NO MEDREC REGISTER NAMA UMUR TGL KUNJ.

14 797202 RJ14033453 RINA MARCELLA 7 3/15/2014

8 800603 RJ14021514 BULAN BT WAWI 48 2/19/2014
35 817804 RJ14097837 TINA FEBRIANA 2 7/22/2014
3 794410 RJ14012822 ROBAYAH BT A. HALIM 57 2/1/2014
45 862711 RJ15001010 SELPI NOPIANA PUTRI 8 1/5/2015
41 842514 RJ14133029 YAKUB WARTIMIN 63 10/1/2014
15 700116 RJ14035083 ENDAH KARPIN SALEH. SH 69 3/18/2014
47 869818 RJ15007368 AHMAD KRISTIAN 2 1/14/2015
50 869818 RJ15010015 AHMAD KRISTIAN 2 1/20/2015
51 869818 RJ15013767 AHMAD KRISTIAN 2 1/26/2015
23 813921 RJ14058871 RAFA AQUILA GENEORIZA 1 5/7/2014

27 813921 RJ14073596 RAFA AQUILA GENEORIZA 1 6/4/2014

62 904722 RJ15193356 OVY ANJANI 3 12/31/2015

60 909223 RJ15179132 GHANIA KIRANA 1 12/3/2015
42 853124 RJ14145224 VANILAH BINTI MUSTAMIR 3 10/23/2014
44 853124 RJ14146743 VANILAH BINTI MUSTAMIR 3 10/28/2014
53 885924 RJ15167405 BENO BIN SARYADI 2 11/11/2015
54 885924 RJ15177017 BENO BIN SARYADI 2 11/30/2015
58 885924 RJ15178033 BENO BIN SARYADI 2 12/1/2015
43 853626 RJ14146243 MUSTAMIR BIN JAPR 29 10/27/2014
22 809829 RJ14050298 DEDE IRAWAN 6 4/21/2014
26 809829 RJ14066875 DEDE IRAWAN 6 5/22/2014
55 924929 RJ15177361 MASNUN BINTI BAKRI 73 11/30/2015
33 832031 RJ14096132 M.RIZKY RAMADHAN 2 7/18/2014
57 907935 RJ15177917 FERLI BIN INDRA 2 12/1/2015
9 800636 RJ14021577 SJARNUBI BIN MATLAWI 57 2/19/2014
7 800338 RJ14021068 ABDUL GANI,SST 38 2/18/2014
37 838041 RJ14108886 TINA FEBRIANA 3 8/18/2014
38 838041 RJ14111784 FITRI NUR HIDAYAH 3 8/23/2014
39 838041 RJ14112480 FITRI NUR HIDAYAH 3 8/25/2014
40 838041 RJ14113143 FITRI NUR HIDAYAH 3 8/26/2014
17 800045 RJ14037000 M. YUSUP AL PAIZ 3 3/22/2014
46 868251 RJ15002999 DIMAS AHMATDANI 2 1/7/2015
48 868251 RJ15008241 DIMAS AHMATDANI 2 1/16/2015
49 868251 RJ15009131 DIMAS AHMATDANI 2 1/17/2015
28 828663 RJ14084008 MISHEL PRISCILLIA H 3 6/24/2014
29 828663 RJ14084831 MISHEL PRISCILLIA H 3 6/25/2014
30 828663 RJ14086057 MISHEL PRISCILLIA H 3 6/27/2014
31 828663 RJ14086472 MISHEL PRISCILLIA H 3 6/28/2014
32 828663 RJ14093280 MISHEL PRISCILLIA H 3 7/12/2014
36 828663 RJ14098340 MISHEL PRISCILLIA H 3 7/23/2014
52 872163 RJ15014145 RAYA HANDAYANI 2 1/27/2015
56 920366 RJ15177878 YUSTRIANI BINTI TARIM 49 12/1/2015
59 920366 RJ15178871 YUSTRIANI BINTI TARIM 49 12/2/2015
61 920366 RJ15179159 YUSTRIANI BINTI TARIM 49 12/3/2015
4 799170 RJ14018495 MARYATI BT KEDIMAN 75 2/13/2014
12 801774 RJ14024898 M. AZKHA ZONATA 1 2/26/2014
2 776578 RJ14002166 RANGGA SASTRA HAKIKI 1 1/7/2014
16 776578 RJ14035447 RANGGA SASTRA HAKIKI 1 3/19/2014
18 776578 RJ14040819 RANGGA SASTRA HAKIKI 1 4/1/2014
21 776578 RJ14044576 RANGGA SASTRA HAKIKI 1 4/8/2014
24 776578 RJ14064209 RANGGA SASTRA HAKIKI 1 5/17/2014
10 697780 RJ14021708 PATANI DAHLAN BIN 51 2/19/2014
6 96681 RJ14021062 ASIAH NURLELA BINTI H 59 2/18/2014
19 806982 RJ14042757 PUTRI NABILAH 1 4/3/2014
20 806982 RJ14043353 PUTRI NABILAH 1 4/5/2014
5 72483 RJ14020603 NY. SAIDAH 71 2/17/2014
11 72483 RJ14021807 NY. SAIDAH 71 2/19/2014
1 737787 RJ14000481 FAHRI AKBAR 4 1/2/2014
13 737787 RJ14030087 FAHRI AKBAR 4 3/8/2014
25 737787 RJ14065628 FAHRI AKBAR 5 5/20/2014
34 737787 RJ14096543 FAHRI AKBAR 5 7/19/2014
Gambaran histopatologi Staging

