Surabaya Brain Tumor Update Eye Disturbance & Brain Tumor Indri Wahyuni Departemen Ilmu Kesehatan Mata FK Unair/ RSUD Dr. Soetomo RS Premier Surabaya
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Surabaya Brain Tumor Update
Eye Disturbance & Brain Tumor
Indri WahyuniDepartemen Ilmu Kesehatan Mata FK Unair/
RSUD Dr. Soetomo
RS Premier Surabaya
Why Eye Examination Important
PREDICTED
PRESENT CONDITION
EDUCATION
Eye Sign for Brain Tumor
Blurring
Diplopia
Visual Field Defect
Eye Movement
Eye position Colour Changes
Optic nerve change
IMPORTANT Eye Examination for Brain Tumor
VISUAL FIELD
EYE MOVEMENT
COLOUR
VISUAL ACUITY
RAPD
OPTIC NERVE
IMPORTANT Eye Examination for Brain Tumor
VISUAL ACUITY
❖ Normal or Abnormal
❖ False Normal
❖ Location, complication
❖ Important !! to check
IMPORTANT Eye Examination for Brain Tumor
RAPD
IMPORTANT Eye Examination for Brain Tumor
VISUAL FIELD
VISUAL FIELD
IMPORTANT Eye Examination for Brain Tumor
EYE MOVEMENT
EYE MOVEMENT
❖ FORCED DUCTION TES
❖ EYE POSITION
IMPORTANT Eye Examination for Brain Tumor
COLOUR ❖ Dyscromatopsia ; red first ; ishihara ; fansworth
IMPORTANT Eye Examination for Brain Tumor
OPTIC NERVE
Optic Disc & Brain Tumor
PAPIL EDEMA PAPIL ATROFI
TEKANAN INTRA KRANIAL ↑
TORNIQUET
TRANSPORT AXSOPLASMIC
ISCHEMIA
GANGLION SEL & AXON OPTIC NERVE
INFLAMATION
INFILTRATION
COMPRESIION
DEMYELINATION
1. C- shape halo; temporal gap 2. Halo Circumferential
3. Start Loss of Major vessel 4. Loss of Major vessel
5. Obscuration vessel PAPIL ATROFI
COMPLICATION AFTER SURGERY
❖ BLINDNESS — PION
❖ CHEMOSIS
❖ Not Direct — Cataract &
Glaukoma
BLINDNESS
TO FIND THE ETIOLOGY AND DIAGNOSIS
THE EARLIER THE BETTER
FOR LIFE SAVING & VISUAL SAVING
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