Referat Melissa

7/25/2019 Referat Melissa

1/22


2/22

SAMPUL

DAFTAR ISI

BAB I PENDAHULUAN........................................................................................1

BAB II TINJAUAN PUSTAKA .............................................................................2

A. ANATOMI MATA..............................................................................................2

B. ANATOMI LENSA.............................................................................................3

C. FISIOLOGI LENSA............................................................................................4

D. KATARAK .........................................................................................................5

E. PEMBEDAHAN PADA KATARAK................................................................10

F. KESIMPULAN..................................................................................................19

DAFTAR PUSTAKA

BAB I

2


3/22

PENDA)ULUAN

Kataa! a"a#a$ !%!%&$a' #%'(a )a'* +%')%,a,!a' t&&'')a ta-a+

%'*#/$ata' "a' +%')%,a,!a' !%#&$a' *a'**&a' %'*#/$ata' #a/'')a (%%t/

%'&&'a' !'ta( (%'(/t//ta( (/#a& "a' t/"a! ')a+a'. 12

HO 192 +%'"%/'/(/!a' !%,&taa' (%,a*a/ ta-a+ %'*#/$ata' "/,a6a$

3780. K%,&taa' a"a#a$ +a(a#a$ !%(%$ata' +a()aa!at )a'* (%/&( ,a*/ (%t/a

'%*aa. B%"a(a!a' HO 199: %a#%'(/ !%,&taa' #%,/$ ,%(a a"a '%*aa

,%!%+,a'*. K%,&taa' /'/ (%'"// a!a' ,%"a+a! (%;aa ((/a# "a' %!'+/ ,a*/

a'* )a'* +%'"%/ta')a. I'/(')a 5< "a/ !%,&taa' )a'* t%-a"/ "aat"/;%*a$ ata& "/,at/. 34

I'"'%(/a (%,a*a/ '%*aa ,%!%+,a'* t/"a! #&&t "a/ +a(a#a$ !%,&taa'.

D/(%,&t!a' (aat /'/ t%"aat 45 -&ta %'"%/ta !%,&taa' "/ "&'/a 80< "/a'taa')a

,%a"a "/ '%*aa +/(!/' ata& ,%!%+,a'*. I'"'%(/a "a#a+ ;atata' HO ,%a"a

"/&&ta' !%t/*a "%'*a' t%"aat a'*!a !%,&taa' (%,%(a 14


4/22

TIN+AUAN PUSTAKA

A& ANATOMI MATA

A'at+/ "a' /(/#*/ +ata (a'*at &+/t "a' +%'*a**&+!a'. S%;aa

!'(ta' +ata +%')%(&a/!a' -&+#a$ ;a$a)a )a'* +a(&! +%+&(at!a'

%$at/a' a"a ,-%! )a'* "%!at "a' -a&$ (%ta +%'*$a(/#!a' *a+,aa' )a'*

!'t/'& )a'* "%'*a' (%*%a "/$a'ta!a' !% ta!.3>

Mata +%+/#/!/ (t&!t& (%,a*a/ ,%/!&t ?

S!#%a ,a*/a' &t/$ +ata: ? +%&a!a' #a/(a' #&a +ata )a'*

,%6a'a &t/$ "a' %#at/ !&at.

K'-&'*t/a ? (%#a&t t//( )a'* +%#a/(/ ,a*/a' "a#a+ !%#a! +ata

"a' ,a*/a' (;#%a.

K'%a ? (t&!t& ta'(aa' )a'* +%')%&a/ !&,a$ +%&a!a'

%+,&'*!&( "a/ //( &/# "a' ,/#/! a't%/ (%ta +%+,a't&

+%+!&(!a' ;a$a)a.

P&/# ? "a%a$ $/ta+ "/t%'*a$=t%'*a$ //(.

I/( ? -a/'*a' ,%6a'a )a* ,%,%'t&! ;/';/' +%'**a't&'* "/ ,%#a!a'*

!'%a "a' "/ "%a' #%'(a ,%&'*(/ +%'*at& -&+#a$ ;a$a)a )a'*

+a(&! !% +ata "%'*a' ;aa +%&,a$ &!&a' &/#.

