infrksi pada mata

7/23/2019 Infrksi Pada Mata

1/89

ALFI NUR AKMALIA MUKHTAR

ENYAKIT

INFEKSI

ADA MATA


2/89

2

KONJUNGTIVITIS

EXTERNAL EYE DISEASE


3/89

EXTERNAL EYE DISEASE 3

KONJUNGTIVITIS BAKTERIAL

Gejala: mata merah, t!a" "a#$r, ra%a me&''a&jal !a&

(a&a%, "el)(a" mata le&'"et !a& %$lt mem#$"a mata

* Ta&!a:* +al(e#ra : e!ema $lateral, &)rmal* K)&j$&'t-a: . h(erem ")&j$&'t-a,

. (a(l. %e"ret m$")($r$le& !a& ($r$le&/

. mem#ra& ata$ (%e$!)mem#ra&


4/89


5/89

.+e&0e#a#: 'ram ()%t(:%e"ret

(%e$!)mem#ra&


6/89

. +e&0e#a#: #a"ter !1ter

%e"ret


7/89

* +e&0e#a# ter#a&0a" Stre(/ +&e$m)&a, %ta(/ Aere$%,/I&1l$e&a

* S$m#er &1e"%: . ")&ta" la&'%$&' 4e0e.ha&!.e0e5

. &1e"% !ar &a%al !a& %&$%

* %el1 lmte! 67.68 har, "e9$al j" "$ma& %a&'at

-r$le&

e: &e%%era ')&)re, %tre( (0)'e&


8/89

La#)rat$r$m%9ra((&'

* +e&'e9ata& 'ram !a& "$lt$r t!" !(erl$"a&, "e9$al

")&!% !#a;ah &:

6/ h)%t 0' 9)m(r)m%e! 4 &e)&at$%, lemah,

m$&)")m(r)m%e5

2/ U&re%()m%-e !e&'a& tera( a;al

3/ Se-ere ($r$le& !%9har'e $ #e!a& !e&'a&

"a%$% h(er($r$le& 0' #a%a&0a (erl$ t %%tem"


9/89


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* +e&0e#ara&: %e"re% ar mata%e9ara ")&ta" la&'%$&'

* +e&9e'aha&: h&!ar ")&ta" !a& %er&' 9$9 ta&'a&

* Gejala dan tanda klinis

O&%et a"$t

E!ema "el)(a"

K)&j$&'t-a: &je"% ")&j$&'t-a, 1)l"el , %e"ret %er)%aKa%$% #erat: (er!araha& %$#")&j$&'t-a, "em)%% !a&

(%e$!)mem#ra&/

Bla terja! "eratt%, (a!a ")r&ea tam(a": &1ltrat

($&'tata, !e&!rt" e(tel , %$#e(tel !a& %tr)ma

K)&j$&'t-t% Vral


11/89

@)l"el

(a!a ")&j$&'t-a tar%al* @)l"el (a!a

tar%$% %$(er)r


12/89

62

er(e% Sm(le"

* Ba&0a" !tem$"a& (a!a !e;a%a

* Dtra&%m% "e &e)&at$% %aat (r)%e% (er%al&a&

* +KGB (re a$r"$ler

* Ve%"el: "$lt ata$ e0el! mar'&

* U&lateral #le1ar)")&j$&'t-t%h0 3 0'

#lateral

m$& !%1$&9t)&* K)&j$&'t-a (al(e#ra: 1)l"el

* +erjala&a& %a"t: 2.3 m&''$


13/89


14/89

68

K)&j$&'t-t% Var%ela )%ter

* De"a!e F7 th&

* (! (e&!erta !'& t m$&)%$((re%-e 4mal'&a&90,

IV5 ()%t )(era%, ()%t ra!a%* N0er -e%"$lar !ermatt%%&'le !ermat)m

*


15/89

EXTERNAL EYE DISEASE 6>


16/89

77 m'

* Vala909l)-r 36777 m'

* A909l)-r >H77 m'* T)("al t!" #erma&1aat

* T)("al l$#r9e&t../j" &e$r)tr" "erat)(at

* Bla terja! !%%em&ate! )%ter "r&m$&)%$((re%)&- a909l)-r

* Le% "$lt%ale( a&t#)t"a


17/89

6?

