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Surabaya Brain Tumor Update
Eye Disturbance & Brain Tumor
Indri WahyuniDepartemen Ilmu Kesehatan Mata FK Unair/
RSUD Dr. Soetomo
RS Premier Surabaya
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Why Eye Examination Important
PREDICTED
PRESENT CONDITION
EDUCATION
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Eye Sign for Brain Tumor
Blurring
Diplopia
Visual Field Defect
Eye Movement
Eye position Colour Changes
Optic nerve change
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IMPORTANT Eye Examination for Brain Tumor
VISUAL FIELD
EYE MOVEMENT
COLOUR
VISUAL ACUITY
RAPD
OPTIC NERVE
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IMPORTANT Eye Examination for Brain Tumor
VISUAL ACUITY
❖ Normal or Abnormal
❖ False Normal
❖ Location, complication
❖ Important !! to check
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IMPORTANT Eye Examination for Brain Tumor
RAPD
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IMPORTANT Eye Examination for Brain Tumor
VISUAL FIELD
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VISUAL FIELD
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IMPORTANT Eye Examination for Brain Tumor
EYE MOVEMENT
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EYE MOVEMENT
❖ FORCED DUCTION TES
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❖ EYE POSITION
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IMPORTANT Eye Examination for Brain Tumor
COLOUR ❖ Dyscromatopsia ; red first ; ishihara ; fansworth
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IMPORTANT Eye Examination for Brain Tumor
OPTIC NERVE
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Optic Disc & Brain Tumor
PAPIL EDEMA PAPIL ATROFI
TEKANAN INTRA KRANIAL ↑
TORNIQUET
TRANSPORT AXSOPLASMIC
ISCHEMIA
GANGLION SEL & AXON OPTIC NERVE
INFLAMATION
INFILTRATION
COMPRESIION
DEMYELINATION
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1. C- shape halo; temporal gap 2. Halo Circumferential
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3. Start Loss of Major vessel 4. Loss of Major vessel
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5. Obscuration vessel PAPIL ATROFI
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COMPLICATION AFTER SURGERY
❖ BLINDNESS — PION
❖ CHEMOSIS
❖ Not Direct — Cataract &
Glaukoma
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BLINDNESS
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TO FIND THE ETIOLOGY AND DIAGNOSIS
THE EARLIER THE BETTER
FOR LIFE SAVING & VISUAL SAVING
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