Trauma Asam
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![Page 1: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/1.jpg)
TRAUMA ASAM
![Page 2: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/2.jpg)
Definisi
• Trauma asam merupakan salah satu jenis trauma kimia mata yang disebabkan zat kimia bersifat asam dengan pH < 7.
![Page 3: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/3.jpg)
Etiologi
• Trauma Asam antara lain disebabkan oleh :
![Page 4: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/4.jpg)
PAtofisiologi
ASAM LEMAH
ASAM KUAT
Trauma Lebih Ringan
-Trauma Lebih Berat = Trauma Basa-Asam kuat mempunyai ion Hidrogen terbanyak. Ion Hidrogen Nekrosis Sel
![Page 5: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/5.jpg)
Terapi
![Page 6: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/6.jpg)
• Membersihkan Agen Kimia
Memberikan Larutan Irigasi : Normal Saline, Ringer Laktat, atau Air Keran
Eversi Kelopak mata dengan spekulum dan membersihkan sisa partikel yang menempel dengan cotton swab steril
Debridement dilakukan pada daerah epitel kornea yang mengalami nekrotik re-epitelisasi pada kornea
![Page 7: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/7.jpg)
• Mengontrol nyeriTopical Anesthetic Drop : Propacaine HCL 0.5%, Tetracaine HCL 0.5%,
Benoxinate HCL
Sistemik Analgesik : NSAID’s, Analgesik gol. narkotika
Agen siklopegik : Homatropine HBr 5%, Scopolamine HBr 5%, Atropin sulfat
![Page 8: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/8.jpg)
• Mengontrol TIO
Medikamentosa Carbonic Anhidrase Inhibitor, Beta-adrenergik Blocker
Surgery Trabekulektomi
![Page 9: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/9.jpg)
• Mengontrol Inflamasi
Kortikosteroid Topikal : Prednisolone Asetat 1%, Fluorometholone asetat 0.1%
NSAID’s : Diclofenac sodium, Ketorolac Tromethamine
Steroid Progestasional ( topikal, subkonjungtival, sistemik medroxyprogesterone )
Oral Sitrat sebagai adjuvan terapi
![Page 10: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/10.jpg)
• Pencegahan InfeksiTetes mata/salep antibiotik topikal : Erythromicyn, bacitracin, gentamicin,
neosporin
Vaksinasi Tetanus
![Page 11: Trauma Asam](https://reader038.fdocument.pub/reader038/viewer/2022100508/563db9e3550346aa9aa0d2dd/html5/thumbnails/11.jpg)
• Promote ocular epithelial healing
Artificial Tear Supplements, Ascorbate