K)&j$&'t-t% Ver&al

* Ber$la&' me&$r$t


18/89

)#le %t)&e

6H

KONJUNGTIVITIS VERNAL

* (ertr)1 (a(ler


19/89

K)&j$&'t-t% Ver&al


20/89


21/89


E!$"a% K)&j$&'t-t% Ver&al

* ")m(re% !&'& 67, 3.8har

* (a"a (el&!$&' 4"a9amata, t)(5

* (&!ah "e !aerah !&'& 4#la m$&'"&5* et)l)' (erjala&a& %a"t

48.67 th&,rem% e"%a%er#a%5

* T!a" #)leh mema"a %ter)! t)("al ter$%me&er$% 4e/%/)5


22/89


KONJUNGTIVITIS ATO+IK

* R;a0at At)( 4e9ema, a%ma5 ("el$ar'a* Rea"% t(e IG E* G: h(erem, burning sensation, mucoid discharge, 1)t)1)#a* Kem)%%* U&lateral, #%a j' #lateral* "l&%: . %e(a&ja&' tah$&* . (a(l "e9l !#a&!$&' VK

. (a(l ! %$( &1%ama . ")&j$&'t-aCml"0 ")&j$&'t-a e!ema


23/89


24/89



25/89


TRAKHOMA

+e&0e#a#:Chlamydia Trachomatis%er)t(e A, B, Ba!a&/

Ter!a(at (a!a ma%0ara"at !e&'a& h'e&e 0a&'

"$ra&', %a&ta% jele"

+e&0e#ara&&0a")&ta" la&'%$&' ata$ melal$

fomites


26/89

EXTERNAL EYE DISEASE 2F


27/89

EXTERNAL EYE DISEASE 2?

Gam#ara& "l&" tra"h)ma me&$r$t


28/89

EXTERNAL EYE DISEASE 2H

Gra!&' me&$r$t World Health Organization:

T@ C> 1)l"el tra"h)ma (a!a ")&j$&'t-atar%$% %$(er)r

TI C I&1lama% tra"h)mat$% !1$% h(ertr)1

(a(ler (a!a ")&j$&'t-a tar%$% %$(er)r,0a&' me&'a#$r"a& >7 (em#$l$h.

(em#$l$h !arah (r)1$&!$%

TS C S"atr"% ")&j$&'t-a tra"h)mat$%TT C Tr"a%% tra")mat$% ata$ e&tr)()&

O C Ke"er$ha& ")r&ea 4Corneal opacity)


29/89


T)("al: . Tetra%"l& 1% salep mata 2x/hr 2 bln

- Erithromycin 1% tetes/ salep mata 4x/hr 2 bulan

- Sulfacetamid 10% tetes mata 4x/hr 3bulan

ral! tetracyclin 1"# $ 2 ram/hari1 bulan

erytromisinbila resisten thd tetrasi&lin

a'ytromycin 1000 m sinle dose

Tata laksana:


30/89


31/89


GONOBLENORRHOE

G)&)#le&)rrh)e a!alah "era!a&'a&

h(era"$t ")&j$&'t-a !e&'a& %e"ret ($r$le&

0a&' !%e#a#"a& )leh NeisseriaGonorrhoeae/

+e&$lara& "e mata ata$ !ar 6 )ra&' "e

)ra&' la& a!alah melal$ ta&'a& ata$fomites/


32/89


Gambaran Klinis:


33/89

Kerat)")&j$&t-t%

gonooen :


34/89


Kel$ha& (a!a (a%e& a!alah: mata

merah, #e&'"a" %e"ret %e(ert &a&ah

0a&' "a!a&'."a!a&' #er9am($r !arah/Gam#ara& "l&% (a!a (a%e& a!alah:

