Laporan kasus
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![Page 1: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/1.jpg)
LAPORAN KASUS
KATARAK
SENILE MATUR
![Page 2: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/2.jpg)
PENDAHULUAN• Katarak merupakan kekeruhan dari lensa
pada mata yang dapat menghalangi
penglihatan pasien.
• Kebanyakan katarak terjadi akibat
penuaan, namun dapat juga terjadi pada
trauma, inflamasi, pada saat kelahiran dan
beberapa penyakit mata lainnya.
• Pada tahun 2012 katarak menyebabkan
51% kebutaan di dunia, yang berjumlah
20 juta orang.
![Page 3: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/3.jpg)
INDENTITAS
• Nama : Tn. R
• Usia : 50 tahun
• Jenis Kelamin : Laki-laki
• Agama : Islam
• Suku : Sasak
• Alamat : Kekalik gerisak
• Pekerjaan : Petani
• Tgl Pemeriksaan : 27 Agustus 2012
![Page 4: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/4.jpg)
ANAMNESIS
• KU • Pandangan kabur pada mata kiri
seperti tertutup kabut asap
• RPS
• Sejak 9 tahun yang lalu
• Perlahan-lahan memberat dan mengganggu aktivitas
• Silau jika melihat sinar
• Sakit kepala
• RPD• Pernah operasi katarak 9 tahun yll
![Page 5: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/5.jpg)
• RPK : (-)
• Riwayat pengobatan : Operasi
katarak 9 tahun yll
• Riwayat alergi : (-)
![Page 6: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/6.jpg)
Kabur pada
mata kanan
- Operasi pada
Mata Kanan
- Keluhan pada
mata kiri
Tahun 2000
Tahun 2003 Agustus 2012
Juni 2012
Mata Kiri
Kabur
mengganggu
aktivitas
Mata Kiri
-Kabur seperti
kabut asap
-Mengganggu
aktivitas
-Silau jika
melihat sinar
![Page 7: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/7.jpg)
PEMERIKSAAN FISIK
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Status Generalis
• KU : Baik
• Kesadaran : CM
• Kesan Status Gizi : Cukup
• Tanda Vital
• TD : 150/90 mmHg
• N : 92 x/menit
• RR : 24 x/menit
• T : 36.2oC
![Page 9: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/9.jpg)
Status lokalis mata
![Page 10: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/10.jpg)
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Gambar Pasien
![Page 14: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/14.jpg)
![Page 15: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/15.jpg)
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IDENTIFIKASI MASALAH
• Subjective
• Penglihatan mata kiri kabur seperti
tertutup kabut asap, perlahan-lahan
memberat, serta silau ketika terkena
cahaya terang
• Objective
• Visus 1/300 sc
• Terdapat arcus senilis pada kornea
• Lensa tidak jernih
![Page 18: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/18.jpg)
Analisa Masalah
• Penglihatan mata kiri kabur seperti
tertutup kabut asap, perlahan-lahan
memberat, serta silau ketika terkena
cahaya terang
![Page 19: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/19.jpg)
![Page 20: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/20.jpg)
Status Lokalis OS
• Visus 1/ 300 sc
• Terdapat arcus senilis pada kornea
• Lensa tidak jernih
![Page 21: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/21.jpg)
Arcus senilis
Leukokorea
![Page 22: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/22.jpg)
ASSESMENT
![Page 23: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/23.jpg)
Mata Tenang dengan penurunan
visus perlahan
• Kelainan refraksi
• Glaukoma
• Retinopati diabetik
• Degenerasi makular
• Tumor
![Page 24: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/24.jpg)
Katarak
• Insipien
• Imatur
• Matur
• Hipermatur
![Page 25: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/25.jpg)
Diagnosa Kerja : Katarak Senil Matur
OS
Planning :
• Pemeriksaan Slit lamp
• Operasi ECCE /ICCE /SICS/
Phaecoemulsi
![Page 26: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/26.jpg)
PROGNOSIS
![Page 27: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/27.jpg)
Prognosis Pengelihatan (ad functionam) :
Prognosis penglihatan pasien dubia ad
bonam
Prognosis Nyawa (ad vitam) :
Prognosis nyawa pasien dubia ad bonam
![Page 28: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/28.jpg)
RINGKASAN
• Laki-laki 50 tahun
• Penglihatan kabur pada mata kiri
seperti tertutup kabut asap.
• Keluhan sudah dirasakan sejak 9
tahun yang lalu.
• Pada visus naturalis didapatkan
VOD = 3/60 dan VOS = 1/300.
• Tampakan lensa : keruh pada mata
kiri
• Diagnosis : katarak senile matur OS.
![Page 29: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/29.jpg)
TERIMA KASIH
![Page 30: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/30.jpg)
Lihat gambar di samping
Laki-laki 50 tahun
Penglihatan kabur pada mata kiri seperti
tertutup kabut asap.
Keluhan sudah dirasakan sejak 9 tahun yang
lalu.
![Page 31: Laporan kasus](https://reader030.fdocument.pub/reader030/viewer/2022020106/55a137801a28ab076b8b47a0/html5/thumbnails/31.jpg)
Pada visus naturalis
didapatkan VOD =
3/60 dan VOS =
1/300.
Tampakan lensa :
keruh pada mata kiri
Diagnosis : katarak
senile matur OS.