Download - TRAUMA Mata 18 Nov 2015
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TRAUMATRAUMA
PADA MATAPADA MATA
Dr. Swasty, SpMDr. Swasty, SpM
FK UNIMUS 2010
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PENDAHULUANPENDAHULUAN
Salah satuSalah satup!y"a"p!y"a"#"utaa! ya!$#"utaa! ya!$sr%!$ tr&a'%sr%!$ tr&a'% truta(a a!a# )truta(a a!a# )'wasa'wasa
Mrupa#a!Mrupa#a!#asus "utuh#asus "utuhp!a!$a!a! 'a!p!a!$a!a! 'a!p!$l*laa! awalp!$l*laa! awal
ya!$ +pat )ya!$ +pat )tpattpat
GP/PELAYANANGP/PELAYANANPRIMER !!!!PRIMER !!!!
Su("r A(r%+a! S*+%ty *- +ular
Trau(a/U!%t' Stats Ey I!&ury R$%stry
USEIR, 200
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Ital%a Slata!
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%tal%a Slata!
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DKTER UMUM DIHARAPKANDKTER UMUM DIHARAPKAN
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MA3AM TRAUMAMA3AM TRAUMA
1.1. TRAUMA FISIKA pa!as, l%$htTRAUMA FISIKA pa!as, l%$ht
2.2. TRAUMA MEKANIK "!tura!, pu#ula!TRAUMA MEKANIK "!tura!, pu#ula!
2.a. Trau(a t("us2.a. Trau(a t("us2.". trau(a tu(pul2.". trau(a tu(pul
4.4. TRAUMA KIMIA +a%ra! p("rs%hTRAUMA KIMIA +a%ra! p("rs%h
la!ta%, l(, t+la!ta%, l(, t+
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TRAUMA FISIKATRAUMA FISIKA
A. KARENA PANASA. KARENA PANAS THERMAL BURNS/LUKA BAKARTHERMAL BURNS/LUKA BAKARTa!'aTa!'a
1. Kul%t #l*pa# (ata r*s%, lasras%, "ula1. Kul%t #l*pa# (ata r*s%, lasras%, "ula
Trap%Trap%
5 a!t%"%*t%#a salp (ata5 a!t%"%*t%#a salp (ata5 tutup '!$a! #asa str%l5 tutup '!$a! #asa str%l
2. Kl*pa# (ata "!$#a# h"at, #la%!a! #*r!a2. Kl*pa# (ata "!$#a# h"at, #la%!a! #*r!a
Trap% a!t%"%*t%#a, tutup #asa ta!pa '%""at t#a!Trap% a!t%"%*t%#a, tutup #asa ta!pa '%""at t#a!
ru&u#ru&u#4. E#tr*p%*!, rtra#s% #l*pa# (ata 254 har% pas+a4. E#tr*p%*!, rtra#s% #l*pa# (ata 254 har% pas+a
Trap% salp (ata, tars*ra-%Trap% salp (ata, tars*ra-%
ru&u#ru&u#
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B. LIGHTB. LIGHT
Radiasi sinar UV (flas"rn# s"n"rn$Radiasi sinar UV (flas"rn# s"n"rn$
3*!t*h
"u!$a"u!$aap% las, #*!slt #a"l t$a!$a! t%!$$%,
pa!tula! sal&u6&ala 7512 &a( stlah papara!7512 &a( stlah papara! !$$a!&l, !yr%,!$$a!&l, !yr%,!r*+*s, (rah "l**'sh*t, #a"ur, s!s%t%8 +ahaya!r*+*s, (rah "l**'sh*t, #a"ur, s!s%t%8 +ahaya
Ta!'aTa!'a
ls% pu!+tata pa'a #*r!a supr-%+%alls% pu!+tata pa'a #*r!a supr-%+%al #rat%t%ts#rat%t%ts
supr-%+%al%s, (rah "l**'sh*tsupr-%+%al%s, (rah "l**'sh*tTrap% "sr8as% 29 : 9; &a(Trap% "sr8as% 29 : 9; &a(
5 (%'r%at%#u(5 (%'r%at%#u( (!%st%rahat#a! (ata(!%st%rahat#a! (ata
5 a!t%"%*t%#a salp (ata5 a!t%"%*t%#a salp (ata
5 ""at t#a! (ata5 ""at t#a! (ataKasus "rat
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TRAUMA MEKANIKTRAUMA MEKANIK
I. ANAMNESISI. ANAMNESISP!t%!$P!t%!$ asura!s%/8%su(/+a+at/"utaasura!s%/8%su(/+a+at/"uta
Apa sa&a ya!$ prluApa sa&a ya!$ prlu
a. Pr%st%wa/#&a'%a!!yaa. Pr%st%wa/#&a'%a!!ya5 !st #&a'%a!5 !st #&a'%a!
