BUKU KEGIATAN KEPANITERAAN KLINIK

MADYA PROGRAM STUDI PROFESI DOKTER

LABORATORIUM ILMU PENYAKIT MATA

RSUD MARDI WALUYO KOTA BLITAR

TAHUN 2018

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Assalamu’alaikum Wr.Wb

Puji Syukur kami panjatkan kehadiran Allah SWT, yang telah melimpahkan
taufik, rahmat serta hidayah-Nya dalam penysusunan Buku Kegiatan Kepaniteraan
Klinik Madya Program Studi Profesi Dokter Laboratorium Ilmu Penyakit Mata.

Ucapan terimakasih yang sebesar-besarnya kepada pembimbing kami,

dr.Muhdahani Sp.M dan dr. Agustin Wijayanti Sp.M atas bimbingan beliau dalam
penyusunan buku ini.

Buku ini berisi penjelasan singkat mengenai penyakit dan keterampilan klinis
yang perlu dikuasai dokter muda dilabolatorium ilmu penyakit mata. Daftar penyakit dan
keterampilan tersebut telah disesuaikan dengan Standart Kompetensi Dokter Indonesia
Edisi kedua yang telah diterbitkan oleh Konsil Kedokteran Indonesia pada bulan
Desember tahun 2012. Kompetensi pada daftar penyakit yang dimaksud yaitu
kompetensi 3 (dokter umum mampu mendiagnosis, melakukan penatalaksanaan awal
dan merujuk) dan kompetensi 4 (dokter umum mampu mendiagnosis, melakukan
penatalaksanaan secara mandiri dan tuntas. Sedangkan kompetensi pada
keterampilan klinis yang dimaksut yaitu kompetensi 3 (pernah melakukan atau pernah
menerapkan dibawah supervisi) dan kompetensi 4 (mampu melakukan secara mandiri).

Tak lupa kami sampaikan terimakasih kepada semua pihak yang telah
membantu penyusunan buku ini.besar harapan kami buku ini dapat bermanfaat dalam
pelaksanaan kepaniteraan Klinik Dokter Muda Fakultas Kedokteran Universitas Islam
Malang, khususnya di RSUD Mardi Waluyo Kota Blitar.

Blitar, 9 Desember 2018

Penyusun:
Fahmi Abdullah
Mutiara Niken S
Nur Ria Wahyuningsih
R. Widya Nurul I.
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KATA PENGANTAR...........................................................................................................i
DAFTAR ISI........................................................................................................................ii
DAFTAR TABEL................................................................................................................vi
DAFTAR GAMBAR..........................................................................................................vii
BAB I DAFTAR PENYAKIT
A. KONJUNGTIVA............................................................................................................1
1. KONJUNGTIVITIS 4A..........................................................................................1
2. PTERIGIUM 3A....................................................................................................5
3. PENDARAHAN SUBKONJUNGTIVA 4A.............................................................6
4. BENDA ASING DIKONJUNGTIVA 4A.................................................................9
5. MATA KERING 4A.............................................................................................10
B. KELOPAK MATA........................................................................................................14
1. BLEFARITIS 4A..................................................................................................14
2. HORDEOLUM 4A...............................................................................................16
3. CHALAZION 3A..................................................................................................19
4. LASERASI KELOPAK MATA 3B.......................................................................20
5. TRIKIASIS 4A.....................................................................................................22
C. APARATUS LAKRIMAL.............................................................................................24
1. DACRIOADENITIS 3A.......................................................................................24
2. DACRIOSISTITIS 3A.........................................................................................25
D. SKLERA......................................................................................................................27
1. SKLERITIS 3A....................................................................................................27
2. EPISKLERITIS 4A..............................................................................................31
E. KORNEA.....................................................................................................................33

