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Oklusi Vena Sentralis Retina
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7/21/2019 3. Oklusi Vena Sentralis Retina
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OKLUSI VENA SENTRALIS
RETINA
ROCHASIH MUDJAJANTI
7/21/2019 3. Oklusi Vena Sentralis Retina
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DEFINISI
PENYUMBATAN AKUT VENA RETINA
7/21/2019 3. Oklusi Vena Sentralis Retina
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PREDISPOSISI
USIA DEKADE 6 –
7
HIPERTENSI
TIO NAIK
HIPERVISKOSITAS DARAH
DM
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SYMPTOMS
VISUS TURUN MENDADAK
MARCUS GUNN (+)
FUNDUSKOPI PAPIL BTS KDG KABUR
VENA MELEBAR, BERKELOK-KELOK
PERDARAHAN FLAME SHAPED,
BLOT,DOT
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KLASIFIKASI
NON ISKHEMIK (VENOUS STASIS
RETINOPATHY)- 75% KASUS,
PROGNOSIS LEBIH BAIK
ISKHEMIK –
25% KASUS, PROGNOSISBURUK, KOMPLIKASI TINGGI
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GAMBARAN KLINIK
NON ISKHEMIK –
VISUS TURUN/ NORMAL,PUPIL BAIK, FUNDUSKOPI : VENA MELEBARBERKELOK, SOFT EXUDAT,PERDARAHAN DIPERIFER, MAKULA EDEM, PAPIL EDEM
RINGAN ISKHEMIK – VISUS , 6/60, REFLEK PUPIL(-),
MARCUS GUN (+), FUNDUSKOPI; VENASANGAT MELEBAR BERKELOK,
PERDARAHAN HEBAT DI PERIFER &POSTERIOR, SOFT EXUDAT, PAPIL EDEM
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KOMPLIKASI
NON ISKHEMIK –
50% KEMBALI
NORMAL, EDEM MAKULA KISTOID
ISKHEMIK – 50% KASUS RUBEOSIS
IRIDIS, GLAUKOMA NEOVASKULER(3 BULAN), PERDARAHAN VITREUS/
PRE RETINA
7/21/2019 3. Oklusi Vena Sentralis Retina
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TATALAKSANA
PEM. RUTIN
TONOMETRI
FFA
ERG
FOTOKOAGULASI LASER
VITREKTOMI
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INDIKASI TERAPI LASER
VISUS TURUN KRN MAKULA EDEM
CRVO NON ISKHEMIK , VISUS , < 6/20
CRVO ISKHEMIK
TEKNIK : FOKAL (MAKULA EDEM), PRP
( ISKHEMIK)
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NON ISKHEMIK
7/21/2019 3. Oklusi Vena Sentralis Retina
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ISKHEMIK
7/21/2019 3. Oklusi Vena Sentralis Retina
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FOTOKOAGULASI LASER
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OKLUSI CABANG VENA RETINA
SENTRAL (BRVO)
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GEJALA KLINIK
VISUS TURUN BILA KENA MAKULA
LAPANG PANDANG TERGANGGU
FUNDUSKOPI : PERDARAHAN DISTAL
DAERAH YG TERSUMBAT, CROSSING
PHENOMEN, MAKULA EDEM
TANDA ISKHEMIK : CWS,NVE,
PERDARAHAN VITREUS
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TATA LAKSANA
TONOMETRI
FFA : MAKULA EDEM & ISKHEMIK
PEM. HEMATOLOGI – TERAPI KAUSA
LASER FC : PRP (ISKHEMIK), FOKAL
(MAKULA EDEM)
VITREKTOMI : PERDARAHAN VITREUS