7/25/2019 TRAUMA Mata 18 Nov 2015

1/80

TRAUMATRAUMA

PADA MATAPADA MATA

Dr. Swasty, SpMDr. Swasty, SpM

FK UNIMUS 2010

7/25/2019 TRAUMA Mata 18 Nov 2015

2/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

3/80

7/25/2019 TRAUMA Mata 18 Nov 2015

4/80

Ital%a Slata!

7/25/2019 TRAUMA Mata 18 Nov 2015

5/80

%tal%a Slata!

7/25/2019 TRAUMA Mata 18 Nov 2015

6/80

7/25/2019 TRAUMA Mata 18 Nov 2015

7/80

7/25/2019 TRAUMA Mata 18 Nov 2015

8/80

7/25/2019 TRAUMA Mata 18 Nov 2015

9/80

7/25/2019 TRAUMA Mata 18 Nov 2015

10/80

7/25/2019 TRAUMA Mata 18 Nov 2015

11/80

7/25/2019 TRAUMA Mata 18 Nov 2015

12/80

7/25/2019 TRAUMA Mata 18 Nov 2015

13/80

DKTER UMUM DIHARAPKANDKTER UMUM DIHARAPKAN

7/25/2019 TRAUMA Mata 18 Nov 2015

14/80

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+

7/25/2019 TRAUMA Mata 18 Nov 2015

15/80

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#

7/25/2019 TRAUMA Mata 18 Nov 2015

16/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

17/80

7/25/2019 TRAUMA Mata 18 Nov 2015

18/80

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!$5 K+pata! 'ata!$

7/25/2019 TRAUMA Mata 18 Nov 2015

19/80

". 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%-/('%#?

7/25/2019 TRAUMA Mata 18 Nov 2015

20/80

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*%'

7/25/2019 TRAUMA Mata 18 Nov 2015

21/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

22/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

23/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

24/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

25/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

26/80

@%'* 8rs% palp"ra atas@%'* 8rs% palp"ra atas

Evers ion tarsal.wmv.fv

7/25/2019 TRAUMA Mata 18 Nov 2015

27/80

>!'a as%!$ '% #*!&u!$t%8a>!'a as%!$ '% #*!&u!$t%8a

palp"rapalp"ra

7/25/2019 TRAUMA Mata 18 Nov 2015

28/80

@%'* ((r%#sa #*!&u!$t%8a@%'* ((r%#sa #*!&u!$t%8a

palp"ra %!-r%*rpalp"ra %!-r%*r

Examination o the Lower Eyelids.fv

7/25/2019 TRAUMA Mata 18 Nov 2015

29/80

%!

I!s%

#*!&u!$t%8a I!s% +%l%ar

Su"#*!&u!$t%8al

"l'%!$

7/25/2019 TRAUMA Mata 18 Nov 2015

30/80

A-tr a'Cuat a!sths%a, th !

7/25/2019 TRAUMA Mata 18 Nov 2015

31/80

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!'

7/25/2019 TRAUMA Mata 18 Nov 2015

32/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

33/80

E#stra#s% "!'a as%!$ '% #*r!aE#stra#s% "!'a as%!$ '% #*r!a

7/25/2019 TRAUMA Mata 18 Nov 2015

34/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

35/80

7/25/2019 TRAUMA Mata 18 Nov 2015

36/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

37/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

38/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

39/80

7/25/2019 TRAUMA Mata 18 Nov 2015

40/80

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!

7/25/2019 TRAUMA Mata 18 Nov 2015

41/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

42/80

7/25/2019 TRAUMA Mata 18 Nov 2015

43/80

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 %

7/25/2019 TRAUMA Mata 18 Nov 2015

44/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

45/80

7/25/2019 TRAUMA Mata 18 Nov 2015

46/80

5 $*l a(%!*$l%#*s%'a5 $*l a(%!*$l%#*s%'a

$!ta(%+%! ED/E 45

7/25/2019 TRAUMA Mata 18 Nov 2015

47/80

". 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

7/25/2019 TRAUMA Mata 18 Nov 2015

48/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

49/80

K%MPLIKASIK%MPLIKASI

1.1. Ul#us #*r!aUl#us #*r!a2.2. Er*s% "rula!$Er*s% "rula!$

PR%GN%SIS

7/25/2019 TRAUMA Mata 18 Nov 2015

50/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

51/80

TAN:A;TAN:A;

7/25/2019 TRAUMA Mata 18 Nov 2015

52/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

53/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

54/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

55/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

56/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

57/80

>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%

7/25/2019 TRAUMA Mata 18 Nov 2015

58/80

7/25/2019 TRAUMA Mata 18 Nov 2015

59/80

7/25/2019 TRAUMA Mata 18 Nov 2015

60/80

EMER6EN3 3ASE

7/25/2019 TRAUMA Mata 18 Nov 2015

61/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

62/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

63/80

PENE>A>PENE>A>

KLASIFIKASIKLASIFIKASI

7/25/2019 TRAUMA Mata 18 Nov 2015

64/80

KLASIFIKASIKLASIFIKASI

. KLASIFIKASI

RALPH

2 KLASIFIKASI HUGHES

7/25/2019 TRAUMA Mata 18 Nov 2015

65/80

2. KLASIFIKASI HUGHES2. KLASIFIKASI HUGHES

7/25/2019 TRAUMA Mata 18 Nov 2015

66/80

M ' t l

7/25/2019 TRAUMA Mata 18 Nov 2015

67/80

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!'

@@

7/25/2019 TRAUMA Mata 18 Nov 2015

68/80

@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

7/25/2019 TRAUMA Mata 18 Nov 2015

69/80

3*!t*h $a("ar trau(a #%(a3*!t*h $a("ar trau(a #%(a

7/25/2019 TRAUMA Mata 18 Nov 2015

70/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

71/80

3. KLASIFIKASI THOFT3. KLASIFIKASI THOFT

7/25/2019 TRAUMA Mata 18 Nov 2015

72/80

7/25/2019 TRAUMA Mata 18 Nov 2015

73/80

7/25/2019 TRAUMA Mata 18 Nov 2015

74/80

>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

7/25/2019 TRAUMA Mata 18 Nov 2015

75/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

76/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

77/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

78/80

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%*!

7/25/2019 TRAUMA Mata 18 Nov 2015

79/80

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

7/25/2019 TRAUMA Mata 18 Nov 2015

80/80