5 >!'a? (a+a(, &u(lah, u#ura!,5 >!'a? (a+a(, &u(lah, u#ura!,
"!tu#, "r#arat/t%'a#"!tu#, "r#arat/t%'a#5 Arah 'ata!$5 Arah 'ata!$
5 K+pata! 'ata!$5 K+pata! 'ata!$
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". 3a%ra! ya!$ '%#luar#a! 'arah?". 3a%ra! ya!$ '%#luar#a! 'arah?
+. P%!$sa!?+. P%!$sa!?'. T%!'a#a!/trap% y$ su'ah '%la#u#a!'. T%!'a#a!/trap% y$ su'ah '%la#u#a!
5 s!'%r%/(asy/p.altr!at%-/('%#?5 s!'%r%/(asy/p.altr!at%-/('%#?
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II. PEMERIKSAAN FISIKII. PEMERIKSAAN FISIK
a. @%susa. @%sus harus slalu a'a '% 3Mharus slalu a'a '% 3M
". 6ra#a! *t*t5*t*t (ata". 6ra#a! *t*t5*t*t (ata
5 $ra#a! #l*pa# (ata5 $ra#a! #l*pa# (ata
5 (("u#a5 (("u#a (. l8at*r(. l8at*rpalp"ra N. IIIpalp"ra N. III
5 (!utup5 (!utup (. *r"%+ular%s *+ul%(. *r"%+ular%s *+ul%N. @IIN. @II
5 $ra#a! "*la (ata5 $ra#a! "*la (ata
+. Ka'aa! *r"%ta ) a'!#sa (ata+. Ka'aa! *r"%ta ) a'!#sa (ata
'. s$(! a!tr%*r #*r!a, >MD,'. s$(! a!tr%*r #*r!a, >MD, %r%s, pup%l,%r%s, pup%l,
l!sal!sa. Ka'aa! s$(! p*str%*r "a'a! #a+a,. Ka'aa! s$(! p*str%*r "a'a! #a+a,
sara- *pt%#, rt%!a, #*r*%'sara- *pt%#, rt%!a, #*r*%'
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TRAUMA TUMPULTRAUMA TUMPUL
A.A. KELUHANKELUHAN
@%sus s!tral/pr%-r@%sus s!tral/pr%-r
N/(!uru!N/(!uru!Nyr%Nyr%
Kluar +a%ra!Kluar +a%ra!
>.>. PEMERIKSAANPEMERIKSAAN
5 r%(a *r"%ta pataha!/rta#5 r%(a *r"%ta pataha!/rta#
5 palp"ra h(at*( palp"ra, spas(, pt*s%s N.III,5 palp"ra h(at*( palp"ra, spas(, pt*s%s N.III,'(a palp, h(at*( palp'(a palp, h(at*( palp la$*-tal(*s N. @IIla$*-tal(*s N. @II
5 "ul"us *#ul%5 "ul"us *#ul%
5 #s*-tal(*s #ar!a pr'araha! 'ala( *r"%ta5 #s*-tal(*s #ar!a pr'araha! 'ala( *r"%ta5 !*-tal(*s5 !*-tal(*s
5 $a!$$ua! $ra# #ar!a #rusa#a! *t*t,5 $a!$$ua! $ra# #ar!a #rusa#a! *t*t,*t*t/&ar%!$a! tr&p%t*t*t/&ar%!$a! tr&p%t
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5 #*!&u!$t%8a5 #*!&u!$t%8a
su"#*!&u!$t%8al "l'%!$ #%(*s%s, '(asu"#*!&u!$t%8al "l'%!$ #%(*s%s, '(a#(*s%s, lasras%#(*s%s, lasras%
5 #*r!a r*s%, lasras%5 #*r!a r*s%, lasras%5 "(' #'ala(a! sa(a/ta# sa(a/'l(/'a!$#al,5 "(' #'ala(a! sa(a/ta# sa(a/'l(/'a!$#al,
h%-(a h%-(a
5 %r%s %r%'*'%al%s%s5 %r%s %r%'*'%al%s%s
5 pup%l RP la("at/N, (%'r%as%s/(%*s%s, "!tu#?5 pup%l RP la("at/N, (%'r%as%s/(%*s%s, "!tu#?5 l!sa su"lu#sas%/lu#sas%5 l!sa su"lu#sas%/lu#sas%
5 "a'a! #a+a hr!%as% # a!tr%*r5 "a'a! #a+a hr!%as% # a!tr%*r
5 #la%!a! rt%!a '(a rt%!a, '(a (a#ula5 #la%!a! rt%!a '(a rt%!a, '(a (a#ula>rl%!s '(a, r*"#a!, pr'araha!,>rl%!s '(a, r*"#a!, pr'araha!, a"las%*a"las%*
rt%!art%!a5 #la%!a! sara- *pt%# atr*-%5 #la%!a! sara- *pt%# atr*-%
