DACROSISTITIS

ANATOMI LAKRIMAL
 APPARATUS LAKRIMALIS

• The puncta sup & inf

• The canaliculi : sup &inf  common canaliculus :
valve of Rosenmuller
• The lacrimal sac
• The nasolacrimal duct : 12mm, valve of Hasner
• Meatus nasi inf
Seluruh saluran air mata dilapisi epitel
GAMBAR APPARATUS LAKR.
 PENGALIRAN AIR MATA :
1. Capilarity of canaliculi: 70%lower
2. Mata terbuka, otot relaks, sac collapse (Positive
pressure ) and gravitasi
3. Berkedipkontraksi m orbicularis oculi, MEKN.
Pompa saccus lacrimalis (neg.pressure) ke meatus
nasi inf.
MEKANISME POMPA KEDIP
 PENYAKIT APP. LAKR.
1. Watering:
a. Lacrimation (hyperlacrimation)
b. Epifora (Tearing=hipersekresi) karena:
a. Lacrimal pump failure
b. Obstruction
c. Malposition.
2. Mata Kering (Dry Eyes)

GANGGUAN SISTEM LAKRIMAL:

- Obstruksi
- Infeksi
 DAKRIOSISTITIS
• Sekunder karena obstr. Duct nasolacrimal
• Acute -- Chronic
• 90% Px usia bayi, anak & px menopause>40 th
• E/c jamur sering terbentuk dacriolith dan membuntu dnl
• Tearing, sekret/discharge
DAKRIOSISTITIS AKUT
• AKUT : TANDA RADANG AKUT (pain,
redness swelling) , TENDERNESS
(perlunakan) & SEKRET PURULEN

• TX :
– Initial treatment :
• antibiotika lokal & sistemik
• Kompres hangat
– Incision and drainage
• Kronis, tanda radang akut mereda, sekret mukoid
& tearing
• Sering disertai ulkus kornea
• Perforasi kulit sakusfistula
• TX :
– Probing
– Dacryosistorhinostomi(dcr)
DAKRIOSISTITIS AKUT
& ABSES
IRIGASI
PROBING