L%'(a ? (t&!t& ;%+,&'* *a'"a )a'* t%*a't&'* "/a'taa $&+ a@&(

"a' /t%&( ,%&'*(/ +%+,a't& +%+!&(!a' ;a$a)a !% %t/'a.

R%t/'a ? #a/(a' -a/'*a' %!a ;a$a)a )a'* t%#%ta! "/,a*/a' ,%#a!a'*

,#a +ata ,%&'*(/ +%'*//+!a' %(a' /(&a# +%#a#&/ (aa t/!&(

!% ta!.

Saa t/!&( ? !&+a' -&taa' (%at (aa )a'* +%+,a6a %(a'

/(&a# !% ta!.

H&+ a@&%&( ? ;a/a' -%'/$ "a' %';% )a'* +%'*a#/ "/a'taa #%'(a

"a' !'%a +%'*/(/ (%*+%' a't%/ ,#a +ata: (%ta +%&a!a'

(&+,% +a!a'a' ,a*/ #%'(a "a' !'%a "/$a(/#!a' #%$ (%((&(

(/#/a/(.

H&+ /t%&( ? *%# ta'(aa' )a'* t%"aat "/ ,%#a!a'* #%'(a "a' "/

"%a' %t/'a +%'*/(/ (%*+%' (t%/ +ata:

4


5/22

Ga+,a 1.

B& ANATOMI LENSA

Pa"a +a'&(/a #%'(a +ata ,/!'%!( t/"a! +%'*a'"&'* %+,&$ "aa$

aa(!a: t%+,&( a'"a'* "%'*a' "/a+%t% 9 ++ "a' t%,a# 5 ++ )a'*

+%+/#/!/ &'*(/ &'t&! +%+%ta$a'!a' !%-%'/$a' %a!(/ ;a$a)a "a'

+%+,%/!a' a!+"a(/.. K% "%a' ,%$&,&'*a' "%'*a' ;a/a' ,/#/! +ata !%

,%#a!a'* ,%$&,&'*a' "%'*a' ,a"a' !a;a. D/*a't&'* #%$ 'a /'//

L/*a+%'t&+ (&(%'(/&+ #%'t/(: )a'* +%'*$&,&'*!a'')a "%'*a' !&(

(/#/a/(. P%+&!aa' (t%/ #%,/$ ;%+,&'* "a/a"a %+&!aa' a't%/.

L%'(a "/#/&t/ #%$ !a(a #%'t/( )a'* ,%!%-a (%,a*a/ +%+,a' )a'*

(%+%+/a,%# )a'* a!a' +%+%#%$ a/ "a' %#%!t#/t &'t&! +a(&!.3

D/(%,%#a$ "%a' t%"aat (%#a/( %/t%# (&,!a(a. N&!#%&( #%'(a #%,/$!%a( "a/a"a !t%!(')a. S%(&a/ "%'*a' ,%ta+,a$')a &(/a (%at=(%at

#a+%#a (&,%/t%# t%&( "/"&!(/ (%$/'**a #%'(a #a+a=!%#a+aa' +%'-a"/

#%,/$ ,%(a "a' !&a'* %#a(t/!. N&!#%&( "a' !t%!( t%,%'t&! "%'*a'

%(a+,&'*a' #a+%##a% /'/ &-&'* !% &-&'* ,%,%'t&! : ,/#a "/#/$at "%'*a'

(#/t#a+. B%'t&! : /'/ t%*a! "/ a't%/ "a' t%,a#/! "/ (t%/. L%'(a

"/ta$a' "/t%+at')a #%$ #/*a+%' )a'* "/!%'a# 'a /'// )a'* t%(&(&'

5


6/22

"a/ ,a')a! /,/# "a/ %+&!aa' !&( (/#/a/( "a' +%')/(/ !% "a#a+

%!&at #%'(a.3

L%'(a t%"// ata( 85< a/ "a' 35< t%/' !a'"&'*a' t%t/'**/ "/a'taa-a/'*a'=-a/'*a' t&,&$: "a' (%"/!/t (%!a#/ +/'%a# )a'* ,/a(a ,%a"a "/

"a#a+ -a/'*a' t&,&$ #a/'')a. Ka'"&'*a' !a#/&+ #%,/$ t/'**/ "/ #%'(a

"a/a"a "/!%,a')a!a' -a/'*a' #a/'. A(a+ a(!,at "a' *#&tat/' t%"aat

"a#a+ ,%'t&! t%!(/"a(/ +a&&' t%%"&!(/. T/"a! a"a (%at ')%/ %+,&$

"aa$ ata& (aa "/ #%'(a.3

Ga+,a 2.

