Createdby:

ArifRahmanHakim

ADVISOR:
dr.RahmadSyuhada,Sp.M

Referat
KERATITIS

SMFSCIENCEOFEYEDISEASERSPBA
Bandarlampung
November2016

PREFACE

AnatomyandCornealPhysiology

Keratitis

Pathophysiology

Clasification

SuperfisialKeratitis

MarginalKeratitis

InterstitialKeratitis

Clasification

BacteriumKeratitis
etiology

Clinicalmanifestations
redeye,
watery,
painintheinfectedeye,
visionglare,
secretions
blurredvision.

Onexaminationoftheexternaleyeball
perikorneahyperemia,
blepharospasm,
cornealedema,
cornealinfiltration

Therapy

.KeratitisFungi(Jamur)
etiologi

clinicalmanifestations
Historyoftraumamainlyplants,theuseof

topicalsteroidold
satellitelesions
Ulceredgeslightlyprotrudinganddry,
irregularedgesandprotrusionslikehyphae
undertheendotheliumintact
plaqueendothelial
Hypopyon,sometimesrecurrent
Ringformationaroundulku
Indolentcorneallesions

FungusKeratitis

Therapy
Antifungaldrugscanbegiveninclude:

PolyenesincludingNatamycin,Nystatinandamphotericin
B.
Azoles(imidazolesandtriazoles)includingketoconazole,
Miconazole,fluconazole,itraconazole,econazoleand
clotrimazole

VirusKeratitis
Etiology

HerpesSimplexVirus(HSV)isoneofthe
mostcommonviralinfectionofthecornea

Patofisiology

ClinicalManifestation
pain,
photophobia,
blurredvision,
wateryeyes,
redeye,
visualacuitydropsespeciallyifthecentral

portionisexposed

KeratitisVirusHerpesSimplek

Theraphy
Debridement
DrugTherapy

IDU(Idoxuridine)pyrimidineanalogue(containedina
solutionof1%andgiveneveryhour,ointment0.5%
administeredevery4hours)
Vibrabin:equaltoIDUsbutonlyintheformofan
ointment
Trifluorotimetidin(TFT):sameasIDUs,giventhe1%
every4hours
Oralacyclovirmaybehelpfulforherpesseriouseye,
especiallyinpeoplewithatopicsusceptibletodisease
herpeseyeandskinaggressive.

Surgicaltherapy

Keratoplastipenetransvisionrehabilitationmaybe

indicatedforpatientswhohaveseverecornealscarring

KeratitisAllergies
Etiology
TypeIhypersensitivityreactionthat

affectsbotheyes,
Patientsoftenshowsymptomsofallergy
tograsspollen

Clinicalmanifestations
Eyelidshape:cobblestone(largepapillae
growth),suffusedmucoiddischarge.
Shapelimbus:tantrasdot(bulginggray,
waxy)
Itchy
photophobia
Foreignbodysensation
Wateryeyesandblepharospasm

Therapy

Usuallyresolvesitselfwithouttreatment
Topicalandsystemicsteroids
Coldcompress
vasoconstrictordrugs
Cromolynsodiumtopical
CoagulationcryoCO2.
Minorsurgery(excision).
Antihistaminesaregenerallyineffective
Contraindicationsforfittingcontactlenses

Klasifikasi

Keratitis
Flikten/Skrofulosa/Eksemtosa

KeratitisSika
Isaninflammationoftheconjunctivaandcorneaduetothedryness
ofthesurfaceofthecorneaandconjunctiva.

Reducedfatcomponents,suchasblepharitis

Reducedtear,suchasthesyndromesyrogen,aftertakingdiuretic
drugs,atropineordijumapaiinoldage.

Reducedmucincomponent,foundinthestateofavitaminosisA,
diseasesthatcausedisabilityofconjunctiva,suchaschemical
trauma,StevenJohnsonsyndrome,trachoma.

Excessiveevaporationasinthelifeofthedesert,lagoftalmus,
keratitisneuroparalitika.

Sikatriktheircornea.

KeratitisNumularis
Suspectedofvirus.
Intheclinicalsignsofinflammationare

notclear,thereisaroundsubepithelial
infiltratesinthecornea,wherethemiddle
clearer,calledhalo(thoughttooccur
becauseofresorptionofinfiltratesthat
beganinthemiddle).
Testsfluorescent(-).
Keratitisisincaseofcured,itleaveslight
sikatrik

Complication

Prognosis

KESIMPULAN

THANKYOUVERYMUCH