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LBM 2 MATA

RIANTIKA NUR UTAMI


30101407303
SGD 15
How is the protective mechanism of the eye?
What are the normal florals in the anterior surface of the eye?
Explain the classification of red eye!
Why did the patient have red eye on the right eye since 3 days
ago?
How did the fibrovascular fiber on the left eye occur?
How many kind of microorganisms that can cause ocular surface
disease?
How is the mechanism of conjunctival inflammation?
Why were the eyelids looked sticky and difficult to open?
What is eye discharge and how many kind of the eye discharge?
Why was the ophthalmology status of the right eye : severe
edema palpebral with severe spasm, yellowish crustae with small
ulcers in the anterior lids, conjuntival injection and purulent
discharge?
What is the diagnosis and the classification of the diagnosis?
What are the tests needed for the scenario?
How is the management of this case?
Eyelids Dan
Eyelashes

Tear Film

Host defense Ocular Surface


mechanism Epithelium

protective Normal Flora

mechanism of Tear Protein


the eye
Non spesifik spesifik
Eyelids Eye-associated lymphoid tissue
Tears Antigen-presenting Langerhans'
cells
Ocular epithelium Immunoglobulins
Normal ocular bacterial flora Classical complement cascade
Mucin T lymphocytes
Antibacterial factors B lymphocytes
Alternative complement
cascade
Natural killer cells
Macrophages
Tears Film
Tears Film
Component Function
Flushing action Mechanical removal of pathogens
Mucin Prevents pathogen binding to ocular surface, traps
microbes for removal via lacrimal drainage
Lactoferrin Iron-binding protein, interferes with pathogen
metabolism
Ceruloplasmin Copper-binding protein
-lysin Attacks bacterial membranes
Lysozyme Hydrolyzes bacterial cell wall peptidoglycan
Cytokines Regulation of immune responses, recruitment and
activation of phagocytic cells
Complement Opsonization of pathogens, attacks pathogen
membranes, recruitment of immune cells
Immunoglobulins Opsonization of pathogens, blocks pathogen binding to
ocular surface, neutralization of toxins
Phospholipase A2 Attacks pathogen membrane phospholipids
Defensins Inhibits pathogen growth

Componen and function of tears film


Cellular defense
Normal flora of the outer eye
Red eyes

Non Sight threatening Sight threatening

Without -keratitis
With discharge
discharge
-ulkus kornea
-uveitis, etc
- Pterigium
-konjungtivitis
- Pingiekula
-trachoma
-hematom
subkonjungtiva -dry eyes
-episkleritis- -vit A defisiency
skleritis

Clasification of red eyes


RED EYES
Hiperemi konjungtiva

Bertambahnya asupan Pecahnya


pembuluh darah pembuluh darah
Berkuranganya pengeluaran
darah ex: pembendungan, -subkonjungtiva
vasodilatasi hemorrhage

Injeksi konjungtiva
Pelebaran
pembuluh darah Injeksi siliar
(injeksi)
Injeksi episklera
Injeksi Injeksi siliar/ Injeksi episkleral
konjungtiva perikorneal
Asal a. Conjungtiva a.Siliari a. Siliar longus
posterior
Memperdarahi Konjungtiva bulbi Kornea segmen intraokular
anterior
Lokasi Konjungtiva Dasar konjungtiva Episklera
Warna Merah Ungu Merah gelap
Arah aliran/lebar Ke perifer Ke sentral Ke sentral
Konjungtiva Ikut bergerak Tidak bergerak Tidak bergerak
digerakkan
Dengan epinefrin Menciut Tidak menciut Tidak menciut
1 : 1000
Penyakit Konjungtiva Kornea, iris, Glaukoma,
glaukoma endoftalmitis,
panoftalmitis
Sekret + - -
Penglihatan Normal Menurun Sangat turun

DD injeksi vaskular
MATA MERAH TANPA
GANGGUAN
PENGLIHATAN DAN TANPA
KOTORAN/ BELEK
Triangular fold of conjunctiva that usually grows from
the medial portion of the palpebral fissure toward the
cornea
The harmless thickening of the conjunctiva is due to
hyaline degeneration of the subepithelial collagen tissue.
Advanced age and exposure to sun, wind, and dust foster
the occurrence of the disorder
This progression is presumably the result of a disorder of
Bowmans layer of the cornea, which provides the
necessary growth substrate for the pterygium.

Pterygium
Melindungi mata dari
paparan sinar marahari,
debu, udara dengan
kacamata pekindung

konservatif Meradang steroid

Delen (lekukan kornea)


terapi air mata buatan untuk
salep

Bila ada gangguan


pembedahan penglihatan
CONJUNGTIVITIS
microorganisms that can cause ocular surface
disease
microorganisms that can cause ocular surface
disease
a b

c d
a injection b hemorrhage
c chemosis d pseudomembrane
Infiltration Subconjungtiva
scaring