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Introduction
are divided into two, namely open globe injury
A Injuries to the eye
and closed globe injury.

B Open globe injury


is an eye injury, where the wound causes discontinuity
throughout the thickness of the eyeball wall.

In the age group of children the incidence of


C Epidemiology
trauma to the eye reaches 8-14%.
Men experience more than women, about 4:1

To diagnose patients who experience sharp


Diagnose
D trauma, anamnesis, physical examination and
investigations can be carried out.

The principle of managing sharp trauma


E Therapy
patients is to maintain the eyeball, where
every leak must be sewn.
CASE REPORT
PATIENT IDENTITY
• Name : Mr. MG
• Age : 10 years
• Gender : Male
• Address : Lingsar
• Religion : Muslim
• Job :-
• Education : Elementary School
• Examination date: 23 january 2019
• No. RM : 02-19-38
Ophthalmology status
Content Content Content

Visus

Naturalis 1/300 6/6

Posisi Bola Mata

Hirchsberg Ortoforia Ortoforia

Cover uncover test Ortotropia Ortotropia

Gerakan Bola Mata Baik ke segala arah Baik ke segala arah

Gerakan lancar, jangkauan penuh


Lapang Pandang Gerakan lancar, jangkauan penuh
Content Content Content

Konjungtiva Tarsal Superior Hiperemi (+) (-)

Sikatrik (-) (-)

Konjungtiva Tarsal Inferior Hiperemi (+) (-)

Anemis (-) (-)

Sikatrik (-) (-)

Konjungtiva Bulbi Injeksi Konjungtiva (+) (-)

Injeksi Siliar (+) (-)

Massa (-) (-)

Edema (-) (-)


Content Content Content

Palpebra Superior Edema (-) (-)


Hiperemi (-) (-)
Retraksi (-) (-)
Entropion (-) (-)
Ektropion (-) (-)
Massa / benjolan (-) (-)

Palpebra Inferior Edema (-) (-)

Hiperemi (-) (-)

Entropion (-) (-)

Ektropion (-) (-)

Massa /benjolan (-) (-)


Content Content Content

Sistem lakrimalis Punctum lakrimal Dbn dbn

Sakus lakrimal

Duktus lakrimal Dbn dbn

Epiforia

Dbn dbn

(+) (+)
Kornea Bentuk Datar Cembung
Kejernihan Terdapat infiltrate Dbn
Permukaan Tidak rata Tidak rata
Sikatrik (-) (-)
Benda Asing (-) (-)

Bilik Mata Depan Kedalaman Kesan dangkal Kesan dalam

Hifema (-) (-)


Content Content Content

Iris Warna Coklat Coklat

Bentuk Regular Regular

Pupil Bentuk Bulat Bulat

Refleks cahaya langsung (+) (+)

Refleks cahaya tidak langs (+) (+)


ung

Lensa Kejernihan Keruh total Jernih

Funduskopi Refleks Fundus FR (+) FR(+)

Gambaran Funduskopi Tidak dilakukan Tidak dilakukan


1. Corneal lacerations +/- 3mm

STATUS 2. closed / epithelialized


3. infiltrate
4. minimal edema

LOKALIS 5. The lens is totally cloudy


6. Ciliary injection +
7. conjunctival injection
GAMBAR Gambaran mata kanan dan kiri
pasien
MATA
PASIEN
GAMBAR Gambaran mata kanan dengan
MATA slit lamp
PASIEN
IDENTIFICATION OF PROBLEMS

 complaints of the right eye being caught, this complaint has occurred
Subjective since 7 days ago.
 The patient says when exposed to a fishing line the eye feels painful, a
blurred vision emits water and is accompanied by anger.

Objective Visus natural : OD visus 1/300, OS visus 6/6.

Corneal lacerations +/- 3mm, closed / epitalized +, infiltrate +,


minimal edema, total cloudy lens, injection of ciliary +, conjuncti
val injection.
Case Analysis

Eye pain and red with decreased vision

• corneal laceration with lens involvement


• Decreased vision in patients is caused by
which is a large laceration of the cornea
damage to the cornea which is a media
with iris prolapsus often involves the lens.
refraction.
• This can involve the anterior capsule,
• Pain in the patient's eyes is caused by
cortex, posterior capsule and zonula.
sharp objects stimulation of the corneal
• Can cause traumatic cataracts depending
and conjunctival nerve endings.
on the extent of the consequences of the
• Inflammation of the conjunctiva causes
trauma caused. In addition to
widening of the conjunctival blood vessels
posttraumatic Iridocyclitis, redness of the
which appears as a conjunctival injection
eyes, photophobia, and decreased ability
and pericorneal injection.
to see.
Case Analysis

Corneal lacerations +/- 3mm, total cloudy lens,


ASSESMENT injection of ciliary +, conjunctival injection.

• In accordance with the literature the


• Open globe injury OD diagnosis of work in these patients can be
established because it is in accordance
• Rupture kornea OD with the general symptoms of pain, red
• Katarak Traumatika eyes, signs of irritation, excessive tear
discharge, blurred vision.
Diagnosis of
eye trauma
PLANNING DIAGNOSTIC

Slit lamp USG B-SCAN

• Slit lamp will allow a • By using this tool, it can


more detailed detect if there is a foreign
examination, which can object that is still left in the
show a more shallow eye. in addition, this
anterior chamber examination can also
compared to the counter- assess the posterior
lateral eye can imply condition of the eyeball if
penetrating anterior there is retinal detachment
or not.
trauma.
PLANNING THERAPY

FARMAKOLOGY

Such cases may only require


systemic or topical antibiotic
therapy with close supervision. If
• Levocin 6x OD there is a leak in the corneal
• C Xytrol 6x OD tissue, but the anterior chamber
remains intact, the clinician can
• Cefadroxyl 2 x 500 mg try to stop the leak by
pharmacological therapy to
suppress aqueous production (eg
with systemic or topical beta-
blockers).
KIE

• Explain to patients and families about the disease suffered by the


patient along with treatment, complications and prognosis.
• Explain to patients to maintain eye hygiene to prevent secondary
infection.
• Explain the patient to take medication regularly, because the
healing takes a long time.
PROGNOSIS

Prognosis ad functionam
Dubia ad Bonam
Prognosis ad vitam
Dubia ad Bonam
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• The patient is a 10-year-old child, who come
s with complaints of hook fishing eyes 7 days
ago the eyes were painful, blurred vision dre
w water and accompanied by weakness. Phy
sical examination revealed natural vision OD
visual 1/300, OS vision 6/6, lacerations corn
ea +/- 3 mm, closed / epitalized +, infiltrate +,
minimal edema, total cloudy lens, injection of
ciliary +, conjunctival injection.
CONCLUSION • Patients diagnosed with work with Open glob
e OD injury, corneal OD rupture, Traumatic C
ataract. Management of patients requires sy
stemic and topical antibiotic therapy with stri
ct supervision. The prognosis for this disease
is dubia ad bonam.
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