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Sabtu, 03 Juli 2010

Uveitis

Uveitis merupakan proses inflamasi pada uveal tract (koroid, iris, dan processus ciliaris).


Uveitis anterior - dapat disebabkan oleh infeksi (sifilis, tuberkulosis, leptospirosis, dll), trauma, katarak, alergi sistemik, dan sebagainya. Ditandai dengan

  • Mata merah: Injeksi perilimbal / siliaris 
  • Nyeri dengan fotofobia 
  • Penglihatan kabur
Pemeriksaan ditemukan

  • Pupil MIOSIS 
  • Sel dan flare / HIPOPION di bilik mata depan
  • KERATIC PRECIPITATES 
  • Kadang ada SINEKIA POSTERIOR

Uveitis posterior – sering disebabkan oleh toksoplasmosis dan penyakit-penyakit jaringan ikat atau autoimun (termasuk HIV-AIDS)
  • Mata tenang.
  • Pasien mengeluhkan floaters karena sel-sel granular berada dalam vitreous humour
  • Pemeriksaan ditemukan batas N.II tidak jelas dan vaskulitis retina, kadang ada ablasio retina.Uveitis dapat membaik sendiri dengan pengobatan penyakit yang mendasari. Terapi penunjangnya adalah kortikosteroid, baik secara sistemik maupun injeksi periokular.
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