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Aparat lakrimal

Aparat lakrimal. Dr.Hendriati , SpM Sub.bagian Plastik dan Rekonstruksi Bagian Ilmu Kesehatan Mata FK.Unand / RS.Dr.M.Djamil Padang. Aparat yang berfungsi mengatur air mata, terdiri dari : Aparat sekresi Aparat ekskresi. APARAT LAKRIMAL. Aparat Sekresi --> produksi air mata

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Aparat lakrimal

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  1. Aparatlakrimal Dr.Hendriati,SpM Sub.bagianPlastikdanRekonstruksi BagianIlmuKesehatan Mata FK.Unand / RS.Dr.M.Djamil Padang

  2. Aparat yang berfungsi mengatur air mata, terdiri dari: Aparat sekresi Aparat ekskresi

  3. APARAT LAKRIMAL • AparatSekresi--> produksi air mata • orbital lacrimal gland • eyelids lacrimal gland • gland. Krause

  4. 2. Aparatekskresi, yang terdiridari: a. pungtumlakrimal b. kanalislakrimal superior dan inferior c. sakuslakrimal d. duktusnasolakrimal

  5. Aparatlakrimal 2. AparatEkskresi --> mengalirkan air matakedalamcavumnasi terdiriatas: - pungtumlakrimal - kanalislakrimal - sakuslakrimal - duktusnasolakrimal

  6. The action of the palpebral part of the orbicularis eyemuscle and resulting tear-film dynamics. Lid closure leads to a shifted contraction of the orbicularis eye muscle from temporally to nasally at the same time moving the tear film to the medial cantal region

  7. Cara menentukangangguansistemlakrimal • Anamnesis : tearing (hiperlakrimasi/epifora) • Inspeksipungtum • Palpasi area sakus • tekan--> keluarsekret • TesAnel • Probing • Dakriosistografi • Dakrioskintigrafi

  8. Gangguankongenitalsistemlakrimal Obstruksiduktusnasolakrimal • sering • temporer/permanen • Terapi: • Antibiotikatetesmata • Pemijatansakuslakrimal • Probing irigasi

  9. Infeksisistemnasolakrimal Dakrioadenitisakut • klinis: glandulalakrimal edema, merah, nyeridankadang-kadangblefaroptosis • Etio: • dewasa: gonorrhoica • Anak-anak: bersamaanpenyakit lain --> parotitis

  10. Dakrioadenitiskhronis • Edema perlahan • Tidaknyeri • SeringpadaTB, leukemia, trachoma • Therapi: tergantungpadakumanpenyebabnya

  11. Dakriosistitiskhronik • Etio: obstruksiduktusnasolakrimal • Anak-anakdandewasa • Klinis: • epifora • Tekansakus--> cairankuningpekatkeluardaripungtum • Therapi: • Antibiotikatopikaldansistemik • Bilaobstruksi--> dakriosistorinostomi

  12. Dakriosistitiskhronik • Etio: obstruksiduktusnasolakrimal • Anak-anakdandewasa • Klinis: • epifora • Tekansakus--> cairankuningpekatkeluardaripungtum • Therapi: • Antibiotikatopikaldansistemik • Bilaobstruksi--> dakriosistorinostomi (DCR)

  13. Tumor sakuslakrimal jinak • squamouspapiloma ganas • epidermoidCa

  14. Therapi • operasi (cystectomy) • radiasi

  15. Thank You Thank you

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