$%#a ,a*a 'e,er#*&aan /o)ren&-e#n #n# ,er)'a*an

'e,er#*&aan (an$ d#+)%)!*an daa, ,en$ea)a *ea#nan d# *ornea. Lar)%an

/ore&en& d#%e%e&*an 'ada ,a%a dan ,a%a d#'er#*&a den$an ,en$$)na*an % a,'

a%a)')n den$an #),#na %eran$ dan ,e#!a% ,en$$)na*an o)'. Ha %er&e+)%

da'a% ,e,+er#*an $a,+aran de/e* e'#%!e#a. Poa d#&%r#+) /o)re&en (an$

20


15/20

&'e/#* da'a% &e+a$a# #n/or,a (an$ +er$)na daa, ,ene$a**an *e,)n$*#nan

e%#oo$# dan *era%#%#& ')n$%a%a &)'er/#a.5>6

Pe,er#*&aan a+ora%or#), den$an ,ea*)*an *)%)r dar# /ora *ornea

d#a*)*an &ea,a %er"ad# #n/a,a a*%#/ da'a% ,e,+an%) daa, 'ene#%#an

&ean")%n(a a*an %e%a'# !a %er&e+)% %#da* +e$#%) $n#/#*an daa, 'ene$a*an

d#a$no& dan 'ena%aa*&ana 'en(a*#% *era%#%#& ')n$%a%a &)'er/#a. Pe,er#*&aan

'en-#%raan den$an ,en$$)na*an /o%o$ra/# % a,' )n%)* ,endo*),en%a*an

#n/a,a a*%#/ dan 'er#ode #na*%##%a& da'a% d#a*)*an %a'# !a %er&e+)% ")$a %#da*

+e$#%) 'en%#n$ daa, 'ene$a*an d#a$no& ,a)')n 'enan$anan 'en(a*#%.56

$$$. )$A('+S$S )$F"#"'T$A*

&5eitis

Ue#%#& adaa! 'eradan$an (an$ %er"ad# 'ada #r#& -or')& -##are a%a)

*oro#d. Ue#%#& da'a% ")$a %er"ad# &e*)nder a*#+a% *era%#%#& a%a) &*er#%#&. Ue#%#&

+#a&an(a %er"ad# 'ada )a 2090 %a!)n. Ue#%#& da'a% d# +a$# ,en"ad# 7 +en%)*

(a#%) )e#%#& an%er#or #n%er,ed#e% dan 'o&%er#or. Ge"aa 'ada )e#%#& an%er#or

adaa! n(er# /o%o/o+#a dan 'en$#!a%an *a+)r. Ue#%#& an%er#or +#a&an(a %er"ad#

)n#a%era dan on&e%n(a a*)%. Tanda dar# )e#%#& #n%er,ed#e% adaa! 'eradan$an

#%re)&. Ue#%#& #n%er,ed#e% ,e,##*# $e"aa *!a& (a#%) floaters dan 'en$#!a%an

*a+)r. N(er# /o%o/o+#a dan ,a%a ,era! +#a&an(a %#da* ada. Sedan$*an $e"aa

'ada )e#%#& 'o&%er#or adaa! floaters *e!#an$an a'an$an 'andan$ a%a)

'en)r)nan %a"a, 'en$#!a%an (an$ ,)n$*#n 'ara!.516

21


16/20

(aukoma akut sudut tertutupGa)*o,a &)d)% %er%)%)' a*)% 5$a)*o,a a*)%6 %er"ad# +#a +en%)* #r#&

+o,+e (an$ ,en(e+a+*an o*) &)d)% +##* ,a%a de'an oe! #r#& 'er#/er. Ha #n#

a*an ,en$!a,+a% a#ran *e)ar a)eo)& dan %e*anan #n%rao*)ar ,en#n$*a%

den$an -e'a% ,en#,+)*an n(er# !e+a% *e,era!an dan 'en$#!a%an *a+)r.516

22

Ga,+ar 9. )e#%#&


17/20

+ftamika Simpatika

O/%a,#*a S#,'a%#*a ,er)'a*an 'eradan$an +#a%eraden$an $e"aa *#n#&

'en$#!a%an ,en)r)n dan ,a%a ,era!. B#a&an(a %er"ad# a*#+a% %ra),a %e,+)& a%a)

