Perdarahan Sub Conjunctiva, Laserasi Conjunctiva Dan Palpebra
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Transcript of Perdarahan Sub Conjunctiva, Laserasi Conjunctiva Dan Palpebra
Subconjunctival Hemorrhage,Conjunctival Laceration,
Lid Lacerations
Veranika Darmidy, dr
Subconjunctival Hemorrhage
Subconjunctival Hemorrhage
• Subconjunctival hemorrhage is defined as blood between the conjunctiva and the sclera
• Very common after blunt trauma (also spontaneously in adults, not kids)
• Subconjunctival hemorrhage results from bleeding of the conjunctival or episcleral blood vessels into the subconjunctival space
Anatomy
• The hemorrhage can be traumatic, spontaneous, or related to systemic illness
• History findings may include red eye and possibly mild irritation; however, patients usually are asymptomatic
• No specific treatment required, reassure, most resolve within two weeks.
Subconjunctival Hemorrhage
Conjunctival Laceration
Conjunctival Laceration• History of ocular trauma.• May need fluorescein stain to show a subtle tear.• Often see associated conjunctival hemorrhage.• Do complete ocular exam (consider Ophthalmology
consult) exclude scleral laceration, ruptured globe, conjunctival or intraorbital Foreign Body
• Apply antibiotic ointment and pressure patch 24 hours.• Large lacerations (>1.5 cm) may need sutures (by
ophthalmologist), but most heal without them.
Lid Lacerations
Lid Lacerations
• Sharp or blunt trauma, from eyeglass lens.• Symptoms: pain, bleeding around eye.• Exam: Depth of penetration and location
(middle one third may involve lacrimal system)
• Complete ocular exam – globe rupture.
Lid Lacerations - Treatment
• