PENATALAKSANAAN GLAUKOMA NEOVASKULAR
Abstract
Glaukoma neovaskular ialah suatu keadaan dimana terjadinya proliferasi jaringan fibrovaskular pada iris yang menyebar hingga mencapai trabekular meshwork sehingga menyebabkan terjadinya peningkatan tekanan intraocular yang tinggi. Laporan kasus ini memaparkan mengenai seorang pria berusia 43 tahun datang ke Poliklinik Mata Rumah Sakit Umum Daerah Dr. Zainoel Abidin Banda Aceh dengan keluhan penglihatan kabur sejak 2 minggu pada kedua mata. Pada pemeriksaan fisik didapatkan keadaan sakit sedang, composmentis, TD 130/80, nadi 80 x/menit, RR 20 x/menit dan T 36,8oC. Pemeriksaan oftalmologis berupa tajam penglihatan pada mata kanan yaitu 1/300 ph (-), mata kiri 5/50 ph 5/20 dan dijumpai konjungtiva palpebral inferior hiperemis, injeksi siliar, neovaskularisasi iris, sklera hiperemis, refleks cahaya langsung dan tidak langsung tidak ada serta pupil dilatasi. TIO mata kanan 43,4 mmHg dan mata kiri 12,2 mmHg. Pada pemeriksaan segmen anterior mata kanan ditemukan adanya konjuntiva hiperemis, injeksi siliar, kedalaman bilik mata depan van Herick derajat III, neovaskularisasi pada iris; kedalaman bilik mata depan kiri van Herick derajat II . Pemeriksaan segmen posterior didapatkan CDR OD : 0,8 dengan penggaungan diskus optikus dan CDR OS : 0,6. Pemeriksaan lainnya yaitu perimetri dengan hasil yaitu adanya tunnel vision pada mata kanan dan kiri. Penderita didiagnosa dengan glaukoma neovaskular ODS. Penatalaksanaan berupa preparat potassium klorida 600 mg, asetazolamid 250 mg, obat tetes mata timolol maleat 0,5%, obat tetes mata artificial tears.
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Jung Y, Han K, Park HYL, Park CK. Type 2 diabetes mellitus and risk of open-angle glaucoma development in Koreans: An 11-year nationwide propensity-score-matched study. Diabetes Metab [Internet]. 2018;44(4):328–32. Available from: http://dx.doi.org/10.1016/j.diabet.2017.09.007
Lauhon S, Stem MS, Fort PE. Ocular manifestations associated with diabetes [Internet]. Vol. 1, Encyclopedia of Endocrine Diseases. Elsevier Ltd.; 2018. 199–201 p. Available from: http://dx.doi.org/10.1016/B978-0-12-801238-3.95797-0
Razeghinejad R, Lin MM, Lee D, Katz LJ, Myers JS. Pathophysiology and management of glaucoma and ocular hypertension related to trauma. Surv Ophthalmol [Internet]. 2020; Available from: https://doi.org/10.1016/j.survophthal.2020.02.003
Vale S, Montalvo L, Baez E, Oliver AL. Intravitreal bevacizumab as therapy for refractory neovascular glaucoma secondary to iris metastasis of breast carcinoma. Am J Ophthalmol Case Reports [Internet]. 2018;9(May 2017):45–7. Available from: https://doi.org/10.1016/j.ajoc.2018.01.007
Rong AJ, Swaminathan SS, Vanner EA, Parrish RK. Predictors of Neovascular Glaucoma in Central Retinal Vein Occlusion. Am J Ophthalmol [Internet]. 2019;204:62–9. Available from: https://doi.org/10.1016/j.ajo.2019.02.038
Anton Apreutesei N, Tircoveanu F, Cantemir A, Bogdanici C, Lisa C, Curteanu S, et al. Predictions of ocular changes caused by diabetes in glaucoma patients. Comput Methods Programs Biomed. 2018;154:183–90.
Kim JH, Rabiolo A, Morales E, Yu F, Afifi AA, Nouri-Mahdavi K, et al. Risk Factors for Fast Visual Field Progression in Glaucoma. Am J Ophthalmol [Internet]. 2019;207:268–78. Available from: https://doi.org/10.1016/j.ajo.2019.06.019
Razeghinejad MR, Myers JS. Contemporary approach to the diagnosis and management of primary angle-closure disease. Surv Ophthalmol [Internet]. 2018;63(6):754–68. Available from: https://doi.org/10.1016/j.survophthal.2018.05.001
Sahoo NK, Balijepalli P, Singh SR, Jhingan M, Senthil S, Chhablani J. Retina and glaucoma : surgical complications. Int J Retin Vitr [Internet]. 2018;1–15. Available from: https://doi.org/10.1186/s40942-018-0135-x
Masini E, Sgambellone S, Lucarini L. Carbonic anhydrase inhibitors as ophthalmologic drugs for the treatment of glaucoma [Internet]. Carbonic Anhydrases: Biochemistry and Pharmacology of an Evergreen Pharmaceutical Target. Elsevier Inc.; 2019. 269–285 p. Available from: http://dx.doi.org/10.1016/B978-0-12-816476-1.00013-7
Mishra S. Potassium Balance and Glaucoma. Medical Press. 2019.
DOI: https://doi.org/10.29103/averrous.v6i2.2497
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