x x perdarahan retrobulbar od + proptosis

x x meningioma regio temporal
x x
x x katarak komplikata
x x suspek rb intraokular os

x x dr nova kurniat
x x RB OD prokemo

x x rb od
x x rb os

x x

x x

x x limfoma maligna palpebra inferior

x x
x x post pneumatc retnopexy od a/i perdarahan subm

psudorossete tdak ada invasi ke n. Optcus Rb OD prokemo

x x sus. Rb od dan uveits

x x RB intraokular OD susp. Ekstraokular
x x dr ramzi gajelas nulisnyaaa
x 3 siklus 4 rb ods

x x rb ods

x x katarak imatur ods dan ablato retna od

x x
ar od + proptosis

ebra inferior

opexy od a/i perdarahan submandibula od

p. Ekstraokular
n ablato retna od
 REGISTE TGL
NO MEDREC NAMA UMR
R KELUAR
15 812000 RI14009850 MELANI PUTRI SARI 4 4/12/2014
17 812000 RI14010023 MELANI PUTRI SARI 4 4/24/2014
21 812000 RI14013795 MELANI PUTRI SARI 4 5/26/2014
26 812000 RI14016930 MELANI PUTRI SARI 4 7/1/2014
25 817804 RI14012341 TINA FEBRIANA 2 6/28/2014
30 817804 RI14019788 TINA FEBRIANA 2 7/27/2014
33 817804 RI14022199 TINA FEBRIANA 2 8/27/2014
38 817804 RI14025538 TINA FEBRIANA 2 9/26/2014
42 817804 RI14028522 TINA FEBRIANA 2 10/29/2014
49 817804 RI14031608 TINA FEBRIANA 2 11/29/2014
55 817804 RI14034415 TINA FEBRIANA 2 12/29/2014
59 817804 RI15000816 TINA FEBRIANA 2 1/26/2015
64 817804 RI15005048 TINA FEBRIANA 2 2/25/2015
71 817804 RI15007888 TINA FEBRIANA 3 3/28/2015
31 832109 RI14019692 M. RIZKY RAMADHAN 2 7/27/2014
34 832109 RI14022487 M. RIZKY RAMADHAN 3 9/1/2014
39 832109 RI14026057 M. RIZKY RAMADHAN 3 10/1/2014
44 832109 RI14029213 M. RIZKY RAMADHAN 3 11/7/2014
51 832109 RI14032509 M. RIZKY RAMADHAN 3 12/6/2014
52 832109 RI14033542 M. RIZKY RAMADHAN 3 12/15/2014
54 862711 RI14034449 SELPI NOPIANA PUTRI 8 12/27/2014
60 869818 RI15002167 AHMAD KRISTIAN 2 1/26/2015
62 869818 RI15003041 AHMAD KRISTIAN 2 2/7/2015
72 869818 RI15009178 AHMAD KRISTIAN 2 4/11/2015
77 869818 RI15012078 AHMAD KRISTIAN 2 5/12/2015
83 869818 RI15014722 AHMAD KRISTIAN 2 6/10/2015
87 869818 RI15017394 AHMAD KRISTIAN 2 7/6/2015
93 869818 RI15020379 AHMAD KRISTIAN 2 8/6/2015
102 904722 RI15024702 OVY ANJANI 2 9/23/2015
107 904722 RI15027166 OVY ANJANI 2 10/22/2015
19 816523 RI14012969 SYAMSUNI BIN HARNAWI 48 5/16/2014
97 909223 RI15023375 GHANIA KIRANA 0 9/10/2015
103 909223 RI15026282 GHANIA KIRANA 0 10/9/2015
111 909223 RI15028955 GHANIA KIRANA 1 11/9/2015
114 909223 RI15031015 GHANIA KIRANA 1 12/2/2015
