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Pterygium: Case Report By: Kiki Rizki Elvandari, S.Ked Preceptor: Dr. Rahmat Syuhada
Pterygium: Case Report By: Kiki Rizki Elvandari, S.Ked Preceptor: Dr. Rahmat Syuhada
Case report
By : Kiki Rizki Elvandari, S.Ked
Preceptor : dr. Rahmat Syuhada, Sp.M
Patient identity
Name : Mrs. U
Age : 61
Sex : Female
Occupation : Farmer
RM Numbers : 080184
Hospitalized : 04/07/2017
ANAMNESIS
Patient Status
General Condition : mild illness
Awareness : compos mentis
Blood Pressure : 130/80 mmHg
Nadi : 88 x / min regular
Temperature : 36.5 C
Ophthalmological status
OD OS
20/30 Visus 20/40
OD OS
Papil (-) Conjungtiva palpebra Papil (-)
Folikel (-) Folikel (-)
Papil (-) Conjungtiva fornices Papil (-)
Folikel (-) Folikel (-)
Injeksi (-) Conjungtiva bulbi Injeksi (+)
Fibrovaskular tissue (-) fibrovaskular tissue(+)
Injeksi (-) sclera Injeksi (-)
Ophthalmological status
OD OS
Clear Cornea fibrovaskular tissue (+) from the
limbus cornea to the edges of the
cornea >1 mm
mild, pus (-) blood (-) Camera oculi anterior mild, pus (-) blood (-)
Kripta iris normal, brown color Iris Kripta iris normal, brown color
Spherical, d: 3mm, light reflex (+) Pupil Spherical, d: 3mm, light reflex (+)
Pseudopterigium
Pinguekula
Kista dermoid
Simblefaron
PROGNOSA
Quo ad vitam : dubia ad bonam
Quo ad functionam : dubia ad bonam
Quo ad Sanationam : dubia ad bonam
Treatment
medicamentosa
ANTIBIOTIC + CORTICOSTEROID
R/ CENDO XITROL ED NO 1
S 4 DD GTT 1 OS
ARTIFICIAL TEARS
R/ CENDO LYTEERS ED NO 1
S 3 DD GTT I OS
Non medicamentosa
Exstripasi and autograft conjungtiva sinistra
DISCUSSION
• Red eye
• Swelling of the eyes
• Itchy eyes
• Irritation
• Blurry vision
• Feel there that grows on the cornea
• Vision is impaired
DIFFERENTIAL DIAGNOSIS
PSEUDOPTERIGIUM PINGUEKULA
DIFFERENTIAL DIAGNOSIS
Giving antibiotics
Administration of corticosteroids
Artificial tearing
Surgery if needed
Education to patients
THANK YOU :*