,& FISIOLOGI LENSA

F&'*(/ &ta+a #%'(a a"a#a$ +%+!&(!a' ,%!a( ;a$a)a !% %t/'a. U't&!

+%+!&(!a' ;a$a)a "ata'* "a/ -a&$ tt=tt (/#/a/( %#a!(a(/+%'%*a'*!a' (%at 'a /'// "a' +%+%!%;/# "/a+%t% a't%(t%/

#%'(a (a+a/ &!&a'')a )a'* t%!%;/# "a#a+ (/(/ /'/ "a)a %a!(/ #%'(a

"/%!%;/# (%$/'**a ,%!a( ;a$a)a aa#%# a!a' t%!&( !% %t/'a. U't&!

+%+!&(!a' ;a$a)a "a/ ,%'"a "%!at tt (/#/a/( ,%!'ta!(/ (%$/'**a

t%*a'*a' 'a ,%!&a'*. Ka( #%'(a )a'* %#a(t/! !%+&"/a'

+%+%'*a&$/ #%'(a +%'-a"/ #%,/$ (%/( "///'*/ #%$ %'/'*!ata' "a)a

6


7/22

,/a(')a. K%-a(a+a /(/#*/( a'ta 'a !&( (/#/a/( "a' #%'(a &'t&!

+%+!&(!a' ,%'"a "%!at !% %t/'a "/!%'a# (%,a*a/ -./!/$-si&2

Pa"a a'* "%6a(a #%'(a')a #%,/$ a"at "a' ,a*a/a' (t%/ #%,/$!'%!(. P(%( (!#%(/( ,a*/a' (%'ta# #%'(a "/+a/ a"a +a(a !a'a!=

!a'a! "a' t%&( ,%#a'*(&'* %#a$a'=%#a$a' (a+a/ "%6a(a "a' (%t%#a$ /'/

(%( ,%ta+,a$ ;%at "/+a'a '&!#%&( +%'-a"/ ,%(a "a' !t%!( ,%ta+,a$

t//(. Pa"a a'* t&a #%'(a #%,/$ ,%(a #%,/$ *%%'* 6a'a')a !%!&'/'*a'

!&a'* -%'/$ "a' ta+a! (%%t/ *a) %#% ata& (%'/# %#% )a'* (%/'*

"/(a'*!a !ataa!. Ka'a (%( (!#%(/( /'/ #%'(a +%'-a"/ !&a'* %#a(t/( "a'

"a)a a!+"a(/')a ,%!&a'*. K%a"aa' /'/ "/(%,&t %(,//a "/+a'a a"a

a'* I'"'%(/a "/+a/ a"a &(/a 40 ta$&'.2

D& KATARAK

- Deinisi

Kataa! +%&a!a' a,'+a#/ta( a"a #%'(a +ata ,%&a

!%!%&$a' #%'(a )a'* +%')%,a,!a' ta-a+ %'*#/$ata' %'"%/ta

,%!&a'*.

" Ei/l/#i

P%')%,a, t%(%/'* "a/ !ataa! a"a#a$ (%( "%*%'%a(/ )a'*

+%')%,a,!a' #%'(a +ata +%'-a"/ !%a( "a' !%&$. P%'*%&$a'

#%'(a "aat "/%;%at #%$ a!t /(/! (%%t/ +%!! aaa'

(/'a U )a'* t/'**/ a#!$# "%/(/%'(/ /t E a"a'* +%'a$&'

"a#a+ ,#a +ata "a' #&(/ a(a +t7a,/! )a'* +%'*a'"&'*

t/+,a#.3

C%"%a a"a +ata (%%t/ &!a' !%a( t&(&!a' ,%'"a a'a(

)a'* t/'**/ "a' ta&+a !/+/a "aat +%&(a! #%'(a (%$/'**a

+%'/+,!a' *%-a#a (%%t/ !ataa!.

