MORNING REPORT

CORPUS ALIENUM
Patient Identity

• Name : Mr.K
• Age : 30 y.o
• No. RM : 247155
• Address : Turkale, Maros
• Nation : Indonesia
• Religion : Islam
• Work : Welder
• Date : July 2th 2019
History Taking

• Main Complaint : Discomfort in the right eye

Guided History :

A 30-years old male patient, presented to our Clinic with discomfort on

right eye, since ±5 days ago after being hit by a gurinda. Complaints are
accompanied by pain (+), foreign body sensations (+), watery eye (+), blurry
vision (-), red eye (+). History treatment (-).
Ophthalmology Examination
Visual Acuity Examination

OD Visus OS
20/20 Uncorrected visual acuity 20/20

- Correction -
- Best corrected visual acuity -

- Near visual acuity -

- Correction -
- Best corrected near visual acuity -
 Anterior Segment Examination
OD OS
Palpebral Margo Oedema (-) Hyperemia (-), Oedema (-) Hyperemia (-),
Crust (-) Crust (-)
Cilia Squama (-), Madarosis (-) Squama (-), Madarosis (-)
Lacrimal Apparatus Lacrimation (+) Lacrimation (-)

Conjunctiva Hyperemia (+) Hyperemia (-)

Cornea Clear Clear
Anterior Chamber Normal Depth Normal Depth
Iris Brown, Crypt (+) Brown, Crypt (+)
Pupil Round, Central Round, Central
Direct/Indirect Light +/+ +/+
Reflex
RAPD - -
Lens Clear Clear
Palpation

OD OS
Ocular pressure Tn Tn
Tumor/Mass (-) (-)
Pre Auriculer gland Not palpable Not palpable
 DIAGNOSE
OD Corpus Alienum Cornea
Treatment

- Corpus Alienum Extraction

- C. Polynel ED 4 dd 1 gtt OD (Fluoromethasone, Neomycin
Sulphate)

Education
• Use glasses for protection while working
Prognosis

• Quo ad vitam : Bonam

• Quo ad functionam : Bonam
• Quo ad Cometicam : Bonam
• Quo ad sanactionam : Bonam
Thank you!