PENATALAKSANAAN GLAUKOMA NEOVASKULAR

Yulia Puspita Puspita

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.


Keywords


Glaukoma neovaskular, diabetes mellitus, penatalaksanaan

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References


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DOI: https://doi.org/10.29103/averrous.v6i2.2497

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