Professional Documents
Culture Documents
ANATOMY
ANATOMY
ANATOMY
Fisiologi
Visual pathway
(Media refrakta)
Fotoreseptor
Nerve fiber layer
Optic disc
Jalur penglihatan
Korteks penglihatan
Fisiologi
Fotoreseptor
Makula
500 nm (blue-green)
430, 530, 575 (blue, green, red)
Peripheral retina
Peripheral vision
Night visio
Rod >>
PEMERIKSAAN
1. Direct ophthalmoscope
2. Indirect ophthalmoscope
PEMERIKSAAN
CONDENSING LENS
PEMERIKSAAN
FUNDUS CAMERA
KELUHAN
Penurunan Visus
Metamorfopsia / mikropsia
Kehilangan lapang pandang
Floaters / flashes
Skotoma relatif
Diseases
Macula
Peripheral retina
Retinal vascular
Tumor
Macula
ARMD
Macular dystrophies
ARMD
Etiologi : unknown
Risk factor
Type
Non-exudative
Exudative
Soft drusen
Choroidal neovascularisasi
ARMD
Symptom
Decrease vision
Metamorfopsia
Examination
Amsler grid
Fundus examination
FFA (fundus fluorescein angiography)
ARMD
Treatment
Laser ?
Vitamin / anti-oxidant ?
Monitoring (fundus / amsler grid)
Stargardts disease
lipofuscin
Peripheral retina
Retinal detachment
Rhegmatogen
Exudative
Retinal break
Operative : scleral buckle, vitrectomy
Collection fluid
Degeneration, inflammation, infectios
cause
Tractional
Diabetic retinopathy
Operative : scleral buckle, vitrectomy
Vascular
CRVO
BRVO
CRAO
Diabetic retinopathy
Hypertensive retinopathy
CRVO
Symptom
Complication
Neovascularization
Macular edema
Treatment
Laser
CRVO
BRVO
Symptom
Treatment
Laser
Anticoagulant ?
BRVO
CRAO
Symptom
Amaurosis fugax
Sudden visual loss
Therapy
90 minutes complete occlusion
Paracentesis
CRAO
D.R.
Hyperglycemia
Type I / II (3-5 years after onset)
Refer
I : 3 years
II : difficult to determine the onset
Type :
NPDR
Nonproliferative DR
Proliferative DR
NPDR
NPDR
TREATMENT:
control of hyperglycemia, hypertension, cholesterol
laser
PDR
Sign :
Neovascularization
Complication
Neovascular glaucoma
Tractional retinal detachment
Treatment
Laser, vitrectomy
PDR
Hypertensive retinopathy
Pathophysiology
Choroid
Optic Nerve
Retinopathy
Affected differently
Choroidopathy
Optic disc edema
Supply by difference
system of blood vessel
Hypertensive Retinopathy
Increase BP
Autoregulation
Retinal arteriolar constriction
Hypertensive Retinopathy
Chronic stage
Hypertensive Retinopathy
Acute stage
(rapid rise of BP and arteriolar constriction)
Focal vasodilatation
Transmission high BP to endothelium of smaller vessel
Damage endothelium smaller vessel
Hypertensive Retinopathy
Acute stage
(rapid rise of BP and arteriolar constriction)
Ischemia