43 853124 RI14029626 VANILAH BINTI MUSTAMIR 3 11/5/2014
75 862324 RI15011525 HEYKHEL RHENANSYAH 3 5/5/2015
76 885924 RI15011652 BENO BIN SARYADI 2 5/6/2015
81 885924 RI15014289 BENO BIN SARYADI 2 6/1/2015
82 862324 RI15014837 HEYKHEL RHENANSYAH 3 6/7/2015
86 885924 RI15017326 BENO BIN SARYADI 2 7/2/2015
89 862324 RI15017627 HEYKHEL RHENANSYAH 3 7/8/2015
98 862324 RI15023611 HEYKHEL RHENANSYAH 3 9/11/2015
113 862324 RI15030112 HEYKHEL RHENANSYAH 3 11/28/2015
117 862324 RI15032649 HEYKHEL RHENANSYAH 4 12/20/2015
22 809829 RI14014299 DEDE IRAWAN 6 6/6/2014
27 809829 RI14017098 DEDE IRAWAN 6 7/3/2014
35 809829 RI14022844 DEDE IRAWAN 6 9/2/2014
40 809829 RI14026459 DEDE IRAWAN 6 10/9/2014
45 809829 RI14029670 DEDE IRAWAN 6 11/7/2014
56 856029 RI14029965 BY.NANI BINTI ARIFIN 0 12/31/2014
4 694233 RI14000900 M. ZAKARIA ARMANDA 2 1/12/2014
7 694233 RI14003691 M. ZAKARIA ARMANDA 3 2/9/2014
99 907935 RI15023619 FERLI BIN INDRA 2 9/14/2015
104 907935 RI15026281 FERLI BIN INDRA 2 10/12/2015
109 907935 RI15027279 FERLI BIN INDRA 2 11/7/2015
112 907935 RI15029555 FERLI BIN INDRA 2 11/19/2015
115 907935 RI15031269 FERLI BIN INDRA 2 12/5/2015
118 907935 RI15033230 FERLI BIN INDRA 2 12/30/2015
37 838041 RI14024165 FITRI NUR HIDAYAH 4 9/11/2014
41 838041 RI14026663 FITRI NUR HIDAYAH 4 10/13/2014
46 838041 RI14029770 FITRI NUR HIDAYAH 4 11/8/2014
50 838041 RI14032468 FITRI NUR HIDAYAH 4 12/6/2014
57 838041 RI14035170 FITRI NUR HIDAYAH 4 1/7/2015
61 838041 RI15002994 FITRI NUR HIDAYAH 4 2/4/2015
66 838041 RI15005758 FITRI NUR HIDAYAH 4 3/5/2015
94 904443 RI15021949 DZAKA NAUFAL FARIS 0 8/24/2015
28 828663 RI14018748 MISHEL PRISCILLIA 3 7/18/2014
32 828663 RI14019891 MISHEL PRISCILLIA 3 8/2/2014
36 828663 RI14023067 MISHEL PRISCILLIA 3 9/3/2014
48 828663 RI14031145 MISHEL PRISCILLIA 3 11/22/2014
53 828663 RI14033619 MISHEL PRISCILLIA.H 3 12/20/2014
58 828663 RI15002019 MISHEL PRISCILLIA H 3 1/24/2015
65 872163 RI15004803 RAYA HANDAYANI 2 2/26/2015
67 872163 RI15007048 RAYA HANDAYANI 2 3/16/2015
68 828663 RI15006867 MISHEL PRISCILLIA H 3 3/16/2015
69 872163 RI15007659 RAYA HANDAYANI 2 3/25/2015
80 872163 RI15013628 RAYA HANDAYANI 2 5/27/2015
92 872163 RI15019938 RAYA HANDAYANI 2 8/1/2015
105 872163 RI15025755 RAYA HANDAYANI 2 10/19/2015
85 899072 RI15016730 SILVI MELANI PUTRI 3 7/1/2015
90 899072 RI15019099 SILVI MELANI PUTRI 3 7/27/2015
101 899072 RI15024422 SILVI MELANI PUTRI 3 9/19/2015
