MATA MERAH VISUS

TURUN

Dr Margrette Paliyama Franciscus SpM

MSc

Anatomy

made by dr saptoyo

Pathogenesis
infection

: bacterial , viral , fungus

Immunology ~chronic recidiv,underlying diseases?
Toxic/irritant ~ SJS , burn
Deficiency ( tears ) ~ dry eyes , Sicca
syndrome
Foreign bodies ( cornea , etc )
* Media included --- decreased visus
* organs ??? *.. *.. *..
made by dr saptoyo

Anatomy

made by dr saptoyo

Matamerah visus turun

made by dr saptoyo

Media included

Cornea
Uvea / COA
Lensa
Bulbus oculi
retina

Keratitis
Ulcus cornea
Uveitis anterior
Endoftalmitis - PanOft ~
VKH - SO
Acute Glaucoma

bacterial
viral

INFECTION

fungus
Immunology / allergy
Deficiency ( tears )
Anatomic ( lagoft,
neuroparalitic )

made by dr saptoyo

Sign and symptom

Keratitis, acute Uveitis , Acute Glaucoma ,
acute conjunctivitis ?
Viral infection & fungal infection ?
Worst corneal ulcer, E/ ?

made by dr saptoyo

Anamn/Sign

BACTERIA

VIRAL

FUNGUS

ALLERGIC

SECRET

PURULENT

Serous

serous

Serous

ITCH (gatal)

+++

LEAF (plant)

SYSTEMIC

LL NN

+ Pre auricular

KPS-Ks DENDRITIC

Satelite and
Specific Ulcers :

Periphery and
Shield Ulcers

FORM

SITE

CORNEAL
SENSIBILITY

TH/ CONJs

TH/ KERSULCERS

ED

BIG ULCERS : Ps.

aeruginosa
Any

GEOGRAPHIC ULCERS

DECREASED

AB

AB + Artif Tears

AB

Mast C St/ STEROID

AB hard

AB + Anti Vi ED

AB + Anti Fu

( AB ) + Steroid ED

HIGH in central Ulcer

CORNEAL

made by dr saptoyo

PERIPHER

KERATITIS
Bacteria , Virus , Fungus , Allergic
Symptom n sign ...
Teraphy : ~ E/
* AB : Genta , Cipro , Oflo , LFX ED ,
Chloramf
ED/EO.
Inj : Genta , Ceftriaxon
Anti fungus : Nystatin , Fluoconazole
Artif tears

Steroid ED : Hydrocort , Prednisolon ,

Fluorometholon , etc

made by dr saptoyo

Keratitis marginalis

made by dr saptoyo

Corneal abcess

made by dr saptoyo

Corneal ulceration with hypopion

made by dr saptoyo

Corneal Ulcers ... Th/ :

AB

: H A R D !!! ED : Dosage : > 6 x

... Systemic ?
Midriaticum ..... Rest !!!
CO ! asap

made by dr saptoyo

Endophthalmitis

made by dr saptoyo

Perforated corneal ulceration

made by dr saptoyo

Endophthalmitis

Panophthalmitis

made by dr saptoyo

Corneal Ulcers + Endophts ... Th/ :

AB

: H A R D !!! ED : Dosage : > 6 x

... Systemic ?
Midriaticum ..... Rest !!!
CO ! asap

made by dr saptoyo

Anterior Uveitis

made by dr saptoyo

Anterior uveitis

made by dr saptoyo

Anterior Uveitis

made by dr saptoyo

Anterior Uveitis
Immunologics

~~~ Steroid ED 6 x

AB ED : 6 x
Sinechia = attached Hard Midratics
( SA 1 % ED 3 x )
Th/ focal infection
Co. asap

made by dr saptoyo

Acute congestive glaucoma

made by dr saptoyo

made by dr saptoyo

Acute Congestive Glaucoma

Blurred

vision , redness eye ,

Hi

IOP
Verry PAIN ... Nausea , vomitting
Corneal Edema , shallow COA ,
midriatic pupil

made by dr saptoyo

Th/ acute cong. Glauma

Acetazol

amid 3 dd 250 500 mg

K suppl tabl
Timolol 0,5 % : 2 x
AB + steroid ED
Manitol infus

made by dr saptoyo