5 pru"aha! TI5 pru"aha! TI
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Ma!%-stas% #l%!%#Ma!%-stas% #l%!%#: 6a!$$ua! $ra# (ata6a!$$ua! $ra# (ata: E#s*-tal(*sE#s*-tal(*s: E!*-tal(*sE!*-tal(*s
: Pra"aa! -ra#turPra"aa! -ra#tur ta# rata, #rp%tas%ta# rata, #rp%tas%
: E(-%s(aE(-%s(a: Kla%!a! 8%susKla%!a! 8%sus P!$l*laa!P!$l*laa!
5 rawat lu#a5 rawat lu#a
5 ra'%*l*$%5 ra'%*l*$%
5 ru&u#5 ru&u#
KELAINAN R>ITAKELAINAN R>ITA
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MANIFESTASI KLINISMANIFESTASI KLINIS
H(at*(H(at*(
E'(aE'(a
E#s#*r%as%E#s#*r%as%
La+ras%La+ras%
>!'a as%!$>!'a as%!$
PEN6ELLAANPEN6ELLAAN
Rawat lu#aRawat lu#a ha!ya "ta'%!. T%'a# "*lh al#*h*l 'llha!ya "ta'%!. T%'a# "*lh al#*h*l 'll D#*!$sta!D#*!$sta!A!t%"%*t%#A!t%"%*t%# Lasras% &ah%tLasras% &ah%t
KELAINAN KELPAK MATAKELAINAN KELPAK MATA
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MANIFESTASI KLINISMANIFESTASI KLINIS55 E'(aE'(a
55 Pr'araha! su"#*!&u!$t%8aPr'araha! su"#*!&u!$t%8a "atas"atast$as,t$as, t%'a# (!$h%la!$ saat p!#a!a!t%'a# (!$h%la!$ saat p!#a!a!
55 Lasras%Lasras%
PEN6ELLAANPEN6ELLAAN
5 Rawat lu#a5 Rawat lu#a
5 E'(a5 E'(a '#*!$sta!'#*!$sta!
5 Pr'araha!5 Pr'araha! *"sr8as%, h%la!$ s!'%r%*"sr8as%, h%la!$ s!'%r%'ala( 254 (%!$$u R/ 8asa+*!'ala( 254 (%!$$u R/ 8asa+*!
5 Lasras%5 Lasras% &ah%t +pat s("uh&ah%t +pat s("uh
KELAINAN KNBUN6TI@AKELAINAN KNBUN6TI@A
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@%'* 8rs% palp"ra atas@%'* 8rs% palp"ra atas
Evers ion tarsal.wmv.fv
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>!'a as%!$ '% #*!&u!$t%8a>!'a as%!$ '% #*!&u!$t%8a
palp"rapalp"ra
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@%'* ((r%#sa #*!&u!$t%8a@%'* ((r%#sa #*!&u!$t%8a
palp"ra %!-r%*rpalp"ra %!-r%*r
Examination o the Lower Eyelids.fv
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%!
I!s%
#*!&u!$t%8a I!s% +%l%ar
Su"#*!&u!$t%8al
"l'%!$
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A-tr a'Cuat a!sths%a, th !
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A'(%!%str%!$ t*p%+al a!stht%+ 'r*ps a!' t*p%+alA'(%!%str%!$ t*p%+al a!stht%+ 'r*ps a!' t*p%+all%'*+a%! $l -*ll*w' "y pla+%!$ a +*r!al pr*t+t*r,l%'*+a%! $l -*ll*w' "y pla+%!$ a +*r!al pr*t+t*r,
wh! p*ss%"l, %s *! pr-rr' (th*'wh! p*ss%"l, %s *! pr-rr' (th*'
M*st a'ult l%' la+rat%*!s +a! " rpa%r' %! thM*st a'ult l%' la+rat%*!s +a! " rpa%r' %! th(r$!+y 'part(!t u!'r l*+al a!sths%a. 6**'(r$!+y 'part(!t u!'r l*+al a!sths%a. 6**'l%$ht%!$ a!' l*up (a$!%-%+at%*! w%ll a%' w*u!'l%$ht%!$ a!' l*up (a$!%-%+at%*! w%ll a%' w*u!'
