pemeriksaan mata 1

8/10/2019 Pemeriksaan Mata 1

1/93

CARA PEMERIKSAAN MATA

dr. SETIOWATI SUHARDJONO SpM


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ANATOMI MATA

Bola mataOrbita

Adn!"a


3/93

ANATOMI BO#A MATA


4/93

I. ANAMNESIS

$ Kl%&an Utama

$ Ri'a(at Pn(a!it "!aran) *da&%l%

$ Obat mata (an) dipa!ai

$ Si"tmi! + Pn(a!it , Opra"i ,

+ Obat "i"tmi! () dipa!ai$ Ri'a(at Allr)i

$ Ri'a(at !l%ar)a


5/93

OPHTHA#MIC

HISTOR-


6/93

ANAMNESIS$ A. Kl%&an %tama /. Mata mra& +++ a. 0i"%" Normal *ttap +++ b. 0i"%" t%r%n

1. Mata tnan) 2i"%" t%r%n$ B. Kl%&an tamba&an Sa!it3 brair3 4oto4obi3

!lainan bnt%!3 r". Krin)3 r" pana" 3 4otop"ia3

4loatr 3 )an))%an !amp%" dll$ C. Ri'a(at pr5alanan pn(a!it mndada!+prla&an

$ D. Ri'a(at Kl%ar)a

$ E . Dampa! li4 "t(l


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A . KE#UHAN UTAMA

/. MATA MERAH

$ Hiprmi pmb.

dr&6!on5%n)ti2a

6pi"!lra

6"!lra

$ Dpt di"bab!an

!lainan di

+ !orna

+ iri" + badan "iliar

+ adn!"a

SI7N * TANDA #OKASI


8/93

MATA

MERAH


9/93

/a.MATA MERAH 0ISUS NORMA#$ !on5%n)ti2iti"

$ Hmora)i "%b !on5

$ "!lriti"*pi"!lriti"

$ Ptri)i%m

$ Pin)%!%liti"

$ Pn(a!it pada adn!"a


10/93

KONJUN7TI0ITIS 8 HEMORA7I SUB KONJ


11/93

Localized nodule

which can be moved

over sclera

EPISK#ERITIS S!#ERITIS


12/93

sektorial diffuse

SIMP#E SK#ERITIS


13/93

PenebalanPenebalan

stromastroma

VaskularisasiVaskularisasi

Deposit besiDeposit besi

PTERI7IUM IN9#AMASI


14/93

Vaskularisasi minimalVaskularisasi minimalStroma tipisStroma tipis

PTERI7IUM

NON IN9#AMASI


15/93

Painless, roundish, firm lesion

within tarsal plate

CHA#A:ION ; KISTA MEIBOM

KERATITIS EPITE#


22/93

&tromal suppuration and hypopyon

KERATITIS BAKTERI


23/93

Limited form ' usually unilateral, affects elderly Progressive form ' bilateral, affects younger patients

(L)(& P*+I*+

U#KUSMOOREN


24/93

7#AUKOMA AKUT


25/93

1. MATA TENAN73 0ISUS TURUN

$ Abla"i rtina

$ O!l%"i A*0 Rtina

$ N%riti" Opti!a

$ Katara!

$ Miop pro)r"i4

AKUT BERAN7SUR

S


26/93

&eparation of sensory retina from +P*by subretinal fluid &+!

AB#ASI RETINA

+hegmatogenous

caused by a retinal break

-on'rhegmatogenous

tractional or e.udative


27/93

OK#USI 0ENA RETINA

CABANGSENTRAL


28/93

NEURITIS

RETROBU#BAR

NEURITIS OPTIKA

HIPEREMIA DAN EDEMA

NEURITIS OPTIKA


29/93

-euroretinitis papillitis/ macular star!

NEURITIS OPTIKA

Postneuritic0 atrophy


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JENIS

KATARAK

Immature Mature

1ypermatureMorgagnian


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B. KE#UHAN TAMBAHAN

+ Brair ; la!rima"i

R4l> at bordr o4 p%pil /D

R4l> at limb%" D

$ / mm C or /D

TEST

HIRS HBER7


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P"%do+"otropia

P"%do+

>otropia

PSEUDO DE0IASI


39/93

KEDUDUKAN BO#A MATA

ESOTROPIA

E=OTROPIA

#*R HIPERTROPIA

R*# HIPOTROPIA


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DERAJAT HETEROTROPIA

ORTO tn)a& p%pil

/6 ET tpi p%pil

F@6 ET tpi limb%"