.Kel)(a" mata #e&'"a", "are&a e!ema

")&j$&'t-a (al(e#ra !a& ")&j$&'t-a #$l#

.Se"ret mata 0a&' #a&0a" !a& ($r$le&

.K)&j$&'t-a %a&'at h(erem

.+er!araha& ")&j$&'t-a


35/89


Pemeriksaan Labratri!m:

Ker)"a& ")&j$&'t-a ata$ %e"ret mata 0a&'($r$le& !9at Gram, a"a& !!a(at"a& "$ma&

!(l)")"$% 'ram &e'at1 0a&' #e&t$"&0a

%e(ert #j ")( ter%e#ar ! l$ar !a& !alam%el/ Sela& t$ j$'a !!a(at"a& %el.%el +


36/89


Km"likasi:

Keratt%Ul"$% mar'&al (a!a %$l"$% 0a&'

(e&$h #er% ($% !a&tara ")&j$&'t-a

0a&' #e&'"a" !a& ")r&ea (a!a lm#$%

Ul"$% ")r&ea %e&tral 0a&' !a(at

me&'arah "e (er1)ra% ")r&ea !a&

e&!)1talmt%/


37/89


Tata Laksana:

G)&)#le&)rrh)e ta&(a (e&0$lt (a!a

")r&ea:

T)("al: Sale( mata Tetra%"l& l 6 ata$

tete% mata (r)1l)a9& 7,3 !#er"a&

m&mal F hr (a!a &e)&at$% !#er"a&

%e!"t&0a ta( 2 jam (a!a (e&!erta !e;a%a,

!la&j$t"a& %am(a > har %am(a terja!

re%)l$%/ Se#el$m !#er"a& %ale( tete%mata, %e"ret har$% !#er%h"a& terle#h

!ah$l$/


38/89

EXTERNAL EYE DISEASE 3H

S%tem":

+a!a &e)&at$% !a& a&a".a&a", &je"%+e&9ll& G !#er"a& !e&'a& !)%% >7/777.

677/777 IU "' BB/

+a!a )ra&' !e;a%a, !#er"a& +e&9ll& G8,H j$ta IU I< !)%% t$&''al, !tam#ah

!e&'a& +r)#e&e9! 6 'ram (er )ral ata$

Am(9ll& 3,> 'ram (er )ral !)%% t$&''al/


39/89


G)&)#le&)rrh)e !e&'a& (e&0$lt (a!a

")r&ea:

T)("al:

(r)1l)a9& 7,3 !e&'a& 9ara (em#era&

%e#a'a #er"$t:

ar I : 6.2 tt% ta( 6> me&t F jam Sela&j$t&0a 2 tt% ta( 37me&t

ar II : 2 tete% ta( 6 jam

ar III.XIV : 2 tete% ta( 8 jam


40/89


S%tem":

+e&')#ata& %%tem" !#er"a& %e(ert(a!a G)&)#le&)rrh)e ta&(a (e&0$lt (a!a

")r&ea/

Sela& )#at %(e%1" $&t$" NeisseriaGonorrhoeae, !a(at !#er"a& %"l)(le'"

%e(ert S")()lam& 7,2> 2.3hr $&t$"

me&'hla&'"a& &0er "are&a %(a%me %ler!a& $&t$" me&9e'ah %&e"a/


41/89


Pr#nsis:

Bla (e&')#ata& !#er"a& %e9e(at&0a

!e&'a& !)%% 9$"$(, G)&)#le&)rrh)e a"a&

%em#$h ta&(a ")m(l"a%/

Bla (e&')#ata& !#er"a& le#h lam#atata$ "$ra&' a!e"$at, ma"a

"e%em#$ha&&0a !a(at !%erta %"atr"%

")r&ea !a& (e&$r$&a& tajam (e&'lhata&

0a&' me&eta( ata$ #ah"a& "e#$taa&/


42/89

K)&j$&'t-t% Ba"teral


43/89

* &1e"% (a!a ")r&ea, !%e#a#"a& )leh: #a"ter, jam$r, -r$% !a& m$&)l)'%

* Um$m&0a !!ah$l$ )leh:

tra$ma (a!a ")r&ea

(e&''$&aa& le&%a ")&ta"