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KELAINAN KRNEAKELAINAN KRNEA
Kl%!%sKl%!%s: F*t*-*"%a/s%lauF*t*-*"%a/s%lau
: Nyr%Nyr%
: Mata (rahMata (rah
: @%sus N/"r#ura!$@%sus N/"r#ura!$
: I!s% s%l%ar atau +a(pura!I!s% s%l%ar atau +a(pura!
: ls% #*r!als% #*r!a tst -lu*rs+%!, u&% -%stltst -lu*rs+%!, u&% -%stl
: >!'a as%!$>!'a as%!$
: >MD>MD 'a!$#al #"*+*ra! / !*r(al'a!$#al #"*+*ra! / !*r(al
: D%s+har$D%s+har$ hu(*r aCu*s, "a'a! #a+ahu(*r aCu*s, "a'a! #a+a
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E#stra#s% "!'a as%!$ '% #*r!aE#stra#s% "!'a as%!$ '% #*r!a
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P!$l*laa!P!$l*laa!
: >rs%h#a! 'ar% '"r%s/#*t*ra! '!$a! %r%$as%,>rs%h#a! 'ar% '"r%s/#*t*ra! '!$a! %r%$as%,
: >%la a'a ya!$ (!a!+ap>%la a'a ya!$ (!a!+apru&u#ru&u#
: Tts (ata a!t%"%*t%#a "r*a' sp#tru( 95Tts (ata a!t%"%*t%#a "r*a' sp#tru( 95
#al%/har%#al%/har%
: Tutup (ata tap% &a!$a! '% ""atTutup (ata tap% &a!$a! '% ""at
: S$ra ru&u# u!tu# p!a!$a!a! l"%h la!&utS$ra ru&u# u!tu# p!a!$a!a! l"%h la!&ut
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3.3. 3NTH3NTH
5 >l*w *ut -ra+tur5 >l*w *ut -ra+tur5 Su"#*!&u!$t%8al "l'%!$5 Su"#*!&u!$t%8al "l'%!$
5 A"ras% #*r!a r*s%/l+t #*r!a5 A"ras% #*r!a r*s%/l+t #*r!a
5 H%-(a5 H%-(a
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BL%& %UT FRA'TUREBL%& %UT FRA'TURE
D-%!%s%D-%!%s%
-ra#tur pa'a 'asar *r"%ta ta!pa atau-ra#tur pa'a 'asar *r"%ta ta!pa atau
'%srta% -ra#tur '%!'%!$ ('%al *r"%ta'%srta% -ra#tur '%!'%!$ ('%al *r"%ta
a#%"at trau(aa#%"at trau(a
3*!t*h3*!t*h
trau(a a#%"at "*la t!%strau(a a#%"at "*la t!%s
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6&ala6&ala
6a!$$ua! 8%sus pas+a trau(a6a!$$ua! 8%sus pas+a trau(a
#a"ur, (!uru!, '%pl*p%a $a!'a#a"ur, (!uru!, '%pl*p%a $a!'a
Ta!'aTa!'a
H(at*(a palp"raH(at*(a palp"ra
Nr*+*sNr*+*s
6a!$$ua! $ra# "*la (ata # atas/#6a!$$ua! $ra# "*la (ata # atas/# "awah"awah
E!*-tal(*s r%!$a!/"ratE!*-tal(*s r%!$a!/"rat
Palpas%Palpas% #rp%tas% "awah #ul%t palp"ra %!-#rp%tas% "awah #ul%t palp"ra %!-
La%!2 su"#*!&u!$t%8al "l'%!$, H%-(a,La%!2 su"#*!&u!$t%8al "l'%!$, H%-(a, D%al%s%sD%al%s%s%r%s,%r%s, RP la("at, (%*s%s, (%'r%as%sRP la("at, (%*s%s, (%'r%as%s
tr$a!tu!$ "rat r%!$a! trau(atr$a!tu!$ "rat r%!$a! trau(a
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P!$l*laa!P!$l*laa!
