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Culture Documents
Corne A: Dr. Yulia Fitriani, SPM
Corne A: Dr. Yulia Fitriani, SPM
LAPISAN CORNEA
KORNEA
FISIOLOGI
- Sebagi media referakta (+ 45
D)
- Pelindung / dinding bola mata.
- Kejernihan kornea
dipertahankan oleh :
* Kondisi dehidrasi relatif
* Susunan sel / serat kolagen
yang teratur
* Tidak adanya pembuluh
darah (Avaskuler)
Standard shape
o
LIMBUS
NEOVASKULARISASI
KORNEA
SENSIBILITAS KORNEA
PLACIDO DISK
KERATOCONUS
KERATOGLOBUS
ERROSIO KORNEA
TRIKIASIS
KERATITIS
KERATITIS
CORNEAL DRAWING
GEJALA
NYERI
FOTOFOBIA
BERAIR
Penurunan visus
Sensasi benda asing
TANDA
Penurunan visus
Injeksi silier
Kornea edem
Infiltrat : Superfisial, Profunda
Sel radang di bilik mata depan :
Tyndall effect, Hypopion
PEMERIKSAAN SPESIFIK
SLIT LAMP
BIOMICROSCOPY
FLUORESCEIN TEST
SENSITIVITAS
KORNEA
PEMERIKSAAN
MIKROBIOLOGI
Injeksi silier
OEDEMA KORNEA
Tyndal effect
Infiltrat pungtata
superfisial
Infiltrat numularis
(stromal)
Infiltrat dendritik
Infiltrat disciformis
(stromal)
Infiltrat geografika
FLUORESCEIN TEST
PEMERIKSAAN
MIKROBIOLOGI
ARCUS SENILIS
TIMBUNAN LIPID
MICROBIAL KERATITIS
(Bacterial)
Pathogens which can produce corneal
infection in intact epithelium.
1.Neisseria gonorrhoeae
2.Corynebacterium diphtheriae
3.Listeria
4.Haemophilus
FUNGAL KERATITIS
Aspergillus
Fusarium
Candida keratitis
ACANTHAMOEBA KERATITIS
Protozoan
active (trophozoite)
dormant (cystic)
Common in swimmers and CL wearers
Blurred vision and disproportionate pain
Patchy anterior stromal infilterates
Perineural infilterates (radial keratoneuritis)
Infilterates coalesce ring abcess,
ulceration and hypopyon
White satellite lesions
Blepharoconjunctivitis
Keratitis (punctate epithelial)
Dendritic ulcer
Aetiology
( unknown )
Limbal vasculitis
Autoimmune disease
Symptoms
Signs
Proteolytic enzymes
12345
Treatment
Usual ttt + Topical Steroids
Topical Cyclosporine
Conj. Excision // to the ulcer
Lamellar keratoplasty
Systemic Steroids & Immunosuppressive drugs
Keratitis profunda
ULKUS KORNEA
DEFEK EPITEL
KORNEA
INFILTRAT DI
SEKELILING DEFEK
OEDEMA KORNEA
JARINGAN
NEKROTIK
PERFORASI KORNEA
Seidel test
STAPHYLOMA KORNEA
KERATOPLASTY
MEMBUANG
SEBAGIAN KORNEA
YANG RUSAK
MENGGANTI
DENGAN KORNEA
DONOR
MEMBERIKAN
JALAN CAHAYA
MASUK KE DALAM
BOLA MATA
SIKATRIKS KORNEA
NEBUL
A
MAKUL
A
LEKOM
A
Keratic precipitate
granulomatous
Non granulomatous