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INFECTION AND INFLAMMATORY EYE

DISEASES

Devi Handayani Putri

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Ocular Surface Disorders

1. Meibomian Gland Dysfunction

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Eyelash nits and eggs

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Chalazion

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Hordeolum Interna

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ConjunctivitisVIRUSAdenoviral eye disease

- Simple follicular conjunctivitis

- Pharyngoconjunctival fever ( serotypes 3,7 )

- Epidemic keratokonjunctivitis

Signs & Symptoms

- Bilateral, subepithelial infiltrates

- Petechial conjunctival haemorrhages,pseudomembran

Management

- Supportive

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Conjunctivitis Viral

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Herpes Zoster Ophthalmicus

Signs & symptoms- pain and dysesthesianeuralgia- eyelid vesicular eruptions- keratitis epithelial dendritic-punctata

Management- Antiviral- Steroids topical

Complication-Choroiditis, retinal vasculitis-Retinal detachment

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Herpes Simplex Eye Disease

Direct contact, asymptomatically

Primary ocular infections

- Blepharoconjunctivitis unilateral : eyelid vesicles,dendriticepithelial keratitis

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Recurrent ocular infection

Reactivation virus latently infected sensory ganglia

- Blepharoconjunctivitis

- Epithelial keratitis

- Stromal keratitis- Iridocyclitis

Management

-Resolve spontaneously

-Antiviral systemic and topical

-Corticosteroids

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Bacterial

Overgrowth and infiltration of bacteries

Direct Contact

Self limitedsevere and sight threatening

Signs & symptoms

Purulent discharge, eyelid edema, chemosis, conjunctivalhemorrhages

Management

Antibiotic

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Bacterial

-Microsporidial

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- Acanthamoeba

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Giant Papillary Conjunctivitis

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Bacterial Ulcer

Signs& symptoms- Pain, hyperemic, photophobia- Decrease vision

Predisposition F/

- Corticosteroid use- Contact Lens Wear

Management- Antibiotic

- Steroid ?- Cyclopegics- Surgery

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Pseudomonas Ulcer

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FungalFilament and Yeast

Risk FactorTrauma w/ plant or vegetable materialContact Lens WearSteroids topical

Signs&symptomsFewer inflammationsgray-white,dry appearing infiltrateirregular feathery or filament margin

ManagementAntifungal

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Keratoplasty

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SkleritisBacterial and fungal infections are rare

Extensions of microbial keratitis, trauma, foreign body

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Uveitis

Inflammation of the uveal tract

Anterior : Iritis, iridocyclitis

Intermediate : Pars planitis,hyalitis

Posterior : Chorioretinitis,

retinochoroiditis,

retinitis,neuroretinitisPanuveitis

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Uveitis

Clinical signs

Conjunctival,episcleral,scleral injection and oedema

Corneal melt, infiltrates

Keratic precipitates,

Hypopion

Iris nodules

Iris Atrophy

Posterior synechia

Peripheral anterior synechia

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Uveitis

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Viral anterior uveitis

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Intermediate Uveitis

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Ocular Toxoplasmosis

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CMV Retinitis

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Dengue Associated Intraretinal Haemorrhage

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TB Ocular

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EndophthalmitisEndophthalmitis : Endogen

Exogen TraumaSurgery

Signs&Symptoms :

Visual decrease, inflammations signs

Management

Antibiotic or antifungal

Pars Plana Vitrectomy

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Endogenous Endophthalmitis

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Panophthalmitis

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Terima Kasih