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Curriculum Vitae

- Dr. Ratna Muslimah SpM


- Medical doctor : Airlangga University 1980
- Ophthalmologist : Airlangga University 1992
- Fellowship Oculoplasty & Reconstruction :
Jakarta Eye Center 2003
- Head of Ophthalmology Dept. HAJI HOSPITAL
Surabaya (1993- now)
- Surabaya Eye Clinic (1995- now)
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Dry Eyes Syndrome
Definition & Etiology
Dr. Ratna Muslimah, Sp M
Surabaya Eye Clinic
2009

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Definition
Dry eye (DEWS committee; 2007):
• Multi factorial disease of tears and ocular
surface
• Discomfort, visual disturbance and tear film
instability
• Potential damage to the ocular surface

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Definition
• Dry eye is accompanied by increased
osmolarity of the tear film and inflammation
of the ocular surface.

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Epidemiology
• USA : 10- 30 % population
• Age : > 40 years old
• Sex : estimate 3,23 million women, 1,68
million men

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Anatomy of Lacrimal System

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Neural pathways linking
components of the lacrimal

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Structure of the tear film

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Etiology Dry Eye Syndrome

I. Decreased Tear Secretion


= Conventional Cause

II. Increased Tear Evaporation

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I. Decreased Tear Secretion
1. Sjogren syndome
2. Non Sjogren syndrome

Primary Lacrimal Gland Deficiencies

Secondary Lacrimal Gland Deficiencies

Lacrimal Obstructive Disease

Medication

Refleks Hyposecretion

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Sjogren syndome
• Sjogren Syndrome is a systemic autoimmune
disorder
• keratoconjunctivitis sicca, dry mouth, and
positive Antinuclear Antibody (ANA)

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Primary Lacrimal Gland Deficiencies

Idiopathic

Age Related Dry Eye

Congenital Alacrima ( eg. Riley day syndrome)

Familial dysautonomia

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Secondary Lacrimal Gland Deficiencies

Lacrimal gland disease

Sarcoidosis

Lymphoma

AIDS

Trachoma

Vitamin A deficiency

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Lacrimal Obstructive Disease

Trachoma

Ocular Cicatricial Pemphigoid

Steven Johnsons Syndrome

Chemical and Thermal burns

Endocrine Imbalance

Post Radiation Fibrosis

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Medication

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II. Increased Evaporation

Meibomian Gland Disease : reduced number, dysfunction

Low blink rate :
Physiological : working at Computer and Microscope
Extrapiramidal disorder (Parkinson)

Disorder of eyelid aperture :
Exposure ( eg, proptosis, exophtalmos, high myopia)
Lid palsy
Ectropion
Lid coloboma

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Dry eye
Tear deficiency Evaporative

Meibomian Gland Disease


Sjogren
syndrome

Low blink rate


non Sjogren
syndrome Disorder of eyelid
aperture

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M.S. A
Suramadu 2009

Thank you, Syukron Katsiron,


Matur Nuwun, Mator Sakalangkong…

Ratna Muslimah

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