Kataa! -&*a "aat t%-a"/ a"a ,a)/ "a' a'a!=a'a! "/(%,&t

(%,a*a/ !ataa! !'*%'/ta#. Kataa! !'*%'/ta# t%-a"/ a!/,at

a"a')a %a"a'*a'7/'%!(/ !%t/!a $a+/# ata& %')%,a, #a/'')a.

Kataa! -&*a "aat t%-a"/ (%,a*a/ !+#/!a(/ %')a!/t /'%!(/ "a'

+%ta,#/! #a/'')a (%%t/ "/a,%t%( +%##/t&(.

3 E'i$e!i/l/#i

7


8/22

L%,/$ "a/ 90< !%-a"/a' !ataa! +%&a!a' !ataa! (%'/#/(. 20=

40< a'* &(/a 80 ta$&' !% ata( +%'*a#a+/ %'&&'a' !%ta-a+a'

%'*#/$ata' a!/,at !%!%&$a' #%'(a. S%"a'*!a' a"a &(/a >0 ta$&'

!%ata( /'(/"%'(/')a +%';aa/ 80=>0


9/22

(%a,&t !#a*%' "/ t%'*a$. Ma!/' #a+a (%a,&t t%(%,&t (%+a!/'

,%ta+,a$ ,a')a! (%$/'**a t%-a"/#a$ (!#%(/( '&!#%&( #%'(a.8

P%&,a$a' )a'* t%-a"/ a"a #%'(a &(/a #a'-&t?

1. Ka(a

a. M%'%,a# "a' !&a'* %#a(t/; 174 "/,a'"/'* a'a!:

,. Ma/ %(,//

;. B%'t&! #a+%# !a( ,%!&a'* ata& !a,&

". T%#/$at ,a$a' *a'a

2. E/t%#=+a!/' t//(

a. S%# %/t%# *%+/'at/ a"a %!&at ,%ta+,a$ ,%(a "a'

,%at:,. B%'*!a! "a' a!/(a(/ +/t!'"/a )a'* ')ata

3. S%at #%'(a

a. S%at /%*a

,. Pa"a !t%!( -%#a( !%&(a!a' (%at (%#

;. Brown sclerotic nucleus (/'a U #a+a !%#a+aa'

+%&,a$ t%/' '&!%#&( #%'(a (%"a'* 6a'a ;!#at

t%/' #%'(a '&;#%&( +%'*a'"&'* $/(t/"/' "a' t/ta'

"/,a'"/'* '+a#

". Kt%!( t/"a! ,%6a'a !a%'a !a"a a(a+

a(!,at t/'**/ "a' +%'*$a#a'*/ t !(/"a(/.

S/'a t/"a! ,a')a! +%'*&,a$ t%/' a"a (%at +&"a.

P%&,a$a' /(/! "a' !/+/a "a#a+ #%'(a +%'*a!/,at!a'

$/#a'*')a ta'(aa(/ a!/,at %&,a$a' a"a (%a,&t

$a#&( +t/%# )a'* +%+a'-a'* "a/ ,a"a' (/#/a !%

(%!/ta "a%a$ "/ #&a #%'(a +/(a#')a +%')%,a,!a'

%'*#/$ata' +%'*a#a+/ "/(t(/. Pa"a t%/' #%'(a

+%')%,a,!a' !a*a(/ (%$/'**a +%'*a!/,at!a'

a'"a'*a' "%'*a' %'*$a+,ata' -a#a'')a ;a$a)a !%

%t/'a.8

9


10/22

G-!"-% & Pe%"-n$in#-n 'en#lih--n n/%!-l $-n 'en#lih--n

.--%-.

e Kl-sii.-si

10

M/%/l/#i M-u%i-s Onse

Ka(a I'(//%' K'*%'/ta#

S&,!a(a I't&+%(%' I'a't/#

Kt/!a# I++at& J&%'/#

S&a'&!#%a Mat& P%(%'/#

N&!#%a H/%+at& S%'/#

P#a M*a*'/


11/22

S-$iu! .--%-.