Ru&u# # t# playa!a! trs%rRu&u# # t# playa!a! trs%r
5 p(r%#saa! s%!ar5 r*!t$!5 p(r%#saa! s%!ar5 r*!t$!5 3T s+a!5 3T s+a!
5 P("'aha!5 P("'aha!
T*p%#alT*p%#al
A!sts% t*p%#alA!sts% t*p%#al@as*#*!str%#t*r@as*#*!str%#t*r
K*(prsK*(prs
S%st(%#S%st(%#
A!al$t%#A!al$t%#D#*(prsa!D#*(prsa!
A!t% pr'araha!A!t% pr'araha!
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A>RASI KRNEAA>RASI KRNEA
Sr%!$ #&a'%a!!yaSr%!$ #&a'%a!!ya
A"ras% #*r!a r*s% #*r!a l+tA"ras% #*r!a r*s% #*r!a l+t
#*r!a a'alah tr#lupas!ya lap%sa!#*r!a a'alah tr#lupas!ya lap%sa!
p%tl #*r!a 'a! t%'a# (!+apa% lap%sa!p%tl #*r!a 'a! t%'a# (!+apa% lap%sa!
>*w(a!>*w(a!
T%'a# (!y"a"#a! &ar%!$a! s%#atr%#T%'a# (!y"a"#a! &ar%!$a! s%#atr%#
sla(a t%'a# "r#("a!$ 'a! (l%"at#a!sla(a t%'a# "r#("a!$ 'a! (l%"at#a!
lap%sa! l"%h pr*-u!'allap%sa! l"%h pr*-u!'al
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Ta!'aTa!'a
55 I!s% s%l%ar / +%r+u(+*r!al %!&+t%*!I!s% s%l%ar / +%r+u(+*r!al %!&+t%*!
5 Lap. supr-%s%al p%tl tr#lupas5 Lap. supr-%s%al p%tl tr#lupasts -lu*rs%! tr+at h%&au +(rla!$ts -lu*rs%! tr+at h%&au +(rla!$
5 Kasus "rat '(a #*r!a5 Kasus "rat '(a #*r!a
55 Kla%!a! p!yrtaKla%!a! p!yrta
T %
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Trap%Trap%
a. ls% #+%l G 4 ((a. ls% #+%l G 4 ((
P("r%a! a!sts% t*p%#alP("r%a! a!sts% t*p%#al pa!t*+a%!pa!t*+a%!
0,7 ED0,7 ED p!$h%la!$ !yr%p!$h%la!$ !yr%9
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5 $*l a(%!*$l%#*s%'a5 $*l a(%!*$l%#*s%'a
$!ta(%+%! ED/E 45
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". Ls% luas 4((, s!tral, '(a/t%'a#". Ls% luas 4((, s!tral, '(a/t%'a#
5 %'(, '!$a! p("r%a! ya!$5 %'(, '!$a! p("r%a! ya!$-r#u!-r#u!
5 ru&u#5 ru&u#
Ru&u# "%laRu&u# "%la
1.1. Ls% s!tralLs% s!tral
2.2. Ls% #+%l tap% 'ala(Ls% #+%l tap% 'ala(4.4. Ls% luasLs% luas
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F%LL%& UPF%LL%& UP
Minr arasins s"ld )al *i+in ,-- "rs and dMinr arasins s"ld )al *i+in ,-- "rs and dn+ r)0"ir) fll*"1 if +) 1a+i)n+ is 231l)+)l4n+ r)0"ir) fll*"1 if +) 1a+i)n+ is 231l)+)l4as431+3a+i2 a+ - "rs.as431+3a+i2 a+ - "rs.
R))5a3in) lar6) arasins fr)0")n+l4 "n+ilR))5a3in) lar6) arasins fr)0")n+l4 "n+ilr))1i+)liali7a+in 22"rs and +) 1+)n+ial fr inf)2+inr))1i+)liali7a+in 22"rs and +) 1+)n+ial fr inf)2+inn ln6)r )5is+s.n ln6)r )5is+s.
S"ld r)2)i8) fll*"1 2ar)# )s1)2iall4 "n+il +)S"ld r)2)i8) fll*"1 2ar)# )s1)2iall4 "n+il +)fl"r)s2)in s+ain is n)6a+i8)# + d)+)r3in) if a 2rn)alfl"r)s2)in s+ain is n)6a+i8)# + d)+)r3in) if a 2rn)al"l2)r as d)8)l1)d."l2)r as d)8)l1)d.
