DAFTAR ISI

BAB 1 PENDAHULUAN............................................................................................................. 1

BAB 2 ANATOMI DAN FISIOLOGI KORNEA................................................................................3

2.1 Anatomi Kornea............................................................................................................3

2.2 Fisiologi Kornea.............................................................................................................3

2.3 Permeabilitas oksigen, transmisibilitas dan perbandingan persentase oksigen........10

2.4 Tear Film.....................................................................................................................11

BAB 3 LENSA KONTAK ............................................................................................................13

3.1 Definisi........................................................................................................................13

3.2 Material Lensa Kontak................................................................................................13

3.3 Faktor yang mempengaruhi terjadinya komplikasi pemakaian lensa kontak............15

a. Bahan dan Pembuatan...................................................................................15

b. Teknik Fitting...................................................................................................16

c. Indikasi dan Kontraindikasi.............................................................................17

d. Hygiene...........................................................................................................18

e. Trauma Oculi...................................................................................................18

f. Waktu Maksimum Pemakaian........................................................................19

g. Pasien dengan penyakit sistemik....................................................................19

h. Pasien yang berisiko tinggi untuk mengalami komplikasi..............................20

i. Faktor Psikologi..............................................................................................21

BAB 4 KOMPLIKASI TERKAIT LENSA KONTAK..........................................................................22

4.1 Infeksi..........................................................................................................................23

a. Blefaritis..........................................................................................................23

b. Microbial Keratitis...........................................................................................24
4.2 Hipoksik/Metabolik....................................................................................................27

a. Neovaskularisasi Kornea.......................................................................................27

b. Epithelial Edema...................................................................................................28

c. Stromal Edema......................................................................................................29

4.3 Toksisitas.....................................................................................................................29

a. Keratits Pungtat....................................................................................................29

b. Konjungtivitis Toksik.............................................................................................30

4.4 Masalah Mekanik........................................................................................................30

a. Corneal Warpage..................................................................................................30

b. Ptosis.....................................................................................................................31

c. Abrasi Kornea........................................................................................................31

d. 3 o’clock and 9 o’clock staining............................................................................32

e. Superior epithelial arcuate lesion.........................................................................32

f. Lens Binding..........................................................................................................33

4.5 Inflamasi......................................................................................................................33

a. Contact lens-induced keratoconjunctivitis...........................................................33

b. Reaksi alergi..........................................................................................................34

c. Giant Papillary Conjunctivitis................................................................................35

d. Infiltrat Steril.........................................................................................................36

e. Superior Limbic Keratokonjungtivitis....................................................................38

4.6 Dry Eye........................................................................................................................39

4.7 Komplikasi terkait waktu pemakaian.........................................................................42

a. Overnight Syndrome...............................................................................................43

b. Tight Lense Syndrome............................................................................................44

 c. Contact lens–induced acute red eye.......................................................................45

d. Contact Lens Discomfort.........................................................................................46

e. Contact lens related peripheral ulcer.....................................................................47

f. Corneal Staining.......................................................................................................48

BAB 5 MANAJEMEN KOMPLIKASI TERKAIT LENSA KONTAK...................................................49

5.1 Antibiotik....................................................................................................................49

5.2 Anti Alergi...................................................................................................................51

5.3 Kortikostreroid............................................................................................................52

5.4 Non Steroid Anti Inflamasi..........................................................................................53

5.5 Obat Antiviral..............................................................................................................54

5.6 Obat Infeksi Jamur (Anti Fungal)................................................................................54

5.7 Pengobatan Dry Eye....................................................................................................55

a. Aquous Deficiency Dry Eye....................................................................................55

b. Evaporative Dry Eye..............................................................................................56

BAB 6 KESIMPULAN................................................................................................................58

DAFTAR PUSTAKA.................................................................................................................. 59