6ET l%ar limb%"

TES SENSITI0ITAS KORNEA


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TES SENSITI0ITAS KORNEA


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PRINSIP PEN7UKURAN 0ISUS

MEMBE#AKAN $ TITIK

TERPISA

BESAR 1 MENIT BUSUR

BESAR TIAP URU% &

MENIT


43/93

TRIA# 9RAME 8 PUPI# DISTANCE


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TRIA# 9RAME 8 PUPI# DISTANCE


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III . PER7ERAKAN BO#A MATA

$ CARDINA# 7A:E 9IE#DMENI#AI KERJA ? OTOTE=TRAOKU#AR

$ KON0ER7ENSI

$ DIP#OPIA ,

$ N-STA7MUS ,,


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OTOT E=TRAOKU#AR

CARDINA# 7A:E 9IE#D


48/93

CARDINA# 7A:E 9IE#D


49/93

7ERAKAN MATA

9ORCED DUCTION TEST


50/93

9ORCED DUCTION TEST


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I0. E0ERSI KE#OPAK

Mata li&at

!ba'a&

T!anan rin)an pd

!lopa! ata"

"ambil mnari!

b%l% mata* tpi

!lopa! ata"!ba'a&

PENI#AIAN KONJ TARSA# SUP


52/93

PENI#AIAN KONJ.TARSA# SUP

PAPI# 8 9O#IKE#


53/93


54/93

0. KONJUN7TI0A BU#BI:

+ In5!"i "iliar

+ In5!"i !on5%n)ti2al

+ Prdara&an "%b !on5%n)ti2al

+ Ptr()i%m3 pin)%%la3 p&l(tan

+ Kmo"i"

INJ. SI#IAR INJ KONJUN7TI0A


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INJ. SI#IAR INJ. KONJUN7TI0A

INJ. SK#ERA

INJEKSI

KONJ BU#BIINJ. SK#ERA


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0I. KORNEA

+ T"t Plaido

+ T"t 9l%or"in

+ T"t 9i"tl

TES P#ACIDO


57/93

TES P#ACIDO

TES 9#UORESCEIN


58/93

TES 9#UORESCEIN


59/93

TES 9ISTE# * SEIDE#


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0II. BI#IK MATA DEPAN

CAMERA OCU#I ANTERIOR

+ Mmri!"a !dalamann(a

+ Mmri!"a 4lar


61/93

PEMERIKSAAN BI#IK MATA DEPAN


62/93

BI#IK MATA DEPAN

HIPOPION


63/93

0III. IRIS

Cr7ti

8)rn)

Per0ek)t)n ' S7ne/!i)

9er)si : iri-ekt2mi

erier

Iri-2-i)0isis

I= PUPI#


64/93

I=. PUPI#

Bentuk :

bu0)t 02n(2n"-ist2rsi

#i)meter : mi2sis

-e0)t)si

Re0ek

Is2k2ri)


65/93

RE9#E= PUPI#


66/93

$ KATARAK

$ SHADOW TES

=. #ENSA

KATARAK


67/93

KATARAK

EKEK


68/93

34 $nteriorcapsulotomy

24 5ompletion of incision

64 *.pression ofnucleus

74 5ortical cleanup

84 Polishing of posterior capsule, if appropriat

94 5are not to aspirateposterior capsule

accidentally

EKEK

EKEK


69/93

:4 ;rasping of I4 Insertion of inferior haptic and optic

334 Placement of haptics into capsular bag

3?4 Insertion of superior haptic

324 %ialling of I


70/93

34 5apsulorrhe.is 24 1ydrodissection

64 &culpting of nucleus 74 5racking of nucleus

94 *mulsification ofeach @uadrant

84 5ortical cleanup an insertion of I


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=I. PEMERIKSAAN 9UNDUS

R4l!"

Rata + bra! &itam

Papil NII Bata" + 'arna +

!"!a2a"i

7ambaran

Artri 8 0na

Ma!%la R4l! 8 Warna

Rtina E>%dat

prdara&an3pi)mn3tar

O9TA#MOSKOP


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O9TA#MOSKOP

PEMERIKSAAN


73/93

9UNDUSKOPI


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Papillomacularbundle

1orizontal

raphe

ANATOM- O9 RETINA# NER0E 9IBRES

PAPI# N. OPTIKUS


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CUPPIN7 KECI#

; 4i"iolo)i"

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