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BINTO AKTURUSIANO
Benda asing pada kornea
LAKUKAN PENGANGKATAN BENDA ASING
EVERSI KELOPAK MATA UNTUK MEMASTIKAN TIDAK
ADA LAGI BENDA ASING
TERAPI ANTIBIOTIK TOPIKAL
REFERRAL TO OPHTHALMOLOGIST
• Infection
– Hordeolum
• Suppurative acute
infection at eyelids
gland caused by
Staphylococcus
– Hordeolum internum
: at meibom gland
– Hordeolum eksternum :
at zeiss, mole gland
• Therapy :
– Incision :
» mostly common on
hordeolum externum
» Skin incision
» Conjuctival incision
• Complication : eyelids
abscess
• Chalazion
– Chronic lipogranulomatous inflammation of the meibom
gland
– red-purple painless nodule at the conjunctiva
– Therapy : incision
• eyelids abscess
– originates from hordeolum or severe eyebrow infections
– Therapy :
• Local and systemic antibiotics
• incision skin line
• Blepharitis
– bilateral
– chronic infection margin of the eye lid
– Squamous blepharitis (seborrhea) :
Subperiosteal abscess
Laserasi kelopak mata
Ruptur globe
Ruptur saluran lakrimal
Levator aponeurosis
Medial canthal tendon
Hilangnya jaringan ( > 1/3 )
EYE LID MALPOSITION
• Entropion
– turning in of the eye lid margin --> the lashes
touch the cornea (Trichiasis) --> corneal irritation -
-> corneal ulcer
– unilateral or bilateral
• Congenital entropion
• Senile Entropion
• Th/ : blepharoplasty (reconstruction)
• Acute spastic
• ocular inflamation
• ocular irritation
• Cicatricial entropion
• caused by cicatrix/shortening of the tarsus
• E/ :
• trauma thermal, chemical burns and eye lid injury
• infections : trachoma, herpes zoster
• Th/
• eye lid reconstruction
• trachoma --> Sie Boen Lian technique (SBL)
• Ectropion
– turning out of the eye lid margin--> conjunctiva is not
well covering --> thick, red, chronic conjunctivitis
• Congenital ectropion
• Senile ectropion :
• caused by tissue relaxation--> loss of eye lid
tone-->evertion of margin
• often seen in the lower eye lid
• Paralytic ectropion :
• caused by N.VII palsy--> poor blinking &
lagophthalmos
• Cicatrical ectropion
• Th/ : blepharoplasty/reconstruction
TRICHIASIS