Aparat lakrimal
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Aparat lakrimalDr.Hendriati, SpM
Sub.bagian Plastik dan RekonstruksiBagian Ilmu Kesehatan Mata FK.Unand / RS.Dr.M.Djamil
Padang
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Aparat yang berfungsi mengatur
air mata, terdiri dari:
1. Aparat sekresi2. Aparat ekskresi
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1. Aparat Sekresi --> produksi air mataorbital lacrimal gland eyelids lacrimal glandgland. Krause
APARAT LAKRIMAL
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2. Aparat ekskresi, yang terdiri dari:
a. pungtum lakrimalb. kanalis lakrimal superior dan inferiorc. sakus lakrimald. duktus naso lakrimal
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2. Aparat Ekskresi --> mengalirkan air mata ke dalam cavum nasi
terdiri atas: - pungtum lakrimal - kanalis lakrimal - sakus lakrimal - duktus nasolakrimal
Aparat lakrimal
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The action of the palpebral part of the orbicularis eyemuscle and resulting tear-film dynamics. Lid closure leads to a shifted contraction of the orbicularis eye muscle from
temporally to nasally at the same time moving the tear film to the medial cantal region
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Anamnesis : tearing (hiperlakrimasi/epifora) Inspeksi pungtum Palpasi area sakus
tekan --> keluar sekret Tes Anel Probing Dakriosistografi Dakrioskintigrafi
Cara menentukan gangguan sistem lakrimal
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Obstruksi duktus nasolakrimal sering temporer/permanen Terapi :
Antibiotika tetes mataPemijatan sakus lakrimalProbing irigasi
Gangguan kongenital sistem lakrimal
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Dakrioadenitis akut klinis : glandula lakrimal edema, merah,
nyeri dan kadang-kadang blefaroptosis Etio :
dewasa : gonorrhoicaAnak-anak : bersamaan penyakit lain -->
parotitis
Infeksi sistem nasolakrimal
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Dakrioadenitis khronis
Edema perlahan Tidak nyeri Sering pada TB, leukemia, trachoma Therapi: tergantung pada kuman penyebabnya
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Dakriosistitis khronik
Etio: obstruksi duktus nasolakrimal Anak-anak dan dewasa Klinis:
epiforaTekan sakus --> cairan kuning pekat keluar dari
pungtum Therapi :
Antibiotika topikal dan sistemikBila obstruksi --> dakriosistorinostomi
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Dakriosistitis khronik
Etio: obstruksi duktus nasolakrimal Anak-anak dan dewasa Klinis:
epiforaTekan sakus --> cairan kuning pekat keluar dari
pungtum Therapi :
Antibiotika topikal dan sistemikBila obstruksi --> dakriosistorinostomi (DCR)
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Tumor sakus lakrimal
jinak squamous papiloma
ganasepidermoid Ca
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Therapioperasi (cystectomy) radiasi
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Thank YouThank you