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  • Glaukoma Akut

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    Horakhty Pride
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    Glaukoma akut is an acute form of glaucoma caused by a sudden and unexpected blockage of aqueous humor outflow, rapidly increasing intraocular pressure and causing severe pain, red eyes, and blurred vision. It is considered an ophthalmic emergency as vision is immediately threatened. Clinical findings include severe pain, redness, blurry vision, nausea, vomiting, halos, increased intraocular pressure, shallow anterior chamber, corneal edema, dilated pupils, and conjunctival injection. Treatment involves rapidly lowering intraocular pressure through topical medications like beta blockers and pilocarpine, as well as oral acetazolamide and hyperosmotic agents. Definitive treatments include laser peripheral iridotomy

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    Glaukoma akut is an acute form of glaucoma caused by a sudden and unexpected blockage of aqueous humor outflow, rapidly increasing intraocular pressure and causing severe pain, red eyes, and blurred vision. It is considered an ophthalmic emergency as vision is immediately threatened. Clinical findings include severe pain, redness, blurry vision, nausea, vomiting, halos, increased intraocular pressure, shallow anterior chamber, corneal edema, dilated pupils, and conjunctival injection. Treatment involves rapidly lowering intraocular pressure through topical medications like beta blockers and pilocarpine, as well as oral acetazolamide and hyperosmotic agents. Definitive treatments include laser peripheral iridotomy

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    13 views15 pages

    Glaukoma Akut

    Uploaded by

    Horakhty Pride
    Glaukoma akut is an acute form of glaucoma caused by a sudden and unexpected blockage of aqueous humor outflow, rapidly increasing intraocular pressure and causing severe pain, red eyes, and blurred vision. It is considered an ophthalmic emergency as vision is immediately threatened. Clinical findings include severe pain, redness, blurry vision, nausea, vomiting, halos, increased intraocular pressure, shallow anterior chamber, corneal edema, dilated pupils, and conjunctival injection. Treatment involves rapidly lowering intraocular pressure through topical medications like beta blockers and pilocarpine, as well as oral acetazolamide and hyperosmotic agents. Definitive treatments include laser peripheral iridotomy

    Copyright:

    © All Rights Reserved
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    of 15

    GLAUKOMA AKUT

    DR. AYU THEA PRIMANITA MAWAN, M.BIOMED, SPM


    GLAUKOMA
    Dampak  kualitas
    hidup penderita :
    • Gangguan penglihatan
    • Kebutuhan akan
    pengobatan yang
    intensif dan
    berkepanjangan

    2
    Apakah GLAUKOMA ?

    Suatu penyakit yang mengenai saraf mata, sehingga


    menyebabkan kerusakan struktur terkait dan penurunan fungsi
    penglihatan.

    Khas  disertai peningkatan tekanan bola mata

    3
    Bagaimana Proses Terjadinya
    GLAUKOMA ?

    4
    Bagaimana Proses Terjadinya
    GLAUKOMA ?

    5
    GLAUKOMA AKUT

    Glaukoma akut adalah glaukoma yg terjadi ketika


    ada hambatan outflow aqueous humor yang tidak
    diduga dan peningkatan tekanan intraocular yang
    sangat cepat sehingga menyebabkan nyeri yg
    hebat, mata merah dan penglihatan kabur
    ANGLE CLOSURE GLAUCOMA

    In some cases, the distance between the peripheral iris and the trabecular
    meshwork can be extremely narrow. Under certain circumstances, the iris can
    completely and suddenly close the angle resulting in sudden extreme pressure
    elevation. This is considered an emergency since vision is immediately
    threatened.
    CLINICAL FINDING

    • SUBJECTIVE:
    - SEVERE PAIN
    -REDNESS
    -BLURRING
    -NAUSEA AND VOMITING
    -HALO’S
    CLINICAL FINDING

    • OBJECTIVE : • GONIOSCOPY  narrow angle


    * Increase Intra Ocular Pressure 60-80 mmHg • Fundus examination :
    * Shallow anterior chamber * weakened or absent light reflex
    * corneal edema * papilledema
    * Moderately dilated pupil * venous congestion
    * mixed conjunctiva injection * disc hemorrhage
    * ciliary injection
    * Vought cataract
    OCULAR EXAMINATION AND DIAGNOSIS:

    • SUBJECTIVE / VISUAL ACUITY


    • OBJECTIVE
    • INTRAOCULAR PRESSURE
    • GONIOSCOPY
    CLINICAL FINDING
    • TREATMENT

     OPHTHALMIC EMERGENCY
     INITIAL TREATMENT  ↓↓ IOP
    * TOPICAL BETA BLOCKERS
    * PILOCARPINE 1-4 %
    * ACETAZOLAMIDE
    * HYPEROSMOTIC AGENT
    DEFINITIVE TREATMENT :
    * LASER (LPI) : LASER PERIPHERAL
    IRIDOTOMY
    * SURGICAL PERIPHERAL IRIDOTOMY
    * TRABECULECTOMY
    LASER AND SURGICAL TREATMENT
    TERIMAKASIH

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