+eda! ,a%a #n%rao*)ar. Tanda d#n# dar# 'en(a*#% #n# adaa! $an$$)an +#no*)ar

a*o,oda a%a) %anda radan$ r#n$an )ea an%er#or a%a)')n 'o&%er#or. Tanda (an$

%er#!a% adaa! ,a%a &a*#% dan /o%o/o+#a 'ada *ed)a ,a%a. 546

"ndoftamitis

Mer)'a*an 'eradan$an +era% daa, +oa ,a%a +#a&an(a a*#+a% #n/e*

&e%ea! %ra),a a%a) +eda! a%a) endo$en a*#+a% &e'&. Endo/%a,#%#& %er+a$# d)a

(a#%) endo/%a,#%#& e*&o$en a*#+a% %ra),a a%a) #n/e* &e*)nder &e%ea! 'ro&e&

'e,+eda!an dan endo/%a,#%#& endo$en %er"ad# a*#+a% 'en(e+aran +a*%er# "a,)r

a%a)')n 'ara% dar# /o*)& #n/e* d# daa, %)+)!. Peradan$an a*#+a% +a*%er# a*an

,e,+er#*an $a,+aran *#n#* ra&a &a*#% (an$ &an$a% *eo'a* ,era! dan +en$*a*

*eo'a* &)*ar d# +)*a *on")n$%#a *er)! dan ,era! *ornea *er)! BMD *er)!

(an$ *adan$*adan$ d# &er%a# !#'o'#on.546

23

Ga,+ar . Ga)*o,a a*)%


18/20

$. %"'ATA*A!SA'AA'

Pena%aa*&aan dar# *era%#%#& +#a&an(a ,'%o,a%#* : 546

1. Ar%#/#-#a %ear& ,e,+an%) ,a%a ,en$e)ar*an +enda an$

2. S'e-#/#- %rea%,en% da'a% d#%a,+a!*an 'ada 'aen ,#&an(a an%##ra

"#*a 'en(e+a+n(a adaa! #r)&

Re&'on -e'a% a,+a%n(a *ornea 'ada a$en #n/e*n(a +er$an%)n$ 'ada

'en(e+a+n(a ,a*a d#+er#*an 'en$o+a%an +er)'a ar%#/#-#a %ear& )n%)* ,e,+an%)

,a%a ,en$e)ar*an a$en 'en(e+a+ #r#%a 'ada *ornea. Se*#%ar >0 dar# #n/a,a

*ornea d#&e+a+*an oe! +a*%er#. Sea#n #%) e'#%e (an$ %#da* #n%a* da'a% &e+a$a#

"a)r 'ene%ra dar# +a*%er# *e daa, *ornea. Penan$anan d#aa# den$an

an%#+#o%#* %o'#*a den$an a*%##%a& +road &'e-%r), %er!ada' *e+an(a*an

or$an#&,e Gra,'o%#/ dan Gra,ne$a%#e !#n$$a !a *)%)r dan %e& &en%#/#%a&

d#*e%a!)#. Re$#,en aa (an$ d#+er#*an %er,a&)* a,#no$(-ode den$an

-e'!ao&'or#n $enera 'er%a,a &e%#a' 1970 ,en#%. Ser#n$*a# d#$)na*an

-#'ro/o;a-#n 07 (an$ ,e+er#*an 'er-e'a%an a*%) ra%a ra%a 'en(e,+)!an

dan 'en)r)rnan %era'# d#+and#n$*an %era'# *onenona.eo/o;a-#n ,a)')n

24

Endo/%a,#%#&


19/20

o/o;a-#n ,e,##*# 'ene%ra a)eo)& dan #%re)& (an$ +a#* den$an 'e,+er#an

ora.5246

. %#+('+S$S

Se-ara ),), 'ro$no& dar# *era%#%#& ')n$%a%a &)'er/#a adaa! +a#* "#*a

%#da* %erda'a% *a%r#*& a%a)')n a&*)ar#&a dar# *ornea. Se&)a# den$an ,e%ode

'enan$anan (an$ d#a*&ana*an 'ro$no& daa, !a #&)& 'ada 'aen den$an

*era%#%#& ')n$%a%a &)'er/#-#a &an$a% +a#*. S#*a%r#*& 'ada *ornea da'a% %#,+) 'ada

*a&)&*a&)& den$an *era%#%#& ')n$%a%a &)'er/#a (an$ +eran$&)n$ a,a.596

)AFTA# %&STA!A

1! Va)$!an DA&+)r( TR#ordanEa P. $enera O'!%!a,oo$(. 1>>. '. 17>

2. R#ordanEa. Ana%o,( and e,+r(oo$( o/ T!e E(e. In : Va)$!an

DA&+)r( TR#ordanEa P. $enera O'!%!a,oo$(. 19%! ed#%#on.

@onne-%#-)% A''e%on an$e 1>>>. '. 12

7. Do$$ar% ?H. S)'er/#-#a P)n-%a%e Kera%#%#& on#neJ. 1>77 -#%ed 2011

?)(J 1&-reenJ.7. $yas S. ata era- denan %eni-atan Turun endadak.

)aam 8 $yas S. $mu%enyakit ata. "disi ketia. 4akarta 8 Baai

%enerit F!&$ /00:. H 17;


20/20

Referat keratitis pungtata.doc

Documents

Transcript of Referat keratitis pungtata.doc