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    Lapsus Keratitis

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    pramuliansyah haq
    A 78-year-old male presented with left eye pain, redness, tearing, photophobia, decreased vision, and secretions for one week. Examination found cloudiness of the left cornea with hyperemia and secretions of the left conjunctiva. The diagnosis was left keratitis, which was treated with eye drops and oral medications. The patient was educated on hygiene, avoiding eye rubbing, and using glasses. The prognosis for vision, function, cosmesis, and healing was guardedly good.

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    Lapsus Keratitis

    Uploaded by

    pramuliansyah haq
    41 views12 pages
    A 78-year-old male presented with left eye pain, redness, tearing, photophobia, decreased vision, and secretions for one week. Examination found cloudiness of the left cornea with hyperemia and secretions of the left conjunctiva. The diagnosis was left keratitis, which was treated with eye drops and oral medications. The patient was educated on hygiene, avoiding eye rubbing, and using glasses. The prognosis for vision, function, cosmesis, and healing was guardedly good.

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    lapsus keratitis

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    lapsus keratitis

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    A 78-year-old male presented with left eye pain, redness, tearing, photophobia, decreased vision, and secretions for one week. Examination found cloudiness of the left cornea with hyperemia and secretions of the left conjunctiva. The diagnosis was left keratitis, which was treated with eye drops and oral medications. The patient was educated on hygiene, avoiding eye rubbing, and using glasses. The prognosis for vision, function, cosmesis, and healing was guardedly good.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    41 views12 pages

    Lapsus Keratitis

    Uploaded by

    pramuliansyah haq
    A 78-year-old male presented with left eye pain, redness, tearing, photophobia, decreased vision, and secretions for one week. Examination found cloudiness of the left cornea with hyperemia and secretions of the left conjunctiva. The diagnosis was left keratitis, which was treated with eye drops and oral medications. The patient was educated on hygiene, avoiding eye rubbing, and using glasses. The prognosis for vision, function, cosmesis, and healing was guardedly good.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    MORNING REPORT

    RSUD HAJI
    KERATITIS
    Patient Identity

    • Name : Mr.O
    • Age : 78 y.o
    • No. RM : 235790
    • Address : Limbuak, Dsn Rende-Rende
    • Nation : Indonesia
    • Religion : Islam
    • Work : Retired
    • Date : July 23th 2019
    History Taking

    • Main Complaint : Left eye hurts

    • Guided History :

    A 78-years old male patient, presented to our Clinic with complaints to the left
    eye hurts since ± 1 week ago. Complaints accompanied by red eyes, excessive tear
    output, photophobia (+), decreased visus (+), foreign body feeling, itching (+),
    secretions (+). The patient's history often rubs his eyes so that the eyes become red.
    treatment history (-), previous history of complaints (-), history of cataract surgery 6
    months ago, history of wearing glasses (-), history of HT disease and DM (-)
    Ophthalmology Examination
    Visual Acuity Examination

    OD Visus OS
    20/70 Uncorrected visual acuity 1/60

    - Correction -
    - Best corrected visual acuity -

    - Near visual acuity -


    - Correction -
    - Best corrected near visual acuity -
    Anterior Segment Examination
    OD OS
    Palpebral Margo Oedema (-) Hyperemia (-), Oedema (-) Hyperemia (-),
    Crust (-) Crust (-)
    Cilia Squama (-), Madarosis (-) Squama (-), Madarosis (-), secret (+)
    Lacrimal Apparatus Lacrimation (-) Lacrimation (+) , secret (+)

    Conjunctiva Hyperemis (-), Hyperemis (+),

    Cornea clear cloudy (+)


    Anterior Chamber Normal Depth Normal Depth
    Iris Brown, Crypt (+) Brown, Crypt (+)
    Pupil Round, Central Round, Central
    Direct/Indirect Light +/+ +/+
    Reflex
    RAPD - -
    Lens clear clear
    Palpation

    OD OS
    Ocular pressure Tn Tn
    Tumor/Mass (-) (-)
    Pre Auriculer gland Not palpable Not palpable
    DIAGNOSE
    OS Keratitis

    DIFERENTIAL DIAGNOSE

    Ulcus Cornea
    Uveitis Anterior
    Konjungtivitis Bakterial
    Treatment
    - Plan:
    - LFX (Levofloksaxin) 4 dd 1 gtt os
    - Cendo Protagenta (Polyvinylpyrrolidone 20 mg) 4 dd 1 gtt os
    - Natrium diclofenac 25 mg 2x1
    - B com 2x1 tab

    Education
    - maintain hygiene
    - Don't rub your eyes
    - use glasses to avoid dust and glare
    Prognosis

    • Quo ad vitam : Dubia ad Bonam


    • Quo ad functionam : Dubia ad Bonam
    • Quo ad Cometicam : Dubia ad Bonam
    • Quo ad sanactionam : Dubia ad Bonam
    Thank you!

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