case 2 armd
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Case Report:
STANLEY TIMOTIUS
11 2015 164
KEPANITERAAN ILMU PENYAKIT MATA
RSUD CIAI
!K UKRIDA
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IDENTITASNa"a : N#$ SU"%r : &0 ta'%(
A)a"a : Is*a"
Pe+er,aa( : -
A*a"at : Ko"p*e+s Paspa"pres RT 02 R 04./o)or Se*ata(
Ta())a* pe"er+saa( : 11 Apr* 2016
Pe"er+sa : Sta(*e#
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Keluhan utamaKe%a "ata %ra" se,a+ 1 ta'%( #a() *a*%$
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RPS
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Riwayat Penyakit Dahulu
Pase( ta+ "e"*+ r3a#at ara' t()). +e(() "a(s.as"a. a( a*er)$
Riwayat Penyakit Keluarga
Ta+ aa a())ota +e*%ar)a *a( #a() "e"*+ +e*%'a(ser%pa$
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Stat%s e(era*sKeaaa( %"%" : /a+Kesaara(: Co"pos "e(ts
Ta(a ta* : TD 120780 ""9).
Kepa*a7Le'er : Nor"oep'a*. ta+ aa pe"esara(+e*e(,ar )eta' e(()
M%*%t : Ta+ *a+%+a( pe"er+saa(
T'ora. ;a(t%() : Ta+ *a+%+a( pe"er+saa(
Par% : Ta+ *a+%+a( pe"er+saa(Ao"e( : Ta+ *a+%+a( pe"er+saa(
E+stre"tas : Da*a" atas (or"a*
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Stat%s O
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2. KEDUDUKAN BOLA MATA
- Ukuran Normal Normal
- Eksoftalmus - -
- Endoftalmus - -
- Deviasi - -
- Gerakan Bola ata Baik ke se!ala
ara"
Baik ke se!ala
ara"
3. SUPERSILIA
- #arna $itam $itam
- Simetris Normal Normal
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4. PALPEBRA SUPERIOR DAN INFERIOR
- Edema - -- N%eri tekan - -
- Ekteropion - -
- Entropion - -
- Blefarospasme - -
- Trikiasis - -
- Sikatriks - -
- &un'tum lakrimal Normal Normal
- (issure palpe)ral - -
- Tes anel Tidak dilakukan Tidak dilakukan
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5. KONJUNGTIVA SUPERIOR DAN INFERIOR
- $iperemis - -
- (olikel - -
- &apil - -
- Sikatriks - -
- $ordeolum - -
- Kala*ion - -
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6. KONJUNGTIVA BULBI
- Sekret - -
- +n,eksi Kon,un!tiva - -
- +n,eksi Siliar - -
- &erdara"an
Su)kon,un!tivakemosis
- -
- &teri!ium - -
- &in!uekula - -
- (likten - -
- Nevus &i!mentosus - -
- Kista Dermoid - -
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7. SKLERA
- #arna &uti" &uti"
- +kterik - -
- N%eri Tekan - -
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8. KORNEA
- Ke,erni"an .erni" .erni"
- &ermukaan Rata Rata
- Ukuran Normal Normal
- Sensi)ilitas Baik Baik
- +nfiltrat - -
- Keratik &resipitat - -
- Sikatriks - -
- Ulkus - -
- &erforasi - -- Ar'us senilis - -
- Edema - -
- Test &la'ido Tidak dilakukan Tidak dilakukan
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9. BILIK MATA DEPAN
- Kedalaman /ukup /ukup- Ke,erni"an .erni" .erni"
- $ifema - -
- $ipopion - -
- Efek T%ndall - -
1 IRIS
- #arna /oklat /oklat
- Kripta - -
- Sinekia - -
- Kolo)ama - -
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11. PUPIL
- 0etak Ten!a" Ten!a"- Bentuk Bulat1 isokor Bulat1 isokor
- Ukuran 2 mm 2 mm
- Refleks /a"a%a 0an!sun! 3 3
- Refleks /a"a%a Tidak
0an!sun!
3 3
12. LENSA
- Ke,erni"an
- 0etak Ten!a" Ten!a"
- Test S"ado4
13. BADAN KA!A
- Ke,erni"an .erni" .erni"
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14. FUNDUS O!!ULI
- Batas- #arna
- Ekskavasio
- Rasio arteri 5 vena- /D rasio
- Eksudat
- &erdara"an
- Sikatriks
- A)lasio
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15. PALPASI
- N%eri tekan - -
- asa tumor - -
- Tensi O''uli Normal per
palpasi
Normal per
palpasi
- Tonometr% S'"iot* - -
16. KAMPUS VISI
- Tes Konfrontasi Sesuai
&emeriksa
Sesuai &emeriksa
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Pe"er+saa( Pe(%(,a()!%(%s+opA"s*er r
Opta* Co'ere(e To"o)rap'#
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Res%"eN#$ S. pere"p%a(. %sa &0 ta'%(. ata() +e po*+*(+"ata e()a( +e*%'a( %ra" se,a+ 1 ta'%( #a() *a*%$
Te+a(a( Dara': 120780 ""9)$ Pe"er+saa( "ataapat+a( =s%s OD a( =s%s OS
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OD OS
Visus
T+O Normal per &alpasi Normal per &alpasi
/ts Tenan! Tenan!
/ti Tenan! Tenan!
/) Tenan! Tenan!
/ .erni" .erni"
/oA /ukup /ukup
& Bulat1 6 2mm1 R/ 3 Bulat 61 2mm1 R/ 3
+ Sinekia - Sinekia -0
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DPse%oa A)e re*ate "a%*ar e)e(erato( OS
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DDCe(tra* Sero%s Ret(opat'# OS
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Pe(ata*a+sa(aa(
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Pro)(ossOD OS
A" V#$%& Bonam Bonam
A" F'()*#+(%& Bonam Du)ia ad )onam
A" S%(%$#+(%& Bonam Du)ia ad alam
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T(,a%a(P%sta+a
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De?(sAMD aa*a' pe(#a+t e)e(eras "a+%*a #a() asa(#a"e()e(a (=% %sa *a(,%t. #a() "e()'as*+a(+e'*a()a( pe()*'ata( se(tra* pe()*'ata( @"a+%*a+are(a +er%sa+a( ret(a$
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Eto*o)1$ U"%r
2$ e(et+
B$ Mero+o+
4$ Ras
5$ R3a#at Ke*%ar)a
6$ 9perte(s a( Daetes
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Epe"o*o)/erasar+a( A"era( Aae"# o< Op't'a*"o*o)#.pe(#ea %ta"a pe(%r%(a( pe()*'ata( ata% +e%taa(per"a(e( A"er+a Ser+at paa (=% e()a( %sa*e' ar 50 ta'%( aa*a' ARMD$ Data A"er+a Ser+at
"e(%(,%++a( 15 pe(%%+ %sa &5 ta'%( +e atas"e()a*a" e)e(eras "a+%*a$ /e(t%+ #a() pa*() ser()aa*a' age-related macular degeneration@AMD$
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K*as?+asAMD tpe (o(-E+s%at
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Pato?so*o)1$ Proses Pe(%aa(De)e(eras "e"ra( r%s' pe(%r%(a(
per"ea*taspe("%(a( *po
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Ma(
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Tata*a+sa(a1$ !oto+oa)%*as Laser2$ P'oto#(a" T'erap#
B$ Tra(sp%p**ar# t'er"ot'erap#
4$ Terap e()a( a(t E!
5$ Raas
6$ Pe"ea'a(:
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Pro)(oss
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Se+a(TERIMA KASI9
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