Keratitis

Question 1

Keratitis

Answer 1

Mata merah, visus turun, fotofobia

→ inflamasi kornea

Question 2

Keratitis (4)

Answer 2

• Keratitis Bakterial
• Keratitis Viral
• Keratitis Amoeba/Protozoa
• Keratitis Fungal

Question 3

FR Keratitis Bakterial

Answer 3

Penggunaan softlens

Question 4

Etio Keratitis Bakterial

Answer 4

Pseudomonas aeruginosa

Question 5

Dx Keratitis Bakterial

Answer 5

Sekret mukopurulen

Question 6

Tx Keratitis Bakterial

Answer 6

AB topikal + sistemik

Question 7

Keratitis Viral (2)

Answer 7

Herpes Zoster
Herpes Simplex

Question 8

Dx Herpes Zoster

Answer 8

• Vesikel sesuai dermatom
• Lesi mikrodendritik/pseudodendritik → hijau pucat, terminal button (-), bagian tengah kosong

Question 9

Tx Herpes Zoster

Answer 9

Asiklovir 5x800 mg
Utama → sistemik

Question 10

Dx Herpes Simplex

Answer 10

• Vesikel sesuai dermatom (-)
• Lesi dendritik → hijau terang, terminal button (+), bagian tengah tidak kosong

Question 11

Tx Herpes Simplex

Answer 11

Asiklovir 5x400 mg
Utama → topikal

Question 12

Tx tambahan Keratitis Viral

Answer 12

Gansiklovir tetes mata

Question 13

FR Keratitis Amoeba/Protozoa

Answer 13

Berenang pakai softlens

Question 14

Etio Keratitis Amoeba/Protozoa

Answer 14

Acanthamoeba

Question 15

Dx Keratitis Amoeba/Protozoa

Answer 15

Ring shape

Question 16

Tx Keratitis Amoeba/Protozoa

Answer 16

1. Polyhexamethylene biguanide 0,02% (PHMB)/
2. Hexamidin 0,1%

Question 17

FR Keratitis Fungal

Answer 17

Riw kontak tumbuhan

Question 18

Etio Keratitis Fungal (2)

Answer 18

Candida albicans
Aspergillus

AL AM NA AS
ALbicans AMfotericin NAtamisin ASpergillus

Question 19

Dx Keratitis Candida albicans

Answer 19

• Lesi satelit
• KOH → pseudohifa, blastospora, yeast (PBY)

Question 20

Tx Keratitis Candida albicans

Answer 20

Amfotericin B 1,5%

Question 21

Dx Keratitis Aspergillus

Answer 21

• Lesi feathery finger like
• KOH → hifa sejati, arthrospora

Question 22

Tx Keratitis Aspergillus

Answer 22

Natamycin 5%

Question 23

PP Keratitis

Answer 23

Fluorescent test (+) → keratitis, ulkus kornea

Question 24

Komplikasi Keratitis

Answer 24

Ulkus kornea → defek epitel, bercak putih di kornea

Perforasi kornea → seidel test (+)