(ema"aa& ")rt")%ter)! t)("al 0a&' t!a" ter")&tr)l

(eta&: me&9$9 m$"a ! ar %a;ah

*Gejala dan tanda klinis

(e&$r$&a& -%$%

mata merah

ra%a &0er !a& me&''a&jal

I&1ltrat ! ")r&ea !e&'a& 1l 0' !elle&

Ul"$% K)r&ea


44/89

KLINIS

SUB$EKTIV : % EPIPHOR&

% PHOTOPHOBI TRI&S

% BLEPH&ROSP&S'E

OB$EKTIV :

% IN(ILTR&T

% HIPERE'I P)VI

% (LUORES)IN TEST

POSITIP

P)VI(LOURESEIN TEST POSITIP


45/89


+e&0e#a#

6/ Ba"ter, m% :

. S/ (&e$m)&ae

.+/ aer)'&)%a

.S/ e(!erm!%

2/ Jam$r, m% :

.a&!!a, @$%ar$m

. A%(er'll$%

+ # #


46/89


+e&0e#a#

3/ Vr$%, m% :

.er(e% %m(le

.Var9ella.)%ter8/ De1%e&% -tam& A

>/ E()%$re "eratt%, m% :

.E)(hthalm$%

.La')l(thalm$%


47/89


DIAGNOSIS

* A&am&e%a !a& 'ejala "l&%

* Sltlam(

h(erem (er")r&ea,&1ltrat,h()()&

* Te% 1l$)re%e&

()%t1 ! te( $l"$%

* La#)rat)r$m

%9ra((&' !'& (e&'e9ata& 'ram

"$lt$r


48/89

PE'ERIKS&&N

BENTUK :

% NU'ULER : KER&TITIS

NU'UL&RIS

% PUN)T&T : KER&TITIS

PUN)T&T&

% *EN*RIT : KER&TITIS

*EN*RITIK&

+HERPES SI'PLEKS,


49/89

PE'ERIKS&&N

BENTUK :

% (IL&'EN : KER&TITIS

(IL&'ENTOS&+*R$ E$ES

HERPES SI'PLEKS,

% *IS)I(OR' : KER&TITIS

*IS)I(OR'IS

+HERPES SI'PLEKS,


50/89

PE'ERIKS&&N

-. LOK&SI :

% EPITEL / SUB EPITEL

% LOK&L / *I(US

0. (LUORES)IN TEST : % POSITIP : EPITEL

% NEG&TIP : SUB EPITEL

1. SENSIBILIT&S KORNE&


51/89

PERJ&L&N&N PEN$&KIT

SE'BUH T&NP& BEK&S

OB&T / T&NP& SIK&TRIKS

KER&TITIS % NEBUL&% '&KUL&

% LEKO'&

TI*&K SE'BUH

ULKUS KORNE&

HIPOPION

*ES)E'ETO)ELE

PER(OR&SI

PTISIS BULBI EN*O(T&L'ITIS OPER&SI


52/89

B&KTERI

Sentral

(L +2 , e"itel 3

In4iltrat P. aer#ensa

% P)VI Pne!m555!s

S. ae!re!s

% Hi""in

ULKUS KORNE&


53/89

Ukuran Lokasi Cara :

< 3 mm

< 3 mm

< 3 mm +hypopyon

Tidak axial

Axial

Dimana saja

-Poli

-M!-A" #opi$al%jam

-M!

-A" #opi$al%jam-A" su&' (onj-A" sis#mik

ULKUS KORNE&


54/89

Da'&)%a +a%t :

LABORATORIU5

Jam$r: 9a&!!a, 9e1al)%()r$m


63/89

F3

+ROGNOSA

* (&SE *INI:

T&'"ata& "e"er$ha& #a!a& "a9a 0' r&'a& M!(t !ta&''$la&' !'& )#at.)#ata&, #la 'a'alM-tre"t)m, !'& a&t#)t"a &tra -treal

Bla terja! "er$%a"a& #a!a& %ler M(th%%#$l#

* (&SE L&NJUT:

R$(t$r #)la mata M(th%% #$l#+r)'&)%a -%$%: %elal$ jele"


64/89

F8

+ENGOBATAN ENDO@TAL 5* K)rt")%ter)!: hat.hat (a!a "a%$% (e&0e#a# "are&a

jam$r !(t mem(erhe#at (ert$m#$ha&

* Vtre"t)m

.

