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PTERYGIUM GRADE II OD
Yudo Prabowo
I 11110017
Introduction
Literature review
PTERYGIUM
Definition
Epidemiology
The prevalence rates of pterygium
obtained for a number of populations
vary widely, from 1.2% in urban,
temperate white people to 23.4% in
the black population of tropical
Barbados.
Research in Indonesia in Riau
showed 17.0% prevalence of
pterygium.
Etiology
Risk Factor
Age
Ultraviolet exposure
Geographic
Gender
Hereditary
Microtrauma
Pathogenesis And
Pathophysiology
Clinical Feature
Staging
11
Diagnosis
no symptoms
redness, swelling, itching, irritation, and blurring
of vision
Wing-like fibrovaskuler growth in eye
minimal proliferation and a relatively atrophic
appearance.
rapid growth and a significant elevated
fibrovascular component
Differential Diagnosis
pseudopterygium
Pinguecula
Pingueculae are extremely common in
adults. They appear as yellow nodules on
both sides of the cornea (more commonly
on the nasal side) in the area of the
palpebral aperture.
Complication
15
Visual impairment
Impaired eye movement
Dry eye
Treatment
16
Medical Care
artificial tears
topical corticosteroid
Surgical care
Prevention
17
Use hat
Protective glasses
Prognosis
18
Case
Anamnesis
Identity
Name
:
Age
: years old
Sex
: Man
Address
:
Occupation : field work, contractor
(pekerja lapangan)
Chief Complaint
History of Disease
History of Treatment
Examination
General Exmination
Conciousness
: Compos Mentis
Blood Pressure : 130/80 mmHg
Heart Rate
: 80 times/ minutes
Respiration Rate
: 20 times/ minutes
Temperature
: 36,5C
Ophtamology Examination
Visual acuity:
OD : 5/5
OS
: 5/5
Add +3.00
Ophtamology Examination2
Right eye
Left eye
Orthotropia
Orthotropia
Palpebra
edema (-)
Redness(+),Triangular flesh
Conjungtiva
edema(-)
Normal, Redness (-)
(+)
Clear, edema (-)
Cornea
clear, deep
COA
clear, deep
reactive to light
reactive to light
Clear
Lens
Clear
Negative (-)
Shadow Test
Negative (-)
Ophtamology Examination3
OS
OD
+
+
Resume
Resume2
Working Diagnosis
OD: Pterygium gr II
OS: -
Differential Diagnosis
Pseudopterygium
Pingueculae
Plan Examination
Slit lamp
Glucose blood examination
Treatment
Prognosis
Right eye
Ad vitam
: bonam
Ad functionam : dubia ad bonam
Ad sanactionam : dubia ad bonam.
Discussion
conclusion