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 1. KERATITIS 3A....................................................................................................33
2. XEROPTHALMIA 3A..........................................................................................36
F. ANTERIOR CHAMBER..............................................................................................39
1. HIFEMA 3A.........................................................................................................39
2. HIPOPION 3A.....................................................................................................41
G. IRIS DAN BADAN SILIER..........................................................................................44
1. IRIDOSISKLITIS, IRITIS 3A...............................................................................44
H. AKOMODASI DAN REFRAKSI..................................................................................52
1. HIPERMETROPIA RINGAN 4A.........................................................................52
2. MIOPIA RINGAN 4A..........................................................................................54
3. ASTIGMATISM RINGAN 4A..............................................................................56
4. PRESBIOPIA 4A................................................................................................59
5. ANISOMETROPIA PADA DEWASA 3A............................................................61
6. BUTA SENJA 4A................................................................................................63
I. GLAUKOMA...............................................................................................................66
1. GLAUKOMA AKUT 3B.......................................................................................66
2. GLAUKOMA LAINNYA 3A.................................................................................68
BAB II DAFTAR SKILL
A. PENGLIHATAN..........................................................................................................71
1. PENILAIAN PENGLIHATAN BAYI ANAK DAN DEWASA 4A...........................71
B. REFRAKSI ................................................................................................................73
1. PENILAIAN REFRAKSI, SUBJEKTIF 4A..........................................................73
C. LAPANG PANDANG..................................................................................................75
1. LAPANG PANDANG DONDERS CONFRONTATION TEST 4A......................75
2. LAPANG PANDANG AMSTER PANES 4A.......................................................76
D. PENILAIAN EKSTERNAL..........................................................................................77

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 1. INSPEKSI KELOPAK MATA 4A........................................................................77
2. INSPEKSI KELOPAKMATA DENGAN EVERSI KELOPAK MATA 4A.............79
3. INSPEKSI BULU MATA 4A................................................................................80
4. INSPEKSO KONJUNGTIVA, TERMASUK FORNIKS 4A.................................81
5. INSPEKSI SKLERA 4A......................................................................................82
6. INSPEKSI ORIFISIUM DUKTUS LAKRIMALIS 4A...........................................82
7. PALPASI LIMFONODUS PRE-AURIKULAR 4A...............................................84
E. POSISI MATA.............................................................................................................85
1. PENILAIAN POSISI DENGAN CORNEAL REFLEX IMAGES 4A.....................85
2. PENILAIAN POSISI DENGAN COVER UNCOVER TEST 4A..........................86
DAFTAR PUSTAKA........................................................................................88

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 DAFTAR GAMBAR
GAMBAR 1.1 PERBEDAAN GEJALA KONJUNGTIVITIS................................................2
GAMBAR 1.2 PENDARAHAN SUBKONJUNGTIVA.........................................................7
GAMBAR 1.3 FISIOLOGI KELENJAR LAKRIMAL.........................................................12
GAMBAR 1.4 BLEFARITIS ANTERIOR..........................................................................14
GAMBAR 1.5 HORDEOLUM EKSTERNA......................................................................17
GAMBAR 1.6 ENTROPION DENGAN TRIKIASIS.........................................................22
GAMBAR 1.7DACRYOSISTITIS.....................................................................................26
GAMBAR 1.8 KERATITIS PRESIPITAT.........................................................................48
GAMBAR 1.9 HIPERTROPIA .........................................................................................52
GAMBAR 1.10 MIOPIA ...................................................................................................54
GAMBAR 1.11 ASTIGMATISMA.....................................................................................37
GAMBAR 1.12 GLAUKOMA SUDUT TERTUTUP .........................................................67
GAMBAR 1.13 GLAUKOMA SUDUT TERBUKA............................................................69
GAMBAR 1.14 KARTU SNELLEN .................................................................................71
GAMBAR 1.15 AMSTER GRID.......................................................................................76
GAMBAR 1.16 PTOSIS...................................................................................................77
GAMBAR 1.17 KARSINOMA SEL BASAL......................................................................79
GAMBAR 1.18 KALAZION .............................................................................................79
GAMBAR 1.19 CARA MELAKUKAN EVERSI PALPEBRA............................................80
GAMBAR 1.20 TRIKIASIS ..............................................................................................81
GAMBAR 1.21 PERBEDAAN INJEKSI KONJUNGTIVA DAN INJEKSI SILIAR ...........82
GAMBAR 1.22 DACRIOSISTITIS...................................................................................83
GAMBAR 1.23 DACRIOADENITIS ................................................................................83
GAMBAR 1.24 LIMFONODI PADA KEPALA DAN LEHER............................................84
GAMBAR 1.25 MACAM-MACAM STRABISMUS...........................................................86

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 DAFTAR TABEL

TABEL 1.1 KLASIFIKASI KONJUNGTIVITIS.................................................................4

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