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8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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SecondaryGlaucoma
8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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Ectopia Lentis
Defnition:
Ectopia lentis is defned as displacement ormalposition o the crystalline lens o the eye.
Pathophysiology:
Disruption or dysunction o the zonular fbers othe lens, regardless o cause(trauma or heritable
condition), is the underlying pathophysiology oectopia lentis. he degree o zonular impairmentdetermines the degree o lens displacement.
8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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Klinis:
• !ed painul eye (secondary to trauma)
• Decreased distance "isual acuity (secondary to astigmatism or myopia)
• #oor near "ision (loss o accommodati"e po$er)
• %onocular diplopia
Pemx:
• &isual 'cuity
• Eternal ocular eamination
• !etinoscopy and reraction
• Slit lamp eamination
Treatment
• Lensectomy
Ectopia Lentis
8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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Complication:
• 'mblyopia
• "eitis
• Glaucoma
Prognosis:
• Depending on the degree o lens dislocation, the age o onset,and its associated secondary complications, most patients do$ell.
Patient Education:
• *eritable condition ollo$ing up $ith a primary care physician
• Saety glasses are ad"ocated $hen ris+ o eye inury is possible
Ectopia Lentis
8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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-ataract
-ataract
#hacomorphic
Glaucoma
#hacolyticGlaucoma
8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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#hacomorphic Glaucoma
Patoffologi
Lensa dapat membeng+a+ (intumesen)dengan menyerap cu+up banya+cairan dari +amera anterior yangmenimbul+an sumbatan pupil danpendesa+an sudut sehingga alinan
trabe+ular terblo+ serta menyebab+anglau+oma sudut tertutup.
8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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Klinis:
• acute pain
• blurred "ision
• rainbo$colored halos around lights
• nausea and "omiting
•
#atients generally ha"e decreased "ision beore the acute episode because oa history o a cataract.
Pemx/
• 01 tinggi (2 34 mm*g)
• #upil dilatasi sedang, iregular
•Edema +ornea
• 0ne+si +onungti"a dan "ena epis+lera
• Sudut +amera anterior dang+al
• #embesaran lensa dan displasi +e depan
• #embentu+an +atara+ tida+ sama antara +edua mata
#hacomorphic Glaucoma
8/19/2019 Dislokasi Lensa, Katarak Induce Glaukoma
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reatment
• 5eta bloc+er
• 0ridotomy
60E/
#atients should be ollo$ed or at least 7
years postoperati"ely, because 789 ocases may re:uire urther glaucomainter"ention or 01# control.
#hacomorphic Glaucoma
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#hacolytic Glaucoma
• #ada +atara+ stadium hipermaturteradi +ebocoran protein lensa danmasu+ +e dalam +amera anterior dan
ditelan oleh ma+roag. %a+roagmenadi membeng+a+ danmenyumbat alinan trabe+ular yang
memacu pening+atan 01. Glau+omayang teradi adalah glau+oma sudutterbu+a.
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Klinis
• #asien dengan glau+oma a+oliti+ secara +has mempunyai ri$ayatpenurunan penglihatan yang lambat selama beberapa bulanmaupun tahun sebelum teradi nyeri dengan onset a+ut, matamerah, dan sering+ali teradi penurunan penglihatan yang lebih
auh.• #englihatan mung+in hanya dapat persepsi cahaya +arena densitas
+atara+
• Gealanya sama dengan glau+oma sudut tertutup a+ut
• !i$ayat penurunan penglihatan yang lambat sebelum onset a+ut
adalah geala yang "ital untu+ diagnosis.• 01 mening+at sangat tinggi
• #emeri+saan lampu slit menampa++an edema +orne mi+rositi+,+amera anterior sembab, ma+roag, agregasi material putih.
• #enemuan genios+opi biasanya normal.
#hacolytic Glaucoma
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reatment
• lo$ering o 01# using a combination otopical and systemic 01#lo$ering agents.
opical steroids also may acilitate 01#lo$ering and decrease pain.
• Etracapsular cataract etraction (eg,phacoemulsifcation) $ith an intraocular
lens implant has largely replacedintracapsular cataract etraction as theprocedure o choice.
#hacolytic Glaucoma
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