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ABSTRACT
Objective: To report the result of cryotherapy for patient with descemetocele after corneal ulcer. Methods: A
case report; a 13-years-old boy suffered from descemetocele in his right eye. Best corrected visual acuity in the
right eye was light perception and left eye was 6/6. The examination of right eye anterior segment revealed hazy
cornea due to corneal scar and thinning process as descemetocele with 3 x 3 mm in size, and the others were
difficult to be evaluated. Ultrasonography of right eye was normal and there were no inflammations and infections
in the scrapping result. Cryotherapy was performed twice on the affected eye. Results: One month after second
cryotherapy, descemetocele was covered by cicatrical tissue. And six months after surgery, descemetocele was
disappeared. Conclusion: Cryotherapy was beneficial to prevent corneal perforation by making cicatrical tissues
and minimizing descemetocele size in patient suffered from descemetocele after corneal ulcer.
Keywords: descemetocele, cryotherapy.
Correspondence: Dini Irawati, c/o.: Departemen/SMF Ilmu Kesehatan Mata Fakuktas Kedokteran Unair/RSU
Dr.
Soetomo. Jl. Mayjend. Prof. Dr. Moestopo 6-8 Surabaya 60286. E-mail :
dini_ira@yahoo.co.id
PENDAHULUAN
Membran descemet adalah membran elastik
jernih yang tampak amorf pada pemeriksaan
mikroskop elektron dan merupakan membran dasar
endotelium kornea yang tersusun atas kisi-kisi halus
fibril kolagen, ketebalannya hanya 3 m saat baru
lahir hingga 10-12 m saat dewasa.1,2
Kondisi dimana terjadi penipisan dan
perforasi kornea melibatkan proses-proses
penyakit seperti infeksi, inflamasi, trauma, dan
degenerasi. Membran Bowman dan stroma
kornea bukan barier yang efektif terhadap
mikroorganisme, namun membran descemet
merupakan barier efektif yang mencegah perforasi
kornea selama beberapa hari. Membran descemet
mungkin lebih resisten terhadap lisis
dibandingkan stroma. Ketika sebagian besar
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DAFTAR PUSTAKA
1. Sutphin, Jr. JE, Dana MR, Florakis GJ,
Hammersmith K, Reidy JJ, Lopatynsky M. Basic
and clinical science course: external disease and
cornea. Section 8. San Fransisco: American Academy
of Ophthalmology; 2006-2007. p. 12, 144-442.
2. Kanski JJ. Clinical ophthalmology: a systematic
approach. 5th ed. Edinburgh: ButterworthHeinemann; 2003. p. 96, 102.
3. Raju VK. Management of corneal thinning and
perforation. Indian J Ophthalmol [serial online]
1983 [cited 2008 July 25]; 31(5):667-8. Available
from: URL: http://www.ijo.in/
4. Coster DJ. Fundamentals of clinical ophthalmology:
cornea. London: BMJ Books; 2002. p. 9.
5. Amoils SP. Cryosurgery in ophthalmology.
London: Pitman Medical Publishing Company; 1975.