KARAKTERISTIK KLINIS PENDERITA ULKUS KORNEA DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2017 – 2019

Anugrah, Prasetya Dwi and Purwanita, Petty and Safyudin, Safyudin (2020) KARAKTERISTIK KLINIS PENDERITA ULKUS KORNEA DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2017 – 2019. Undergraduate thesis, Sriwijaya University.

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Abstract

Introduction. Corneal ulcer is a pathological condition of the cornea with characterized by suppurative infiltrates, open sore on the cornea and discontinuity of corneal tissue starting from the epithelial layer to the stroma. In some developing countries, corneal ulcers are the second leading cause of blindness after cataracts. The study aims to find out the clinical characteristics of corneal ulcer patients in Dr. Mohammad Hoesin General Hospital Palembang. Method. This research is an observational descriptive study with cross-sectional study design. This research uses secondary data from medical records of corneal ulcer patients at Dr. Mohammad Hoesin General Hospital Palembang 2017 –2019 who met the inclusion criteria and did not meet the exclusion criteria. Result. From 81 samples found 35 cases (43,21%) of corneal ulcers were caused by bacteria, 16 cases of fungi (19.75%), 27 cases of mixed infection (33.33%), idiopathic (2.47%), and autoimmune. (1.24%). Predisposing factors included ocular trauma (69.13%), history of eye surgery (18.52%), use of steroid eye drops (9.88%), eyelid disorders (8.64%), and contact lenses (1, 23%). There were 78 cases of unilateral corneal ulcers (96.30%) and 3 cases bilateral (3.70%). The location of the ulcer was 75 cases in central (89.29%) and 9 cases in periphery (10.71%). The area of the ulcer included <2mm (4.76%), 2mm - 6mm (51.19%) and >6mm (44.05%). The depth of the ulcer included <1/3 stroma (13.10%), 1/3 - 2/3 stroma (44.05%) and >2/3 stroma (42.84%). The main clinical symptoms were red eyes (91.36%), decreased vision ( 74,07%) and pain (70,37%). The main clinical signs were ciliary injection (100%), conjunctival injection (97.62%) and infiltrate (70.24%). There were 74 cases of mild visual acuity (88.10%), 8 cases of moderate (9.52%) and 2 cases of severe (2.38%). There were 42 cases of moderate severity (50%, 0%), 40 cases of severe (47.62%) and 2 cases of mild (2.38%). Conclusion. Bacterial infection is the most common cause of corneal ulcer cases and predisposing factors is ocular trauma. Most cases of corneal ulcer occurs in one eye and a central location. Corneal ulcers are most found with ulcer area of 2 mm - 6 mm and ulcer depth of 1/3 - 2/3 of the stroma. The most common clinical symptoms are red eyes and the clinical sign is ciliary injection. The majority had severe vision acuity and moderate severity.

Item Type: Thesis (Undergraduate)
Uncontrolled Keywords: Ulkus kornea, karakteristik klinis, derajat keparahan, tajam penglihatan
Subjects: R Medicine > RE Ophthalmology > RE1-994 Ophthalmology
Divisions: 04-Faculty of Medicine > 11201-Medicine (S1)
Depositing User: Users 9700 not found.
Date Deposited: 11 Jan 2021 04:31
Last Modified: 11 Jan 2021 04:31
URI: http://repository.unsri.ac.id/id/eprint/39631

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