Bla 'a'al mata t!" #er1$&'% la' e-%9era% 0at$t&!a"a& )( (e&'el$ara& % #)la mata !'&me&&''al"a& %"lera


65/89

F>

ENDO@TAL


66/89

FF

GEJALA:

Se(ert e&!)1talmt% teta( le#h he#at

* N0er le#h he#at

* (erem le#h he#at

* +r)(t)%%

* K)r&ea "er$h

* Kem)%% he#at

* B)la mata %$"ar !'era""a&


67/89

S"atr" Ne#$la ")r&ea

* Ke"er$ha& t(% (a!a

")r&ea

* Bata% "a#$r

* Ta&!a ra!a&' &e'at1


68/89

S"atr" Le$")ma ")r&ea

* Ke"er$ha& !e&'a&

* Bata% te'a%

*


69/89

Uj

@l$)re%e&

* Uji !nt!k


70/89

U-et%* Kera!a&'a& (a!a $-ea 4%el$#$&' -a%"$lar #)la mata5:

* r%, #a!a& %lar !a& ")r)!/ Ter#a' ata%:

U=eitis anterir:

"era!a&'a& %e'me& a&ter)rr% !a& #a!a& %lar

U=eitis "sterir:

"era!a&'a&(a!a%e'me&()%ter)r")r)!, -tre$% !a& ret&a

Pan!=eitis: "era!a&'a& %e'me& a&ter)r !a& ()%ter)r


71/89

* Gejala !m!m !=eitis :

V%$% me&$r$&


72/89

U-et% A&ter)r


73/89

?3

Ta&!a $-et%

* Dlata% (em#$l$h !arah h(erem (er")r&ea

* +ermea#lta% (em#$l$h !arahe"%$!a%../1#r&a"$)% 1lare a"$)% 9ell

* ()()&

* 1ema

* Ir% mele"at (! "a(%$l le&%a a&ter)r: %&e"a()%ter)r%e"l$%) ($(l)"l$%) ($(l

* B


74/89

?8

(at)1%)l)'

>.Rea"% h(er%e&%t-ta% terha!a( m"r))r'a&%me ata$a$t)'e&"/

Rea"%&1e"% ! %alah %at$ #a'a& t$#$h M%e&%t%a%

jar&'a& mata Ma&t#)!/

Rea"t-a% Mrea"% a&t'e&.a&t#)! 4$-et% aler'5

Da(at terja! (a!a &1e"% %tre(t)")"$% (a!a %&$%t%,

t)&%lt%, (e&0a"t '', t$#er"$l)%a/


75/89

?>


76/89

?F


77/89

??


78/89

?H


79/89

?


80/89

H7


81/89

H6

+ENGOBATAN


82/89

H2

+ENGOBATAN:

* N)& %(e%1":Atr)(& 6 tete% mata

K)rt")%ter)!:

* T)("al: tete% mata, %ale( mata* S%tem": #la ra!a&' 9$"$( #erat, !)%% t&''

M!t$r$&"a&

* I&je"% %$#")&j$&'t-a

* S(e%1":Ter'a&t$&' (e&0e#a#&0a

+ENYULIT


83/89

H3

+ENYULIT:

* S&e"a ()%ter)r

* Gla$")ma %e"$&!er

* Katara" ")m(l"ata

* Ga&''$a& !a0a a")m)!a%


84/89

H8

I


85/89

H>

I


86/89

HF

UVEITI S +OSTERIOR:CKORODITIS

Rea"% ra!a&' (a!a ")r)! #a%a&0a %elal$!"$t rea"% ra!a&' (a!a ret&a, %eh&''a

!%e#$t: korio-retinitis

Gejala

*(erem 4.5

*N0er 4.5*@)t)()# 4.5

*V%$% me&$r$&


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H?


88/89


89/89

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