BAGIAN ILMU KESEHATAN MATA

FAKULTAS KEDOKTERAN UMI

RSUD KOTA MAKASSAR

KALAZION
Oleh:
Irna Novianti Irwan
111 2017 2054
 IDENTITAS PASIEN

Name : Ny. N
Age : 44 years old
Medical Record : 15 56 45
Adress : Makassar
Occupation : Karyawan
Swasta
Date of Examination: July 8th 2019
 HISTORY TAKING

• Keluhan Utama: Small lump in the upper of left eyelid.

• Anamnesis:

A 44-year-old woman came to the hospital with a small lump in

the upper left eyelid since 1 month ago. This complaint is not
accompanied by a decrease in vision, pain (-), red (-), watery (-),
itching (-), sore (-), glare (-), burning in the eyes (-) , secret (-).
 CONT...

• History of Disease:

She never felt the same symptoms before.

• History of Medication:

She had applied Amoxicillin oinment to her eyes, but there was
no improvement.
 PEMERIKSAAN FISIS

• A. VISUAL ACUITY EXAMINATION

OD Visus OS

20/20 Uncorrected Visual Acuity 20/20

- Correction -

- Best corrected visual acuity -

- Near visual acuity -

- Correction -
Best corrected near visual
- -
acuity
B. ANTERIOR SEGMENT EXAMINATION

OD OS
Palpebra Margo Edema (-) 3mm hard lump, fixed, tenderness (-)

Cilia Squama (-) Inward Eyelashes (-) Squama (-) Inward eyelashes(-)
Lacrimal Apparatus Lacrimation (-) Lacrimation (-)
Conjunctiva Hyperemia (-) Hyperemia (-)

Cornea Foreign Object (-), clear Foreign Object (-), clear

Anterior Chamber Normal depth Normal depth

Iris Brown, Crypt (+) Brown, Crypt (+)
Pupil Round, Central Round, Central
Direct/Indirect Light Reflex +/+ +/+
RAPD - -
Lens Clear Clear
 PHYSICAL EXAMINATION

• C. PALPATION

OD OS
Ocular Pressure Tn Tn

Tumor/Mass Not palpable Not palpable

Pre Auriculer gland Not palpable Not palpable

PHYSICAL EXAMINATION

a small lump in the upper left eyelid

diameter 3mm
DIAGNOSIS

DIAGNOSIS
OS KALAZION
DIFFERENTIAL DIAGNOSIS
Hordeolum Interna
 TREATMENT

TREATMENT
- Vertical Incision
 PROGNOSIS

Quo ad vitam : Bonam

Quo ad functionam : Bonam
Quo ad Cometicam : Bonam
Quo ad sanactionam: Bonam
THANK YOU