Mata I Flashcards

(54 cards)

1
Q

gejala:
- nyeri dan bengkak di orbita bagian temporal
- tes regurgitasi (-)
- anel test (+)
dx?

A

darkrioadenitis

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2
Q

dakrioadenitis adalah

A
  • infeksi pada glandula lakrimalis
  • pada anaksering sbg komplikasi penyakit sistemik spt morbili
  • pd dewasa krn trauma
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3
Q

tatalaksana dakrioadenitis

A

simptomatik
kompres hangat

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4
Q

gejala:
- epifora
- tanda inflamasi: eksudat, merah, nyeri tekan di sisi nasal inferior
- regurgitasi (+)
- anel test (-)
dx?

A

dakriosistitis

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5
Q

dakriosistitis adalah

A

infeksi pada saccus lacrimalis

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6
Q

etiologi dakriosistitis

A

S. aureus
S. pneumonia
H. influenza

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7
Q

Tx dakriosistitis

A

antibiotik sistemik
- Coamoxiclav 3x500 PO
antibitik topikal
irigasi (tidak saat fase akut)

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8
Q

gejala:
- epifora
- sekret sejak lahir
- dakriosistitis rekuren
- tanda radang (-)
dx?

A

dakriostenosis

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9
Q

dakriostenosis ialah

A

penyempitan saccus larcrimalis baik kongenital maupun ecquired ec trauma

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10
Q

px penunjang awal dakriostenosis

A

anel test

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11
Q

px penunjang gld standard dakriostenosis

A

dakriosistografi

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12
Q

tx dakriostenosis kongenital

A

<12 bulan: observasi, masase
>12bulan: probing, di spesialis

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13
Q

tx acquired dakriostenosis

A

dacriocystorhinostomy

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14
Q

anel test prosedur

A

memasukkan jarum tumpul ke punctum lacrimal, menyemprotkan larutan garam fisiologis untuk uji patensi

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15
Q

anel test hasil

A

anel test + : normal, ada rasa asin di tenggorokan
anel test -: ada gangguan patensi, tidak ada rasa asin

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16
Q

prosedur regurgitation test

A

penekanan area saccus lacrimalis

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17
Q

hasil regurgitation test

A

regurgitasi +: gangguan patensi
regurgitasi -: normal

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18
Q

inspeksi:
margo palpebra menggulung ke dalam
gejala:
- sensasi benda asing
- fotofobia
- nyeri
- lakrimasi
dx?

A

entropion

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19
Q

etiologi entropion

A
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20
Q

tx entropion

A

rekonstruksi palpebra

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21
Q

inspeksi:
penggulungan margo palpebra ke arah luar
gejala:
- sensasi benda asing
- fotofobia
- nyeri
- lakrimasi
dx?

A

ektropion

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22
Q

inspeksi:
perlekatan keonjungtiva palpebra + bulbi
gejala:
- keterbatasan gerak bola mata
- diplopia
- lagoftalmos
Dx?

23
Q

etiologi simblefaron

A

trauma, konjungtivitis, Sindrom Steven-Johnson

24
Q

inspeksi:
perlekatan margo palpebra superior dan inferior

A

ankyloblepharon

25
etiologi ankyloblepharon
kongenital, trauma, blefaritis ulseratif
26
gejala: ketidakmampuan menutup bola mata, mata kering Dx?
lagoftalmos
27
etiologi lagoftalmos
paralisis N.VII, trauma, simblefaron, ektropion berat
28
gejala: jatuhnya palpebra superior sehingga menutupi bola mata amblyopia Dx?
ptosis
29
etiologi ptosis
kongenital, paralisis N.III
30
Tx simblefaron
artificial tears simblefarektomi
31
Tx ankyloblepharon
eksisi dan separasi palpebra
32
Tx lagoftalmos
artificial tears antibiotik
33
Tx ptosis
koreksi bedah
34
gejala: - lipatan kulit vertical pada canthus medial - biasa ditemukan di orang asia - menyebabkan pseudoesotropia Dx?
epicanthus
35
gejala: - jarak intercanthus melebar - etiologi: trauma, kongenital (down syndrome) Dx?
telecanthus
36
kulit pretarsal dan otot orbicularis oculi menyebabkan bulu mata nekuk ke arah tarsus Dx?
epiblepharon
37
inspeksi: tumbuhnya bulu mata ke arah dalam posisi palpebra normal gejala: - sensasi benda asing - fotofobia - nyeri - lakrimasi Dx?
trichiasis
38
etiologi trichiasis
trachoma, blefaritis ulseratif, hordeolum eksternum
39
Tx trichiasis
epilasi
40
inspeksi: barisan bulu mata tambahan dapat menekuk ke arah bola mata gejala: sensasi benda asing fotofobia nyeri lakrimasi Dx?
distichiasis
41
tx distichiasis
epilasi
42
gejala: benjolan lunak-keras di palpebra tidak nyeri tidak merah steril terasosiasi dengan rosacea Dx?
kalazion
43
definisi & etiologi kalazion
peradangan granulomatosa KRONIS, NON INFEKTIF, pada kelanjar MEIBOM
44
gejala: - benjolan merah, hangat, edema, nyeri - lebih nyeri dibanding hordeolum eksterna - kalazion terinfeksi Dx?
hordeolum interna
45
definisi hordeolum interna
peradangan SUPURATIF , AKUT, kelenjar MEIBOM
46
etiologi hordeolum internum
infeksi S. aureus kalazion terinfeksi
47
gejala: benjolan merah, hangat, edema, nyeri Dx?
hordeolum externum
48
definisi hordeolum externum?
peradangan akut supuratif kelenjar Zeis dan Moll
49
etiologi hordeolum externum
infeksi S. aureus
50
Tx konservatif kalazion
injeksi steroid intralesi Triamsonolon 40 mg/ml sebanyak 0.1-0.2 ml
51
Tx konservatif hordeolum
- eyelid hygiene - kompres hangat 4-6x/hari, 15 menit - antibiotik topikal → salep oksitetrasiklin/kloramfenikol 3x1 → tetes mata kloramfenikol 0.25% - antibiotik oral → eritromisin 2x500, 3 hari → diklosasiklin 4x1, 3 hari
52
Tx surgikal kalazion
ekokleasi kalazion
53
Tx surgikal hordeolum internaI
insisi vertikal
54
tx surgikal hordeolum eksterna
insisi horizontal