pemeriksaan mata azkagilang
DESCRIPTION
pemeriksaan fisik mataTRANSCRIPT
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Pemeriksaan Mata
Fakultas Kedokteran Universitas Diponegoro
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ANAMNESIS Nama ? Umur ? Alamat ? Agama ? Pendidikan ? Pekerjaan ?
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Keluhan Utama
Onset Duration Location Degree
Past medical historyFamily history
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1. PENGLIHATAN :• Visual loss
• Optical / neurological
• Central / peripheral acuity
• Visual aberrations• Glare / haloes
• Metamorfopsia
• Flashing
• Floating spot
• Monocular / binocular diplopia
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2. APPEARANCE
• Red • Edema • Lesion • Position• Displacement
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3. OCULAR SENSATION
• Pain• Photophobia• Foreign body sensation• Itching• Dryness• Tearing• Secretions
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PERUBAHAN WARNA PEMBENGKAKAN
BENJOLAN PERUBAHAN LETAK
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1. Visus
2. Segmen depan
Fokal Iluminasi
Placido
Fluorescein
3. Segmen Belakang
Fundus Reflek
Funduskopi
4. Khusus
Tekanan Dalam Bola Mata
Lapang Pandang
Tes Anel
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MATA KABUR
1.Refraksi Anomali
2. Kelainan Media Refrakta
3. Kelainan Saraf
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KORNEA
HUMOR AQUOUS
LENSA
KORPUS VITREUM
MEDIA REFRAKTAby Azka & Gilang FK UNDIP'09
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EA D A
D O K T E RS U W I D O
F I F I N L U T F I AP A R A M A S T R I
M A H A R A N IR S U P K A R I A D I
S E M A R A N G
5 / 50
5 / 5
5 / 6
5 / 10
5 / 15
5 / 20
5 / 30
5 / 40
6 / 5
VISUS OPTOTIPESnellen / Straub
VISUS NORMAL : 5 / 5
ARTINYA :
Penderita bisa membaca huruf pada optotipe pada jarak 5 m yang se harusnya dapat dibaca oleh orang normal pada jarak 5 m.
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VISUS HITUNG JARI
Penderita bisa menghitung jari pada jarak 3 meter yang seharusnya orang normal pada jarak 60 m.
hanya
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VISUS GERAKAN / LAMBAIAN TANGAN
Penderita HANYA bisa melihat lambaian / gerakan tangan pada jarak 1 m yang se harusnya bisa dilihat orang normal pada jarak 300 m.
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VISUS GELAP & TERANG
( 1 / ~ )ARTINYA :
Penderita HANYA bisa membedakan gelap dan terang.
Perlu diperiksa apakah masih dapat mem bedakan arah datangnya sinar dan membedakan warna merah hijau.
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VISUS O
Penderita TIDAK DAPAT membedakan gelap dan terang.
PUPIL REFLEK :
Direk negatif
Indirek positip
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Penilaian refraksi subjektif
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Pemeriksaan Segmen Anterior Tanda Inflamasi? Lesi? Palpebra superior
Simetris? Ptosis? Retraksi? Palpebra inferior
Entropion? Ektropion? Bulu mata
Trichiasis? Konjungtiva
Injeksi? Iskemia? Folikel? Papil? Kemosis?
Kornea Keruh? Neovaskularisasi?
Defek?
COA Kedalaman? Cell/flare?
Darah? Pus? Iris
Warna? Lesi? iridoreksis? Iridodialisis? Rubiosis?
Pupil Refleks diren dan indirek
Lensa Keruh? Dislokasi?
Subluksasi?
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Pemeriksaan Segmen Anterior
Slitlamp biomicroscopy Focal / oblique illumination
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Fokal / Oblique iluminasi
PRINSIP :
Sumber Cahaya dari kanan depan penderita , melalui lensa + 10 / 15 D berkas sinar difokuskan pada tempat yang akan diperiksa.
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Tyndal effect
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Tes PLACIDO
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FLUORESCEIN TEST
1. Ada tidaknya defek epitel Kornea
Mata ditetesi Lar. Fluoresein 2 % dibilas dengan NaCl fisiologis
COBALT BLUE
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2. Tes FISTULA / KEBOCORAN ( Seidel test )
Mata ditetesi lar. Fluoresein 2 %
Penderita disuruh berkedip kedip, akan tampak aliran dari tempat kebocoran / fistula.
3. BREAK UP TIME ( Kekeringan kornea )
Mata ditetesi lar. Fluoresein 2 %
Tunggu dan tentukan waktunya berapa lama warna hijau menjadi pecah dari mulai saat ditetes lar. Fluoresein . Normal : 15 - 45 detik.
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4. Fungsi Ekskresi Sistem LakrimalisMata penderita ditetesi lar. Fluoresein 2 %, kemudian ditunggu beberapa saat sambil diperintahkan untuk berkedip kedip.
Hasil Positip bila ada bercak fluoresein pada kapas ( hijau kekuningan )
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FUNDUS REFLEK
CERMIN DATAR BERLUBANG
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Kapsul Anterior
Pusat Lensa
Kapsul Posterior
Korpus Vitreumby Azka & Gilang FK UNDIP'09
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DIPERINTAH MELIRIK
KANAN KIRI atau ATAS BAWAH
DIPERINTAH MELIRIK KE KIRI :
Mengikuti Perintah : kekeruhan di kapsul anterior
Tidak bergerak : kekeruhan di pusat lensa
Berlawanan Perintah : kekeruhan di kapsul posterior
Gerak tidak beraturan : kekeruhan di korpus vitreum
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FUNDUSKOPI ( oftalmoskop )
Papil N II
Arteri / Vena
Retina
Fovea
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TEKANAN INTRA OKULER - Digital
- Tonometer schiotz
- Tonometer applanat
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LAPANG PANDANGTes KONFRONTASI Donders:Penderita dan pemeriksa saling berhadapan, masing masing pandangan terfiksasi pada ujung hidung / pangkal hidung . Telunjuk pemeriksa digerakkan dari sebelah samping kanan / kiri menuju ketengah.
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KAMPIMETERUntuk memeriksa defek lapang pandang / scotoma sentral.
Lapang pandang ?
Kecuali apabila lapang pandang sudah menyempitby Azka & Gilang FK UNDIP'09
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Goldmann Perimetry
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Corneal Light Reflex
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Cover Uncover Test (Tropia vs Phoria)
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Tes ANELMelalui punctum lakrimalis dimasuk kan cairan NaCl fisiologis , apabila saluran lakrimalis lancar maka akan tampak reflek menelan
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Tes Penglihatan Warna
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Terima Kasih
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