Ad8is) )4) r)s+ (i)# n r)adin6 r *r9 +a+ r)0"ir)sAd8is) )4) r)s+ (i)# n r)adin6 r *r9 +a+ r)0"ir)ss"s+an+ial )4) 38)3)n+ +a+ 3i6+ in+)rf)r) *i+s"s+an+ial )4) 38)3)n+ +a+ 3i6+ in+)rf)r) *i+r))1i+)liali7a+in$.r))1i+)liali7a+in$.
Ad8is) 1a+i)n+s + a8id li6+ r + *)ar s"n6lass)s frAd8is) 1a+i)n+s + a8id li6+ r + *)ar s"n6lass)s fr23fr+ if +)4 a8) n+al) 1+1ia23fr+ if +)4 a8) n+al) 1+1ia
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K%MPLIKASIK%MPLIKASI
1.1. Ul#us #*r!aUl#us #*r!a2.2. Er*s% "rula!$Er*s% "rula!$
PR%GN%SIS
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PR%GN%SISPR%GN%SIS
Pa'a u(u(!ya "a%# a' "*!a(Pa'a u(u(!ya "a%# a' "*!a(
>%la luas/ #+%l tap% 'ala(>%la luas/ #+%l tap% 'ala( a'a'
"*!a(/'u"%a a' "*!a("*!a(/'u"%a a' "*!a(
Hal%!$ *- (%!*r a"ras%*!s %s
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TAN:A;TAN:A;
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TAN:A;TAN:A;
5 8%sus N/turu!5 8%sus N/turu!
5 'arah 'ala( "%l%# (ata 'pa!5 'arah 'ala( "%l%# (ata 'pa!
5 pup%l l"%h l"ar5 pup%l l"%h l"ar
5 RP la("at/ !$at%-5 RP la("at/ !$at%-
5 '(a #*r!a5 '(a #*r!a
T%!$#at/'ra&at"rat!ya h%-(aT%!$#at/'ra&at"rat!ya h%-(a
1.1. Kura!$ 1/4%s% >MDKura!$ 1/4%s% >MD2.2. A!tara 1/4 sa(pa% %s% >MDA!tara 1/4 sa(pa% %s% >MD
4.4. L"%h 'ar% >MDL"%h 'ar% >MD
P!yul%t/#*(pl%#as% h%-(aP!yul%t/#*(pl%#as% h%-(a
1.1. 6lau#*(a6lau#*(a
2.2. U8%t%sU8%t%s
4.4. I("%"%s% #*r!aI("%"%s% #*r!a
9.9. Pru"aha! war!a pa'a %r%sPru"aha! war!a pa'a %r%s
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PENGEL%LAANPENGEL%LAAN
5 "r"ar%!$ st!$ah 'u'u# / "a!tal t%!$$%5 "r"ar%!$ st!$ah 'u'u# / "a!tal t%!$$%5 tts str*%' / 8as*#*!str%#t*r5 tts str*%' / 8as*#*!str%#t*r
5 tts s%#l*pl$%#5 tts s%#l*pl$%# #*!tr*8rs%#*!tr*8rs%
5 *"sr8as%5 *"sr8as% (*!%t*r%!$ p!yul%t(*!%t*r%!$ p!yul%t5 r5"l'%!$ 'ala( 2 : 7 har% #(' 155 r5"l'%!$ 'ala( 2 : 7 har% #(' 15
2020
5 TI (!%!$#at5 TI (!%!$#at $lau#*(a$lau#*(a a!t%a!t%$la*#*(a t%(*l*l (alat 0,27$la*#*(a t%(*l*l (alat 0,27atau 0,7 152 < 1 ttsatau 0,7 152 < 1 tts
5 ##ruha! #*r!a5 ##ruha! #*r!a
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5 T%!'a#a! "'ah5 T%!'a#a! "'ah paras%!ts%sparas%!ts%s
"%la "%la
5 TI 47 ((H$ sla(a J har%5 TI 47 ((H$ sla(a J har%
5 TI 70 ((H$ 'ala( 7 har%5 TI 70 ((H$ 'ala( 7 har%
TRAUMA TEMBUSTRAUMA TEMBUS
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TRAUMA TEMBUSTRAUMA TEMBUS
DEFINISIDEFINISI
A'alah suatu trau(a '%(a!a s"a$%a! atauA'alah suatu trau(a '%(a!a s"a$%a! atausluruh lap%sa! #*r!a 'a!/atau s#lra rusa#sluruh lap%sa! #*r!a 'a!/atau s#lra rusa#
ANAMNESISANAMNESIS
I'( tr tu(pulI'( tr tu(pul
KELUHANKELUHAN
Nyr%Nyr%6a!$$ua! p!$l%hata!6a!$$ua! p!$l%hata!
