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Abstrak PIT PO-II Yati
Abstrak PIT PO-II Yati
Abstract
Methods : A boys, 1 y.o present with a four days history of redness, swelling, discharge, and watery
eyes of LE. RE was normal. No history of trauma. Ophthamology examinations found hyperemic
superior tarsal conjunctiva LE, cornea was clear. Diagnosis of conjunctivitis was made, then
chloramphenicol eye ointment given. Six days later, the patient came with prominent swelling of
eyelid and report with blood discharge. We found irregularities and thick membran in superior tarsal
conjunctival of LE, cornea still clear. Release of conjunctival membran was perform and sent to
pathology and microbiology examinations. Systemic intravenous ceftriaxone, levofloxacin eyedrop
were added. Few days later, eyelid edema reduced significantly, but conjunctival membran have to
released everyday, with still irregularities surface. The child is examined by a pediatrician to rule out
the possibility of a diphtheria disease. One week later, microbiology culture show positive for
candida, and pathology examination found no cancer cell. The treatment was added with fluoconazole
eyedrop.
Result : There is a significant clinical improvement, the conjunctival membrane is reduced and
conjunctival surface becomes more slippery and smooth.
Conclusion : In the case of unilateral, membranous conjunctivitis, with slow response to topical
antibiotics, the diagnosis of candida conjunctivitis may be considered.