corneal ulcer

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corneal ulcer

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Anatomi dan Fisiologi Kornea

MODULE OPTHALMOLOGYCorneal UlcerGROUP 7WULAN-FADZELY-ARIF AMRI-SAFUAN ARIF-NADIAH-INSYIRA-FATIMAH-ANDI ABSHARINACASE 2

A 45 year old female patient was diagnosed with Corneal Ulcer ( OD ) based on findings :History : A chief complaint of painful red eye on the right eye, occurred suddenly since 3 days earlier. There was a decreased of vision, profound discharge and tearing. There is a history of trauma of the eye, the right eye was come into contact with sand 4 days prior to visit. There are no history of systemic diseases.- Physical findings : General state : Mild / Good nutrition / Consciouso Vital signs : BP = 110/70; Pulse = 96x/menit; Breathe= 20x/menit; Temp = 37oC- Ophthalmology findings :o Visual Acuity : VOD 2/60, uncorrected; VOS : 6/6o Intraocular Pressure : TOD : Tn TOS : Tn ( palpation )

Anterior segment

Prognosis Bad due to the ulcer located in the middle of pupilThis ulcer will permenantly located there It will cause decrease of visionBACK TO TOPComplicationGlaukoma sekunderToxic iridiocyclitisDescemetocelePerforationCorneal scarring : nebula, macula, leukomaBACK TO TOPCORNEAL ULCERCORNEAL ULCERDefinition The cornea is the clear tissue at the front of the eye. Corneal ulcer : Erosion or open sore in the outer layer of the cornea.

It is often caused by infection.BACK TO TOPCornea:

BarrierTransparent AvascularRefractive mediaInnervated by N. V (1)Metabolism of the cornea: corneal layer that actively metabolize - epithelium & endothelium.Corneal tear film is given nutrition by aqueous humor and blood vessels around the limbus.BACK TO TOPPathomechanism of Clinical Manifestations

Blepharospasm!HypopionHipopion! Photophobia BACK TO TOPDiagnosis Examination of scrapings from the ulcerFluorescein stain of the corneaPupillary reflex responseRefraction testSlit-lamp examinationTests for dry eyeVisual acuity

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