Kluar (asa/+a%ra! 'ar% 'ala(Kluar (asa/+a%ra! 'ar% 'ala((ata/*r"%ta(ata/*r"%ta
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TANDATANDA
1. @%sus pa'a u(u(!ya turu!1. @%sus pa'a u(u(!ya turu!
2. Ta(pa# lasras%2. Ta(pa# lasras%
4. Ta(pa# (asa #luar 'ar% ls%4. Ta(pa# (asa #luar 'ar% ls%
9. >%l%# (ata 'pa! "%asa!ya 'a!$#al9. >%l%# (ata 'pa! "%asa!ya 'a!$#al7. H%-(a7. H%-(a
. >*la (ata l("#. >*la (ata l("#
J. Kl*pa# (ata (!utupJ. Kl*pa# (ata (!utup
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>ENDA AN6 MENEM>US>ENDA AN6 MENEM>US
5 I!rt5 I!rt !*!ra#t%-!*!ra#t%-
5 Ra#t%-5 Ra#t%-
T("a$a, s!$, t%(ah h%ta(, "s%T("a$a, s!$, t%(ah h%ta(, "s%
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EMER6EN3 3ASE
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ANAMNESISANAMNESIS
1. !st #&a'%a!1. !st #&a'%a!2. B!%s 'a! #*!s!tras% "aha! #%(%a2. B!%s 'a! #*!s!tras% "aha! #%(%a
4. La(a trpapar4. La(a trpapar
9. T%!'a#a! / p!a!$a!a! ya!$ su'ah9. T%!'a#a! / p!a!$a!a! ya!$ su'ah'%la#u#a!'%la#u#a!
KE UHAN
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KELUHAN;KELUHAN;
: Nyr%, p'%hNyr%, p'%h
: Mata (rahMata (rah
: 6a!$$ua! (l%hat6a!$$ua! (l%hat
KLINIS;KLINIS;
Klas%-%#as% Hu$hsKlas%-%#as% Hu$hsI. L%("us t%'a# %s#(%/%s#(% r%!$a!I. L%("us t%'a# %s#(%/%s#(% r%!$a! pu+atpu+at
II. Is#(%a #ura!$ 'ar% 2 #wa'ra!II. Is#(%a #ura!$ 'ar% 2 #wa'ra!
III. Is#(%a 4 #wIII. Is#(%a 4 #w
I@. Is#(%a sluruh l%("us 'a! #*!&u!$t%8aI@. Is#(%a sluruh l%("us 'a! #*!&u!$t%8a
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PENE>A>PENE>A>
KLASIFIKASIKLASIFIKASI
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KLASIFIKASIKLASIFIKASI
. KLASIFIKASI
RALPH
2 KLASIFIKASI HUGHES
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2. KLASIFIKASI HUGHES2. KLASIFIKASI HUGHES
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M ' t l
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M*'ratly s8r.M*'ratly s8r.
: 3*r!al *pa+%ty "lurr%!$ %r%s 'ta%ls.3*r!al *pa+%ty "lurr%!$ %r%s 'ta%ls.
: M%!%(al %s+h(%+ !+r*s%s *- +*!&u!+t%8a a!'M%!%(al %s+h(%+ !+r*s%s *- +*!&u!+t%8a a!'
@@
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@ry s8r@ry s8r
: >lurr%!$ *- pup%llary *utl%!>lurr%!$ *- pup%llary *utl%!
