moms eB RS TK 1 MOH. RIDWAN MEURAKSA REKAM MEDIS ILMU KESEHATAN MATA 1. IDENTITAS a, Nama Tam b. Tempat tanggal lahir! Usia t ee dang , t -at-19 ae Badan 0-953 165 doen ge Aga cer c. Alamat Di-eurwn« | Jak fabeeya f Pekerjaan Mandor ANAMNESIS a. Keluhan Uta: Renginhetm Vournn Rate tata Hirt Ubu Sieg bb. Riwayat Penyahit Sckarang: agwa omy Kar Poinecinnte ee Bian macnn dungen Kevin eke’ Kin bum Saye t Velen Smeg eee eee eee co emery Kerviewa ads Same benyen Mae mate faren burr Sie eg CREE ee emer eicnat Qagion Renerhern ee ' Baron Encune Peforme cc, Riwayat Penyakit Dahulu: (o6R0"" Karan. Reload Eon dete Se GimMeneted Laci noi, 1) Rin Mmorepem =, Welw % veigertens So Bk ee te ees, tise ae Baek peer: ashes unite yam ne eke ee Spl tentemty Piting FO) B Oferem mee se Yori eke fer Kien > Be ater Viger Pele) dd. Riwayat Penyakit Keluarga: Pasion meercgenton Kile ade CENT Yor Yhongatonl Gemqe Semper Rasen phe Rendede pate ein. Jn, fe. Riwayat Social Ekonomi: pase Megvgrien Cammy Jonriindn Anjentte lark. Cred int Jadwa burene Mergaunn Poreds \egeren- 3, PEMERIKSAAN FISIK © Keadaaan Umum =: Yea fe eee © Kesadaran Compas Herts © Vital Sig i _Tekanan Darah»: 57/07 mmilg - Nadi qro¥lmenit - Pernapasan 21 /menit > suhutubuh = 36,4°CSB RS TK Il MOH. RIDWAN MEURAKSA Status Generalis ! Boomsserer aye Gmeend Camb Was - Qui, bejan Mata £ Rey Gator , Coney anaemia C= /-) seen Wereneer-) EAGT, ewe Cee) 3. Leher 1 Pager dyer Geces Cletmbul , Rebugm PERE) Wessel) 4. Thorax © Jamung Inspeksi SMO Forde kerither chp Geri ly pana pects Palpasi Yurrbn Ver Kerio Aiba Ray Pemeee aici Perkusi Teter Janis Normet Auskultasi Beri Jarry LD requir, murmve 1, Jattag ©) Par ‘ Inspeksi 2 Peegeretn aliriny dek Hinwtis, mussse ©), Wee &) alpasi masse G1, Freee MEAL) Simerig Freniter 408) €) prehs. Perkusi s Sonar Qtr bee Qacu Auskultasi : Suan nope V emwete Cte) , Panthe (-/-), wreering (-/-) 5. Abdomen: Inspeksi debe Ree cmass 6), Gee Auskultasi 2 Grdirg Veer Perkusi Tegan disse eg alacant Palpasi Peper Xeen Le), deters pes 6 Pkstremitas Tater lamgerl Cm Tete , Glenn &) Status Lokalis 6/30 1. Visus Dasar; 00 6/5 os © Kacamatalama i — ee * Koreksi Sap oro xv © © Addisi : J+ Zoo “pay Wes loo" nen Anterior op osBS RS TK 11 MOH. RIDWAN MEURAKSA Cie a. Posisi omeforia oPtefore b. Pergerakan SOMA, Feeseqete err Theres FE Ry ae ©. Palpebra ders Le], MYEy ten ©) Eee mie ke, d. Konjungtiva : Qe, Ye Derersetre dadinaen BONA, Fgura i eOrne LU, Gene) wert, clue, eSere (4 unr ey f COA Maced anf), Vipagieney Naseer Vvpeige 9, Jeigapinn =) g. Pupil Wott Carter, (SRHUr -c1te) Pe) Npunele_ gear etre Feetthh rere) he Iris 2 BMH Sinwees i. Vitreous j. Lensa pdennis, Seamen Posterior : oD Os a. Papil N. II b. Vasa : ©. Retina 4, Makula 4, Tonometri os Non-contact wel ...ammHg + Schiotz amg, 4, PEMERIKSAAN PENUNJANG 5. DIAGNOSIS © Diagnosis PXergnam dewka I os * Diagnosis Banding: -Psowds Phergurn — Pingu westa Ai Mildlakiona se Sowiedn -B da ate? Vos) 2. Rdukay | Myrpuseno mengund ee : 4 See eS aoe aes ia oe &. Propnoils wee? Age Ry hike Pager Bren reat) : £08 Yorn Que as view Fae Gee cn vim ad bees For aa, bee ao ok fos: = eh eee os