Transcript
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CORNEDR. YULIA FITRIANI, SPM
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LAPISAN CORNEA
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KORNEAFISIOLOGI- Sebagi media referaka !" #$
D %
- Pe&i'd('g ) di'di'g b*&a maa.- +eer'ia' k*r'ea
dieraa'ka' *&e /0 +*'di1i deidra1i re&aif 0 S(1('a' 1e& ) 1era k*&age'
2a'g era(r0 Tidak ada'2a emb(&(dara !A3a1k(&er%
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Sa'dard 1ae
* Central zone *f 4-5 mm 6&*1e&2 71 a1eri6a& 1(rfa6e
* Paracentral zone, 5-# mm ri'g, 8i a'
*(er diameer *f 9-: mm, area *fr*gre11i3e ;ae'i'g ! prolate%
* Peripheral zone, *(er diameer *f 44
mm, greae1 ;ae'i'g a'd a1eri6i2* Limbus, *(er diameer a a3erage1 4<
mm, e 6*r'ea 1eee'1 bef*re *i'i'ge 16&era
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LIM=US
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NEO>AS+ULARISASI
+ORNEA
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SENSI=ILITAS +ORNEA
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PLACIDO DIS+
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+ERATOCONUS
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+ERATOGLO=US
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ERROSIO +ORNEA
DEFE+ EPITEL +ORNEA
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TRI+IASIS
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CORPUS ALIENUM CORNEA
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+ERATITIS
PERADANGAN PADA +ORNEA YANG DITANDAIDENGAN /
DEFE+ EPITEL +ORNEA
INFILTRAT DI SE+ELILING DEFE+ OEDEMA DI SE+ITAR INFILTRAT
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+ERATITIS
Rada'g ada k*r'ea Di1rib(1i / dif(1, f*ka&,
m(&if*ka&
+eda&ama' / eie&, 1(b eie&,1r*ma, e'd*e&
L*ka1i / 1e'ra&, erifer =e'(k / de'driik, di16if*rm,
'(m(&ar, ge*gra7ka, ('gaa Ca(1a / 3ir(1, bakeri, am(r
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CORNEAL DRA?ING
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GE@ALA
NYERI memb(r(k de'ga' ergeraka' a&ebra
FOTOFO=IA Iri1 merada'g k*'rak1i '2eri
=ERAIR Re;ek1 kare'a 12araf maa di k*r'ea 2g
merada'g Pe'(r('a' 3i1(1
Se'1a1i be'da a1i'g
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TANDA
Pe'(r('a' 3i1(1
I'ek1i 1i&ier
+*r'ea edem
I'7&ra / S(er71ia&, Pr*f('da
Se& rada'g di bi&ik maa dea' /
T2'da&& ee6, B2*i*'
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PEMERI+SAAN SPESIFI+
SLIT LAMP=IOMICROSCOPY
FLUORESCEIN TEST SENSITI>ITAS
+ORNEA
PEMERI+SAANMI+RO=IOLOGI
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I'ek1i 1i&ier
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OEDEMA +ORNEA
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T2'da& ee6
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SLIT LAMP BIOMICROSCOP
I'7&ra ('gaa1(er71ia&
I'7&ra ge*gra7ka
Infiltrat dendritik
Infiltrat numularis(stromal)
Infiltrat disciformis(stromal)
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FLUORESCEIN TEST
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PEMERIKSAAN
MIKROBIOLO!I
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ARCUS SENILIS
TIM=UNAN LIPID
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Ban" Shape" #eratopath$
B*ri*'a& *a6i2 ! i' e i'era&ebra& area %
O&d dege'eraed e2e1
B2a&i'e dege'erai*' " Ca de*1ii*'
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MICROBIAL KERATITIS%Bacterial&Pa*ge'1 8i6 6a' r*d(6e 6*r'ea&
i'fe6i*' i' i'a6 eie&i(m.
4.Nei11eria g*'*rr*eae
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Staph' aureus an" strep'pneumoniae
O3a&, 2e&&*8-8ie, de'1e&2
*a(e
1r*ma&1((rai*'1(rr*('ded b2re&ai3e&2 6&ear6*r'ea
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FUNGAL +ERATITIS
Fi&ame'*(1 f('ga& keraii1 A1ergi&&(1
F(1ari(m
Gre2i1-8ie (&6er 8i i'di1i'6margi'1
S(rr*('ded b2 feaer2 i'7&erae1
Ri'g i'7&erae E'd*e&ia& &a(e
B2*2*'
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Ca'dida keraii1
U1(a&&2 de3e&*1 i' re-ei1i'g 6*r'ea&di1ea1e *r imm('*6*mr*mi1ed aie'
Sae&ie &e11i*'
Ye&&*8-8ie (&6er De'1e 1((rai*'
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ACANTBAMOE=A +ERATITIS
Pr***a'
a6i3e !r***ie%
d*rma' !621i6%
C*mm*' i' 18immer1 a'd CL 8earer1 =&(rred 3i1i*' a'd di1r**ri*'ae ai'
Pa62 a'eri*r 1r*ma& i'7&erae1
Peri'e(ra& i'7&erae1 !radia& kera*'e(rii1% I'7&erae1 6*a&e16e ri'g ab6e11,
(&6erai*' a'd 2*2*'
?ie 1ae&&ie &e1i*'1
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BERPES SIMPLE +ERATITIS
Primar2 *6(&ar ere1/ =&ear*6*'('6i3ii1
+eraii1 !('6ae eie&ia&%
De'drii6 (&6er
M**re'H1 U&6er ! 6r*'i6 1eregi'*(1
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M**re' 1 U&6er ! 6r*'i6 1eregi'*(1(&6er %4r2 '*' i'fe6i3e 6*r'ea& (&6er
Rare
C*mm*' i' *&d age
Aei*&*g2 ! ('k'*8' % Limba& 3a16(&ii1 Pr*e*&2i6 e'2me1 'e6r*1i1 *f 1(. &a2er1
A(*imm('e di1ea1e
S2m*m1 4
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+eraii1 r*f('da
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UL+US +ORNEA
DEFE+ EPITEL+ORNEA
INFILTRAT DI
SE+ELILING DEFE+ OEDEMA +ORNEA
@ARINGAN
NE+ROTI+
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PERFORASI +ORNEA
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Seide& e1
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STAPBYLOMA +ORNEA
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+ERATOPLASTY
MEM=UANGSE=AGIAN +ORNEA
YANG RUSA+
MENGGANTIDENGAN +ORNEADONOR
MEM=ERI+AN
@ALAN CABAYAMASU+ +E DALAM=OLA MATA
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SI+ATRI+S +ORNEA
NE=UL
A
MA+UL
A
LE+OMA
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+erai6 re6iiae
gra'(&*ma*(1 N*' gra'(&*ma*(1
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