: >la!+h%!$ *- +*!&u!+t%8al a!' s+lral 8ssls>la!+h%!$ *- +*!&u!+t%8al a!' s+lral 8ssls
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3*!t*h $a("ar trau(a #%(a3*!t*h $a("ar trau(a #%(a
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3*!t*h $a("ar trau(a #%(a3*!t*h $a("ar trau(a #%(ahttp//www.*+ul%st.!t/'*w!at*!702/pr*-/"**#/'ua!s/pa$s/89/89+0http//www.*+ul%st.!t/'*w!at*!702/pr*-/"**#/'ua!s/pa$s/89/89+0
2;.ht(l2;.ht(l
S8rS8r
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3. KLASIFIKASI THOFT3. KLASIFIKASI THOFT
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>aha! #%(%a "rs%-at "asa +pat>aha! #%(%a "rs%-at "asa +pat(!("us (ata 'a! ttap (!%("ul#a!(!("us (ata 'a! ttap (!%("ul#a!#rusa#a! (s#% +'ra "rh!t%#rusa#a! (s#% +'ra "rh!t% prluprlu
p(a!taua! pH l"%h la(ap(a!taua! pH l"%h la(a
>aha! #%(%a asa( (("!tu# sawar>aha! #%(%a asa( (("!tu# sawar
prs%p%tat &ar%!$a! !#r*t%#prs%p%tat &ar%!$a! !#r*t%# (!("atas%(!("atas%
p!tras%p!tras% #rusa#a! tr"atas#rusa#a! tr"atas
PENATALAKSANAANPENATALAKSANAAN
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PENATALAKSANAANPENATALAKSANAAN
Fas #&a'%a! I(('%atFas #&a'%a! I(('%at
1. A!al$t%# 'a! a!stt%# t*p%#al1. A!al$t%# 'a! a!stt%# t*p%#al pa!t*+a%! 2 EDpa!t*+a%! 2 ED
2. U#ur pH '!$a! #rtas la#(us2. U#ur pH '!$a! #rtas la#(us
4. Ir%$as% s$ra '!$a! laruta! !*!4. Ir%$as% s$ra '!$a! laruta! !*!t*#s%# +* RL, ACua"%'s/watr -*rt*#s%# +* RL, ACua"%'s/watr -*r%!&+t%*!, Na3l 0,%!&+t%*!, Na3l 0, pHpH !*r(al!*r(al
9. >ua!$ "!'a ya!$ (l#at9. >ua!$ "!'a ya!$ (l#at
7. Salp (ata a!t%"%*t%# sp#tru( luas7. Salp (ata a!t%"%*t%# sp#tru( luas
*alut t#a!
J. Ru&u# # SpM/ t# playa!a! (ataJ. Ru&u# # SpM/ t# playa!a! (atas#/trs%rs#/trs%r
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Fas a#ut s/' har% # JFas a#ut s/' har% # J
Fas p!+$aha! #*(pl%#as%Fas p!+$aha! #*(pl%#as%
1. R5p%tl%sas%1. R5p%tl%sas% 2. K*!tr*l t# pra'a!$a!2. K*!tr*l t# pra'a!$a! 5 str*%' t*p%#al5 str*%' t*p%#al#*!tr*8rs%#*!tr*8rs% a. (!$ha("at r5p%tl%sas%a. (!$ha("at r5p%tl%sas%
". prlu!a#a! #*r!a". prlu!a#a! #*r!a pr-*ras%pr-*ras% #ar!a#ar!a
a#t%8%tas #*la$!asa#t%8%tas #*la$!as 5 s%#l*pl$%# sul-asatr*p%! 1 ED5 s%#l*pl$%# sul-asatr*p%! 1 ED
4. M!+$ah %!-#s% s#u!'r4. M!+$ah %!-#s% s#u!'r
9. 3$ah TI (!%!$#at9. 3$ah TI (!%!$#at
a!t%$lau#*(aa!t%$lau#*(a 7. A!t%*#s%'a!7. A!t%*#s%'a!
. >'ah. >'ah
F l%hF l%h
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Fas p(ul%ha!Fas p(ul%ha!
5 awal5 awal
5 a#h%r5 a#h%r rha"%l%tas%rha"%l%tas%
PENULIT BAN6KA PANBAN6PENULIT BAN6KA PANBAN6
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PENULIT BAN6KA PANBAN6PENULIT BAN6KA PANBAN6
TRAUMA KIMIA PADA MATATRAUMA KIMIA PADA MATA
1.1. 6lau#*(a su'ut trtutup6lau#*(a su'ut trtutup
2.2. S%("l-ar*!S%("l-ar*!4.4. E!tr*p%*!E!tr*p%*!
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PEN3E6AHANPEN3E6AHAN
Ka+a(ataKa+a(ata
5l!sa p*l%#ar"*!atl!sa p*l%#ar"*!at
5ra!$#ara!$#a p*l%a(%'a, tp% p!aha!!ya '%p*l%a(%'a, tp% p!aha!!ya '%p*str%*rp*str%*r
5"%!$#a% pa'at wrapar*u!' ta# "r!$sl"%!$#a% pa'at wrapar*u!' ta# "r!$sl
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