Insi'ien I!-u% M-u% )i'e%!-u

%

Ke.e%uh-n R/'*a' S%,a*/a' S%#&&$ Ma(/

,-i%-n lens- N+a# B%ta+,a$

a/ +a(&!:

N+a# B%!&a'*

a/ !%#&a:

I%is N+a# T%"'* N+a# T%+a'(

Bili. !--

$e'-n

N+a# Da'*!a# N+a# Da#a+

Su$u "ili.

!--

N+a# S%+/t N+a# T%,&!a

Sh-$/4 es = = P(%&"(

Pen5uli = G#a&!+a = U%/t/(

G#a&!+a

# M-nies-si .linis

Ma'/%(ta(/ "a/ *%-a#a )a'* "/a(a!a' #%$ a(/%' %'"%/ta

!ataa! t%-a"/ (%;aa *%(/ "a' +%&a!a' (%( )a'* !'/(.

Ga'**&a' %'*#/$ata' ,%a/a(/ t%*a't&'* a"a -%'/( "a/

!ataa! )a'* "/"%/ta a(/%'.35

G%-a#a a"a %'"%/ta !ataa! a"a#a$ (%,a*a/ ,%/!&t?

1. P%'&&'a' /(&(

2. S/#a&

3. P%&,a$a' +//!

4. D/#/a +'!a

5. Ha# ,%6a'a

8. B/'t/! $/ta+ "/ "%a' +ata

11


12/22

Ta'"a a"a %'"%/ta !ataa! a"a#a$ (%,a*a/ ,%/!&t?3

1. P%+%/!(aa' /(&( ,%!/(a a'taa 879 (a+a/ $a')a%(%(/ ;a$a)a

2. P%+%/!(aa' /#&+/'a(/ ,#/!

3. S$a"6 t%(t

4. Ota#+(!/ "/%!

5. P%+%/!(aa' (/t #a+

E& PEMBEDA)AN PADA KATARAK

P%'ata#a!(a'aa' "%/'/t/ &'t&! !ataa! (%'/#/( a"a#a$ %!(ta!(/ #%'(a.

B%*a't&'* a"a /'t%*/ta( !a( #%'(a (t%/ a"a 2 t/% ,%"a$ #%'(a )a/t&

Intra Capsuler Cataract Ekstraksi ICCE: "a' Ekstra Capsuler Cataract

Ekstraksi ECCE:.

In$i.-si

I'"/!a(/ %'ata#a!(a'aa' ,%"a$ a"a !a(&( !ataa! +%';a!& /'"/!a(/ /(&(

+%"/( "a' !(+%t/!.

1& I'"/!a(/ /(&( +%&a!a' /'"/!a(/ a#/'* (%/'*. I'"/!a(/ /'/ ,%,%"a a"a

t/a /'"//"& t%*a't&'* "a/ *a'**&a' )a'* "/t/+,!a' #%$ !ataa!

t%$a"a a!t//ta( (%$a/=$a/')a.

2& I'"/!a(/ +%"/( a(/%' ,/(a (a-a +%a(a t/"a! t%*a'**& "%'*a' !%!%&$a'

a"a #%'(a +ata')a 'a+&' ,%,%aa /'"/!a(/ +%"/( "/#a!&!a' %a(/

!ataa! (%%t/ *#a&!+a /+,a( #%'(a (lens-induced glaucoma)

%'"ta#+/t/( a!a'a/#a!t/! "a' !%#a/'a' a"a %t/'a +/(a#')a %t/at/

"/a,%t/! ata& a,#a(/ %t/'a.

& I'"/!a(/ !(+%t/! !a"a'*=!a"a'* a(/%' "%'*a' !ataa! +at& +%+/'ta

%!(ta!(/ !ataa! +%(!/&' !%;/# $aaa' &'t&! +%'*%+,a#/!a' /(&(:

&'t&! +%+%#%$ &/# )a'* $/ta+.

Pe%si-'-n P%eO'e%-si8

12


13/22

1. Pa(/%' (%,a/!')a "/a6at "/ &+a$ (a!/t (%+a#a+ (%,%#&+ %a(/

2. P%+,%/a' informed consent

3. B& +ata "/t'* "a' +ata "/,%(/$!a' "%'*a' #a&ta' P/"'%=

I"/'% 5

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Referat Melissa