Dr. I Gede Suparta Sp.

SMF/Bag. Mata RSU Prov. NTB Fakultas Kedokteran

Universitas Mataram

KELAINAN UVEA,
Core subject

Iridosiklitis Perdarahan retina

Endofthalmitis Oklusi pembuluh darah
Hypopion retina
Hyfema ARMD
Perdarahan Vitreus Retinopati Diabetik
Buta senja Retinopati Hipertensi
Scotoma Retinopaty of
Prematurity
Retinal Detachment
Korioretinitis
Uveitis
Definition : an inflammation the uveal tract
Divided :
a. antrior uveitis : iritis & iridocyclitis
b. intermediate uveitis : inflammation in the
vitreous and peripheral retina
c. posterior uveitis : inflammation in the posterior
to the vitreous base:retinits, choroiditis, vasculitis.
d. panuveitis : diffuse uveitis implies involvement of the
entire uveal tract
e. endophthalmitis: implies inflammation, purulent,
involving all intraocular tissue exept the sclera
Uveitis with mydriatics

Iris pigment

Pupil dilatation
Acute bacterial endophthalmitis
Extensive intraocular infection

Common causative
Incidence - about 1:1,000 organisms
Staph. epidermidis
Staph. aureus
Pseudomonas sp.

Source of infection

Patients own external

bacterial flora is most
frequent culprit
Contaminated solutions
and instruments
Environmental flora including
that of surgeon and operating
room personnel
Signs of severe endophthalmitis

Pain and marked visual loss

Corneal haze, fibrinous, exudate

and hypopyon

Absent or poor red reflex

Inability to visualize fundus with
indirect ophthalmoscope
Signs of mild endophthalmitis

Mild pain and visual loss

Anterior chamber cells

Small hypopyon
Fundus visible with
indirect ophthalmoscope
Chronic bacterial endophthalmitis
Signs

Late onset, persistent, low-grade

uveitis - may be granulomatous
- Commonly caused by P. acnes
or Staph. epidermidis

Low virulence organisms trapped

in capsular bag

White plaque on posterior capsule

 Treatment of chronic endophthalmitis

Initially good response to topical

steroids

Recurrence after cessation of treatment

Inject intravitreal vancomycin
Remove IOL and capsular bag if
unresponsive
 Hyfema

Perdarahan dalam Bilik Mata Depan

Etiology :
- trauma
- spontan pada :
-rubeosis iridis
-glaukoma absolut
Hifema Traumatik

Trauma tumpul yang mengenai corpus ciliaris

Bila tidak ada riwayat trauma, adanya hifema pada anak-anak, harus
diduga adanya kemungkinan leukemia, hemofilia, retinoblastoma atau
child abuse.
Hyfema spontan pada orang dewasa dapat terjadi karena adanya
neovaskularisasi pada iris, leukemia, limfoma maligna, tumor
intraocular, hipertensi, penggunaan antikoagulan.
Komplikasi durante operasi
dapat menghilang dalam beberapa hari..

Grading hifema didasarkan pada banyaknya darah dalam COA.

Bahaya rebleeding : hari kedua sampai kelima
Komplikasi hyfema : Glaukoma sekunder, hemosiderosis
Hyfema
 Hifema Traumatik

APA YANG DAPAT DILAKUKAN

Penderita harus dirawat / dirujuk ke RS.
Bedrest total dan Tidur dengan bantal tinggi (elevasi 30-
45 derajat)
Bebat kedua mata
Obat-obat antifibrinolitik diberikan bila perdarahan
kurang dari 50%