7/26/2019 Glaukoma Blm
2/2
DATA BASE
CLUE AND
CUE
PROBLEM
LIST
INITIAL
DX
PLANNING
DIAGNOSIS THERAP MONITORING EDUCATION
Identita! Pa!ien "
"ama # $n% SUm&r # 58 tah&n
J' # P(r(m)&an
*lamat #'()atihan,Jombang
P(+(raan #t&+ang b(ca+P(n-i-i+an t(ra+hir # SMP
"o% RM # .1 /. 8
Anamne!a#el$%an $tama" mata s(b(lah +iri t(rasa
c(+ot!c(+ot -an b(rairRPS "
! Mata +iri ti-a+ -a)at m(lihat s(a+ bln
yll
! $(rasa c(+ot!c(+ot, b(rat, -an sila&%! "rocoh !3, mata
m(rah !, gatal !,
mblobo+ !, c(+ot!c(+ot 3, mata
m(ny(m)it !, )an-angan gan-a !
RPD# D Post SI6S 3 I7 tanggal 12
a)ril 201, DM !, $ !, tra&ma !RP# "+(l&arga ti-a+ a-a
yang m(n-(rita
sa+it s()(rti ini
RPSo!# !
Pemeri&!aan 'i!i&
'U # ai+
6S # 45
$(nsi # 1.080 mmg
"a-i #84:m(nit
RR # 18:m(nit
Pemeri&!aan (eneral"
DbnStat$! lo&ali!
;is&s #
! D # .10
! S # 7P !
$D # 5%5
$S # 410
!P(r(m)&an,
8 thn! 5mm
! Iris sha-o?
!
! 7(&+oria
! @&n-&sr(=l(: s-(
! P(+(raan
)(tani
! D )ost o)
SI6S 3 I7
! ;D# .10! $D # 5,5
! l(nsa #
)s(&-o=a+ia
on )lac(
1%S
la&+oma
2%S 'atara+
s(nilis mat&r
.%D )ostSI6S3I7
1%1 S&s)% S
gla&co!ma
s(+&n-(r
--
gla&co!ma
=a+oliti+
1%2 S
'atara+
s(nilismat&r
1%. D)s(&-o=a+
ia
! DP
! 2PP! D7
! onios+o)i
! $obroson
(y(-ro) --gtt1 D
! M(tyl)r(-nisol
on( 4 mg tab
.A1 tab! $imolol
mal(at( 0,5B(y(-ro) 2 --
gtt I S! R(na)ar tab
2:1! la&con tab 4
:1
! Raniti-in tab
.:1
! 'ons&l S)% M
trab(+&l(+tomi
! 'ons&l S) M
o)(rasi
+atara+
! 'ons&l IPDbila )(rl&
2
S&by(+ti=
! 'ab&r D! Sila& D
! "rocoh DS
! "y(ri DS
! M(rah D
by(+ti=! ;is&s
! $I! $(s 7a)ang
Pan-angP(rim(tri,
+on=rontasi
! M(n(las+an+()a
-a)asi(nt(ntang)(nya+it )asi(n
gla&+oma
s(+&n-(r a+ibat
+atara+! M(n(las+an
)(m(ri+saan)(n&nang yang
-ib&t&h+an -ant(ra)i b(r&)a
o)(rasitrab(+&l(+tomi
&nt&+ t(rl(bih
-ah&l&, o)(rasi
+atara+ -ila+&+ans(t(lahnya
! M(n(las+an
+()a-a )asi(n
+om)li+asi -an
)rognosis! M(n(las+an
+()a-a )asi(n
&nt&+ +ontrolr&tin s(&m&r
hi-&), bila )asi(n
ti-a+ b(robat
m(ny(bab+an $Im(ning+at yang
a+an b(rlan&t
)a-a +(b&taan,
i+a t(ra-i
+(b&taan light)(rc()tion #
n(gati=, Cis&s
ti-a+ -a)at-i)(rbai+i%
