KERATITIS

KERATITISPembimbing : dr. Saptoyo AM Sp.M

Andreas Esa Dokter Muda UkridaRSUD Ciawi IP Mata

1Cornea3 main trait: uniform structure, avascular, deturgens

5 layer:EpitheliumBowman`s layerStromaDescemet`s membraneEndothelium

Has Trigeminal Opthalmic innervation as sensoric nerve

2KeratitisInflammation in any layer of cornealClassified by anatomy:EpithelialSub-epithelialStromaEndothelial

Classified by causa-agent:Bacterial: Streptococcal, Pseudomonas, StaphylococcalViral: HSV, HZVFungal: Candida, Aspergillum, FusariumHypersensitivity: Staphyl, Basil Koch, Flikten, MarginalSicca Lacrimal drynessNeurologic Trigeminal nerve damage, Lagopthalmus3KeratitisIt can lead to corneal erosion, ulcer, edema, cicatrix, perforation, anterior uveitis, secondary glaucoma, endofthalmitis, panofthalmitis.

IT IS NECESSARY TO EARLY DIAGNOSIS AND PROMPT TREATMENT!

Sign and Symptom:PainFotophobiaLacrimationVision LossCillary InjectionInfiltrateFluorescein test (+)Placido test (+)

4Keratitis

5Corneal UlcerCentralmarginal

Mooren UlcerRing Ulcer

Marginal Ulcer

Pseudomonas

Fungal

Streptococcus PneumoniaeTreatmentGenerally artificial eye drop, sikloplegicViral IDU and acycolvir + debridementBacterial antibiotic topical and systemicFungal Amphotericin B, natamycin topicalHypersensitivity steroid topical

Contact Lens protection from exposureKeratoplasty lamellar or penetrating

Prognosis? It depends..

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