108 899072 RI15027270 SILVI MELANI PUTRI 3 10/24/2015
9 801174 RI14005226 BOOH PARONI 9 2/27/2014
11 801774 RI14006279 M. AZKHA ZONATA 1 3/18/2014
14 801774 RI14009474 M. AZKHA ZONATA 1 4/11/2014
18 801774 RI14012217 M. AZKHA ZONATA 2 5/10/2014
23 801774 RI14015087 M. AZKHA ZONATA 2 6/7/2014
47 801174 RI14024541 BOOH PARONI 3 11/11/2014
63 801174 RI15004263 BOOH PARONI 4 2/21/2015
70 801174 RI15007338 BOOH PARONI 4 3/26/2015
74 801174 RI15009775 BOOH PARONI 4 4/25/2015
78 801174 RI15012483 BOOH PARONI 4 5/17/2015
13 776578 RI14009006 RANGGA SASTRA HAKIKI 1 4/3/2014
84 773578 RI15014217 IMAM HABIBILLAH 2 6/13/2015
88 773578 RI15017484 IMAM HABIBILLAH 2 7/6/2015
91 773578 RI15019510 IMAM HABIBILLAH 2 7/29/2015
95 773578 RI15021792 IMAM HABIBILLAH 2 8/24/2015
100 773578 RI15021793 IMAM HABIBILLAH 2 9/18/2015
106 773578 RI15026805 IMAM HABIBILLAH 2 10/20/2015
110 773578 RI15028649 IMAM HABIBILLAH 2 11/9/2015
79 884482 RI15013282 NASELAM BIN SAMIRSA 40 5/21/2015
116 923883 RI15030530 IMAM HABIBILLAH 0 12/10/2015
2 737787 RI14000139 FAHRI AKBAR BIN 4 1/7/2014
5 737787 RI14003106 FAHRI AKBAR BIN 4 2/5/2014
12 737787 RI14006708 FAHRI AKBAR BIN 4 3/19/2014
16 737787 RI14010375 FAHRI AKBAR 5 4/22/2014
20 737787 RI14013678 FAHRI AKBAR 5 5/24/2014
24 737787 RI14016377 FAHRI AKBAR 5 6/24/2014
29 737787 RI14019399 FAHRI AKBAR 5 7/25/2014
1 643689 RI13036800 ANISA KURNIA SARI 12 1/7/2014
6 643689 RI14003411 ANISA KURNIA SARI 12 2/8/2014
10 643689 RI14006404 ANISA KURNIA SARI 12 3/11/2014
3 729890 RI14000614 M.LUFFHI BIN ISNAINI 5 1/10/2014
8 729890 RI14003850 M.LUFFHI BIN ISNAINI 5 2/26/2014
73 883093 RI15009963 RISKI ANUGRAH 4 4/17/2015
96 906693 RI15021379 OKTOVIANO JUSTIN 0 8/26/2015
Gambaran histopatologi Staging
x x rb os prokemo

x x RB OD

flexner-wintersteiner rossetes tdak ada invasi massa tumor ke n. Optcus RB OS

x x RB OD prokemo

x x RB OD

x x post buckle sklera, vitrektomi, endolase

x x rb os

x x RB OD prokemo
x x RB OD

x 3 RB prokemo
x x RB sinistra

pseudorossete no invasi n.optcus rb od

x x rb ods prokemo
flexner-wintersteiner rossetes invasi sklera dan nervus optkus RB OD

x x Rb OD

x x RB os

III-IV RB OD
x x spermatocytc seminoma tests sinistra

x x RB OD

flexner-wintersteiner rossetes n. Optcus intraokular terlibat RB OD

x x Suspek Rb OS
x x yolk salk tumor
e sklera, vitrektomi, endolaser, injeksi, silicon oil oculi sinistra
cytc seminoma tests sinistra