Referat GLAUKOMA.ppt

8/17/2019 Referat GLAUKOMA.ppt

1/32

Pembimbing :

dr. Rety Sugiarti, Sp. M

Oleh :

Amalia Prima Sundari 2010730008

REFERAT

“GLAUKOMA”

KEPANITERAAN KLINIK ILMU PENYAKIT MATA

RUMAH SAKIT BLUD KOTA BANJARFAKULTAS KEDOKTERAN DAN KESEHATAN

UNIVERSITAS MUHAMMADIYAH JAKARTA2015


2/32

Latar Bea!a"#

$a%!&'a a(aa) !e&'*&! *e"+a!,t'ata +a"# (,-e.a.!a" &e) t,"##,"+ate!a"a" .&a 'ata -e),"##a'e"+e.a.!a" r%-a!"+a *a*, -ara/&*t,! +a"# 'e'.e"t%! .a#,a".a#,a"ret,"a (, .ea!a"# .&a 'ata


3/32

Latar Bea!a"#

$a%!&'a a(aa) -aa) -at% *e"+e.a.%ta'a !e.%taa" (a" r%-a!"+a*e"#,)ata" (, -e%r%) .ea)a" (%",a

D%a t,*e #a%!&'a +a"# *a,"# -er,"#a(aa) Primary Open Angle Glaucoma(POAG) ata% #a%!&'a -%(%t ter.%!a (a"

Acute/chronic closed angle glaucoma ata% #a%!&'a -%(%t tert%t%*


4/32


5/32

ANATOMI SUDUT BILIK MATA

• (,.e"t%! 7ar,"#a"!&r"e&-!era (e"#a"*a"#!a ,r,-

• *e"#a,ra" !e%ar6a,ra" .,,! 'ata

S%(%t.,,!

'ata

• 7ar,"#a" tra.e!%%'• !a"a S6)e''• .a7, -!era• #ar,- S6)8a.e (a" 7&"7&t ,r,-

Ber(e!ata"

(e"#a"

-%(%t ,",9


6/32


7/32

S%(%t :tra-,

Terdapat dalam limbus

Dibatasi oleh garis yang menghubungkan akhirmembran Descemet dengan membran Bowman

Mengelilingi kanal schlemn dan Trabekula

sampai BMD

Dalam stroma terdapat serabut saraf dan akhir

A.Siliaris anterior


8/32

Tra.e!%a

• Sera.%t"+a .era-a (ar, -tr&'a!&r"ea !e .ea!a"# (a"'e"#e,,"#, !a"a -6)e'".er,"-er-, (, -!era

Tra.e!%aK&r"e&-!era

•Bera-a (ar, -tr&'a !&r"ea !e-!era-*%r ;,"-er-, '-,,ar,-<(a" -e.a#,a" !e ' -,,ar,-'er,(,&"a

Tra.e!%a U4ea

S6)8a.e ,"e 'e"%7%!e 7ar,"#a" *e"#,!at

'-,,ar,- ra(,a,- (a"-,r!%ar,-

• Bera-a (ar, *er'%!aa"a"ter,&r ,r,- 'e"%7% !e(a*a"tra.e!%a

L,#a'e"t%'*e!t,"at%'r%(,'e"ter


9/32

HUMOR A=UEUS

Humor aqueus suatu

cairan ernih yang

mengisi kamera anterior

dan posterior mata.

-!olume" # $%&ul'

-kecepatan

pembentukannya "

('%)$ ul*menit +,ariasidiurnal-


10/32

FUN$SI HUMOR A=UEUS

Se.a#a, 'e(,are/ra!ta

I"te#r,ta- -tr%!t%r

S%'.er "%tr,-,

Me'e,)arare#%ar,ta- te!a"a"

,"tra&!%er


11/32

!A"#OMA

$ TIO :

⇑ produksi

aquos humor.

⇓ eksresi

aquos humor.


12/32

PENIN$KATAN TEKANAN BOLA MATA

Te!a"a" .&a

'ata +a"#

t,"##,

$a"##%a"

*e'.%%)(ara) ret,"a

'e"##a"##%

'eta.&,-'e

ret,"a

!e'at,a"

-ara/ 'ata

#a"##%a"

/%"#-,

ret,"a

La'a !ea'aa"

Ke.%taa"


13/32

Pat&:-,&,


14/32

Fa!t&r R,-,!&

Hipertensi/hipotensi

Diabetes meitus

! "# tahun

$i%a&at 'aukoma (

Miopia/hipermetropia

)ost O)


15/32

(. laukoma /rimer Sudut Terbuka


16/32

$e7aa

• *isus norma

• Lapan' pandan' men&empit

• )en'ihatan kabur

• +e,a'ia

LAM-AT DA )$LAHA


17/32

Pe"ataa!-a"aa"

• TIO > 21 ''H# 9 *,&!ar*," 2?

• T,(a! a(a *er.a,!a"

T,'&&

A-eta@&a',(

E*,"e/r,"

• Tra.e!%e!t&',


18/32

$. laukoma /rimer SudutTertutup


19/32

Ge0aa- *isus 1epat

- &eri orbita

- +e,a'ia

- ause2 3omitus

- Hao

Pr&(r&'a;"&"

!&"#e-t,/<

A!%t;!&"#e-t,/<


20/32

Tera*, 9

• M,&t,! *,&!a*r," 2?

• ar.&",6 a"),(ra-e ,"),.,t&r

a-eta@&a',(e

• H,*er&-'&t,! #,-er," 50?

Pe'.e(a)a" 9

• Ir,(e!t&', *er,/er


21/32

$LAUKOMA SEKUNDER

• Per%.a)a" e"-a

• Tra%'a

• Pa-6a Be(a)

Tera*, 9- Me"#ata-, *e"+a!,t +a"# 'e"(a-ar,

- Pe"#&"tr&a" TIO


22/32

$a%!&'a K&"#e",ta

Ka"aS6)e'e"

Sa%ra"Ke%ar

6a,ra"'ata

T,(a!ter.e"t%!-e'*%r"a


23/32

Ge0aa

pi,ora

4oto,obia

dema atau kornea keruh


24/32

Goniotomi


25/32

$a%!&'a a.-&%t

STADIUM

AKHIR

Ke.%taa" t&ta


26/32

Kornea keruh

-iik mata dan'ka

Atro,i papi

Mata keras

&eri

Ge0aa


27/32

Pe'er,!-aa"

T&"&'etr,

O/ta'&-!&*

$&",&-!&*,

La*a"# Pa"(a"#


28/32

Te- a,r ',"%'

TIO (,%!%r

$a%!&'a

MINUM AIR 1

LITER

TIO 5'e",t


29/32

DeCa'et)a-

&"Bet)a'et

a-&" 031?

Pe'er,!-aa" TIO Set,a* ',"##%

2 ',"##% TIO > ''H#

U7, Ster&,(

$LAUKOMA


30/32

U7, K&*,

K&*, Pe!at

TIO

1520''H#

$a%!&'a

200 'e",t


31/32

U7, Ka'ar $ea*

Pa-,e"'a-%! !e

!a'ar #ea*

00'e",t

U!%r TIO T,&

''H#

$a%!&'

a -%(%ttert%t%*

G


32/32

Ter,'a Ka-,)

Documents

Referat GLAUKOMA.ppt