Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 43

Primaswari Annisa Febriana

30101407285
SGD 8 - MATA
List of Questions

1. What are the normal flora in the eyes?


2. Why the patient had red eyes since 3 days ago?
3. How is the classification of red eyes?
4. Why the patient has spasm palpebrae and edema?
5. Why the patient’s eye looks sticky and difficult to open?
6. What is fibro-vascular fiber? How could it happen?
7. What is papil conjunctiva? How could it happen?
8. What is conjunctiva injection? How could it happen?
9. What are kind of eye discharge? How can eyes produce abnormal discharge?
10. What are the etiology of inflammation of the eye?
11. What is the diagnosis and the DD
12. What is the additional examination of the scenario?
13. How is the treatment of the disease?
14. Education and prevention through the disease?
Ophtalmology; A
Short Textbook;
Chapter 5;
Conjunctiva
2. Why the patient had red eyes since 3 days ago?

Antigen / Foreign molecules/ Non


Self Molecules

APC
(Antigen Presenting Cells)

Releasing inflammatory mediators:


 Histamine, Bradykinin and etc.
 IL dan TNF

Histamine Bradykinin
Itching, increase the permeability of Interleukin and TNF
Activation of another Increase the vascular permeability,
blood vessels, vasodilation. vasodilation, sensitization of pain
immune cells

Vasodilation of Posterior Conjunctiva


Arteries and increase its permeability

Edema Extravasation to the extravascular Exudation of immune cells 


space secret (+)  difficult to open

Imunologi Fakultas Kedokteran Universitas Indonesia; Dasar – dasar Infeksi


3. How is the classification of red eyes?
Red Eyes

Visus Examination

Normal Visus Examination Decrease in Visus Examination

 Endophtalmitis
 Conjunctivitis
 Acute Glaucome

 Subconjunctival Hemorrhages  Keratitis acute

 Corneal ulcer
 Pterygium
 Anterior uveitis

Add the explanation about blepharitis, hordeolum, episcleritis, scleritis, pinguecula


CONJUNCTIVITIS
Conjunctivitis
Chlamydia  Gram Negative Bacteria
HORDEOLUM
Kelenjar Zeis :
Kelenjar Moll
Kelenjar Meibom:
Notes! How to
Differentiate?
How to differentiate

Hordeolum and

Chalazion?
Ask and Palpate the
Lesion

Painless 
Painful  Chalazion
Hordeolum (due to chronic
inflammation)
SCLERAL INFLAMMATION
EPISCLERITIS AND SCLERITIS
Episcleritis

Circumscribed, usually

segmental, and generally

nodular inflammation of the

episclera (connective tissue

between sclera and

conjunctiva).
Capsula Tennon /
Fascia Bulbi:
Melingkupi bola mata
dan N. Opticus dan
pembuluh darahnya
terususun radier

Bedakan dengan
conjunctiva!

 Pembuluh darah
conjunctiva letaknya
paling superfisial
Scleritis

Diffuse or localized

inflammation of the

sclera.
Terapi:
Steroid (Corticosteroid) sebagai anti nyeri
Jika masih terasa nyeri  Immunosuppressive aggent
PINGUECULA
4. Why the patient has spasm palpebral and edema?
Antigen / Foreign molecules/ Non
Self Molecules

APC
(Antigen Presenting Cells)

Releasing inflammatory mediators:


 Histamine, Bradykinin and etc.
 IL dan TNF

Histamine Bradykinin
Itching, increase the permeability of Interleukin and TNF
Activation of another Increase the vascular permeability,
blood vessels, vasodilation. vasodilation, sensitization of pain
immune cells

Vasodilation of Posterior Conjunctiva


Arteries and increase its permeability

Edema Extravasation to the extravascular Exudation of immune cells 


space secret (+)  difficult to open

Imunologi Fakultas Kedokteran Universitas Indonesia; Dasar – dasar Infeksi


Spasm Palpebral
5. Why the patient’s eye looks sticky and difficult to open?
Antigen / Foreign molecules/ Non
Self Molecules

APC
(Antigen Presenting Cells)

Releasing inflammatory mediators:


 Histamine, Bradykinin and etc.
 IL dan TNF

Histamine Bradykinin
Itching, increase the permeability of Interleukin and TNF
Activation of another Increase the vascular permeability,
blood vessels, vasodilation. vasodilation, sensitization of pain
immune cells

Vasodilation of Posterior Conjunctiva


Arteries and increase its permeability

Edema Extravasation to the extravascular Exudation of immune cells 


space secret (+)  difficult to open

Imunologi Fakultas Kedokteran Universitas Indonesia; Dasar – dasar Infeksi


6. What is fibro-vascular fiber? How could it happen?
8. What is conjunctiva injection? How could it happen?

You might also like