Glaukoma Flashcards

1
Q

Glaukoma (3)

A

Kongenital
Primer
Sekunder

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2
Q

Klasifikasi Glaukoma Kongenital

A
  • 0-28 hari: Glaukoma kongenital
  • 28 hari-3 tahun: Glaukoma infantile
  • 3-16 tahun: Glaukoma juvenile
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3
Q

Tx Glaukoma Kongenital

A

Goniotomi/trabekulotomi

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4
Q

Glaukoma Primer

A

Riw penyakit (-)

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5
Q

Klasifikasi Glaukoma Primer

A
  • Sudut tertutup/akut
  • Sudut terbuka/kronik
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6
Q

Glaukoma Primer: Sudut tertutup/akut

A

Mata merah
Pusing, mual, muntah
TIO >50 mmHg
COA dangkal

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7
Q

Glaukoma Primer: Sudut terbuka/kronik

A

Mata tenang
TIO 20-30 mmHg
COA dalam/normal

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8
Q

Glaukoma Sekunder

A

Riw penyakit (+)/trauma (+)
Hifema/katarak

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9
Q

Klasifikasi Glaukoma Sekunder

A

= Primer

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10
Q

PP Glaukoma

A

TIO >21 mmHg → Tonometri

FUNduskopi → CDR >0,5

PErimetri → lapang pandang → buta temporal/lateral/terowongan/kuda/tunnel

GOnioskopi → nilai COA dalam/dangkal

TIO FUN PE GO

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11
Q

Tx Glaukoma (Umum)

A

Asetazolamid 500 mg → 4x250 mg

Beta blocker → timolol tetes 0,5% 2x1 → KI: asma

piloCarpin 1%, 2%, 4% 3x1

Diuretik/prostaglandin → latanoprost 1x1

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12
Q

Tx Glaukoma Sudut tertutup

A
  • Tx awal/tepat: ABCD
  • Definitif: Iridotomi/iridektomi
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13
Q

Tx Glaukoma Sudut terbuka

A
  • Tx awal/tepat: CD
  • Definitif: Trabekulotomi/trabekulektomi/trabekuloplasty
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14
Q

DD Glaukoma

A

Normotension Glaucoma
Hipertensi Okuli

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15
Q

Normotension Glaucoma

A

Gejala (+)
TIO ≤20 mmHg
Tx → glaukoma

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16
Q

Hipertensi Okuli

A

Gejala (-)
TIO >20 mmHg
Tx → beta blocker +/- asetazolamid