Infiltrat Keratitis

8/13/2019 Infiltrat Keratitis

1/17


2/17

Ga/$ar 1! Bent%" Lesi dendrit den&an fl%'resensi!

Ga/$ar 2! .'nt'( lesi dendriti" pada infe"siHerpes Simplex Virus!

1! Dis)if'r/is # Infiltrat $er$ent%" large disk shape, $iasana didapat"an pada

Keratitis Str'/al a"i$at -ir%s!

2


3/17

Ga/$ar 3! Infiltrat Dis)if'r/is

2! Fila/ent # Infiltrat $er$ent%" $enan& $enan&, terse$ar! Biasana didapat"an

pada Keratitis a"i$at -ir%s!

Ga/$ar 4! Lesi fila/ent!

3! N%//%ler # Infiltrat $er$ent%" "'in "e)il, $iasana didapat"an pada Keratitis

a"i$at -ir%s!

3


4/17

Ga/$ar 5! Lesi N%//%ler

Ga/$ar 6!Lesi N%//%lar pada pe/eri"saan Slitlamp

4! P%n)tata # Infiltrat $er$ent%" $er)a" p%ti( "e)il dan (al%s pada per/%"aan

"'rnea, $isa $erada pada lapisan Epitel /a%p%n S%$epitel!

7pasitasna "adan& ta" ta/pa" se)ara lan&s%n&, le$i( +elas $ila

/en&&%na"anslitlampdan pe/eri"saanfluoresensi. Biasana

didapat"an pada Keratitis $a"terial, -ir%s dan f%n&al!

4


5/17

Ga/$ar 8! Infiltrat P%n)tata

Ga/$ar 9! Infiltrat P%n)tata

5


6/17


7/17

Ga/$ar ! Infiltrat Ge'&rap(i)

Ga/$ar 1! Infiltrat Ge'&rap(i) pada pe/$erian Fl%'resensi!

Ge+ala dan Tanda Keratitis

! Ge+ala dan Tanda Keratitis Ja/%r #

Ge+ala "eratitis +a/%r %/%/na tida" sea"%t "eratitis $a"terial! Ge+ala a0al dapat

$er%pa rasa /en&&an+al di /ata den&an penin&"atan rasa neri! Tanda "linis an&

palin& serin& dite/%"an pada pe/eri"saan la/p% )ela( +%&a %/%/ dite/%"an

pada "eratitis /i"r'$ial seperti s%p%rasi, in+e"si "'n+%n&ti-a, defe" epitel,

infiltrasi str'/a, rea"si radan& di $ili" /ata depan ata% (ip'pi'n!

Tanda "linis an& dapat /e/$ant% pene&a"an dia&n'sis "eratitis +a/%r

fila/ent'sa adala( %l"%s "'rnea an& $er)a$an& den&an ele-asi, $atas l%"a an&

ire&%lar dan seperti "apas, per/%"aan an& "erin& dan "asar, serta lesi satelit

Ta/pilan pi&/entasi )'"lat dapat /en&indi"asi"an infe"si 'le( +a/%r

de/atia)e'%s Keratitis +a/%r +%&a dapat /e/ili"i ta/pilan epitel an& inta"

den&an infiltrat str'/a an& dala/ !

7


8/17

Unt%" /e/$ant% /en&ara("an dia&n'sis $isa /en&&%na"an pet%n+%" #

Tra%/a se$el%/na, ter%ta/a tra%/a den&an t%/$%(an

Pen&&%naan Ster'id +an&"a pan+an&

Pasien den&an immunocompromised condition

Lesi Satelit

Tepi Ul"%s sedi"it /en'n+'l dan "erin&, iregullerdan ada t'n+'lan seperti

=ifa di$a0a( end'tel %t%(

Pla" End'tel

=p'pi'n, "adan& reccurent

F'r/asi )in)in se"itar Ul"%s

Lesi "'rnea an& ind'len

8


9/17

Ga/$ar 2! .'nt'( Keratitis F%n&al

1! Ge+ala dan Tanda Keratitis Ba"terial #

Tanda dan &e+ala "linis "eratitis $a"terial $er&ant%n& "epada -ir%lensi

'r&anis/e dan d%rasi infe"si! Tanda %ta/a adala( infiltrasi epitel ata% str'/a

an& terl'"alisir ata%p%n dif%s! U/%/na terdapat defe" epitel di atas infiltrat

str'/al ne"r'ti" an& $er0arna p%ti(>"ea$%>a$%an! Ta/pilan %/%/ lainna

adala( a$ses str'/a di $a0a( epitel an& inta"! Infiltrat dan ede/a "'rnea dapat

terleta" +a%( dari l'"asi infe"si pri/er!

Ulserasi "'rnea dapat $erlan+%t /en+adi ne'-as"%larisasi! Ji"a pr'teinase

9


10/17

/ene$a$"an stromal melting /a"a a"an ter$ent%" des)e/et')ele an&

di"el%("an dapat $er%pa rasa neri, pe/$en&"a"an "el'pa" /ata, /ata /era(

ata% /en&el%ar"an "'t'ran, sila%, dan pen&li(atan an& $%ra/

Unt%" /e/$ant% /en&ara("an dia&n'sis $isa /en&&%na"an pet%n+%" #

Ri0aat tra%/a, pen&&%naan contact lens, ri0aat defe" "'rnea

Gan&&%an -is%s, f't'f'$ia, neri, la"ri/asi, "'n+%n&ti-a (ipere/is,

$lep(ar'spas/, dis)(ar&e p%r%len, ede/a palpe$ra

Ta/pa" Infiltrat, ede/a str'/al, (ip'pi'n, "erati" presipitat, (p'pi'n,

%l"%s "'rnea dan des/et')ele, se"ret p%r%len

K(as padaPseudomonas sp.# Ul"%s Serpi&in's%s ;Ul"%s an& /en+alar

dariperifer"e centralJ%n 45;2


17/17

a(%ni,Nin&r%/!1::9!(ttp#CCnin&r%/0a(%ni!0'rdpress!)'/Cdendrtiti)

%l)er ;a))essed Septe/$er 4t(1:2

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Infiltrat Keratitis