corpus alienum kornea

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LAPORAN KASUS

Pembimbing :

dr. Faozan, Sp.M

Corpus Alienum Kornea OS

Kepaniteraan Klinik Ilmu Penyakit Mata RS

Bayangkara

!akultas Ke"okteran Uni#ersitas $arumanagara

Perio"e % Oktober & '

No#ember ()*%

+isusun ole: ,uni-a ./)%*01**(2

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I+3N$I$AS PASI3N

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Ri4ayat Penyakit +aulu

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*i&a%at trauma mata

e'elumn%a +#

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*i&a%at memakai

ka-amata untuk

melihat jauh +#

Ri4ayat Penyakit Keluarga

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memakai ka-amata +#

Kebiasaan5 Lingkungan

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Pemeriksaan Subyekti6

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$emerikaan 4'%ekti5

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$emerikaan 4'%ekti5

Kornea

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!aktor Risiko

–

6iaan%a terjadi pada muim din(in

–

Aktiita %an( 'eriiko

__

memahat,

men((erinda.

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Mani6estasi Klinis

=e<ala

•

Mata teraa akit

•

enai 'enda

ain(

+men((anjal

• •

Foto5o'ia

•

Mata merah

•

9pi5ora

$an"a

••

8iu normal atau

menurun

•

)njeki konjun(tia atau

injeki ilar

•

T

Tampak adan%a -orpu

ampak adan%a -orpu

alienum

•

Rust ring

+terutama 'enda

ain( lo(am di kornea

dalam 'e'erapa jam

hin((a hari

•

Fundukopi

__

9dema

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Pemeriksaan Penun<ang

•

Flouree

Floureen akan me&arnai mem'ran 'aal epitel %an(

n akan me&arnai mem'ran 'aal epitel %an( terpajan dan

terpajan dan

dapat memperjela per5orai kornea aki'at luka tem'u +

u<i sei"el

positi6

.

•

6#-an ultraound, <

6#-an ultraound, <T

T#-an or'ital +poton(an

#-an or'ital +poton(an a>ial dan

a>ial dan -oro

-oronal dan

nal dan

ultraound 'iomi-roop% +U6M



untuk men%in(kirkan 'enda ain(

intraokular.

•

U6M den(an ultraound 5rekueni tin((i 'e(una untuk

men%in(kirkan 'enda ain( di klera anterior.

•

"aer

in vivo confocal microscopy

+)8<4 an(at eniti5 dan

+)8<4 an(at eniti5 dan 'er(una

'er(una

untuk mendi(anoa 'enda ain(

untuk mendi(anoa 'enda ain( kor

kornea %an( tidak

nea %an( tidak terlihat.

terlihat.

kontraindik

kontraindikai untuk

ai untuk pemerikaan -orpu alienum lo(am

pemerikaan -orpu alienum lo(am

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$atalaksana

•

9ktraki -orpu alienum:

–

Superial



iri(ai pada mata atau den(an

men((unakan aplikator

cottontipped

–

Melekat



ektraki den(an

eye spud

atau =#7#

gauge

needle!

–

Men(hilan(kan rut rin( dilakukan den(an

men((unaka

men((unakan 'or

n 'or atau

atau

alger brush!

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$atalaksana

•

T

Tatalakana ditunjukkan untuk men(uran(i n%eri,

atalakana ditunjukkan untuk men(uran(i n%eri,

men-e(ah in5eki dan penurunan 5un(i:

–

Anti'iotik topikal tete

Anti'iotik topikal tete +polum%>in 6#u5ate#trimethoprim

+polum%>in 6#u5ate#trimethoprim,,

oGo>a-in, to'ram%-in atau ointment +'a-itra-in, -iproGo>a-in

–

Siklope(ik topikal +-%-lopentolate 1C untuk n%eri dan

Siklope(ik topikal +-%-lopentolate 1C untuk n%eri dan 5oto5o'ia

5oto5o'ia

–

"ressure patch

atau

bandage contact lens

e'aikn%a dihindari

karena 'eriiko tin((i men%e'a'kan penurunan iu permanen.

!e-uali untuk de5ek epitel le'ih dari 1/ mm



,,

bandage contact

lens

mun(kin merupakan pilihan %an( le'ih 'aik.

Jan(an dipe

Jan(an diper'an jika ter

r'an jika terdapat:

dapat:

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Pen-egaan

•

Men((unakan ka-amata pelindun(

dalam 'e'a(ai ituai +kontruki

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Komplikasi  Prognosis

•

Ukuran k

Ukuran korpu alienum 'ear  terletak

orpu alienum 'ear  terletak di 'a(ian

di 'a(ian

entral



mempen(aruhi iu.

•

*

*eaki inGamai ju(a

eaki inGamai ju(a 'ia terjadi jika -orpu

'ia terjadi jika -orpu

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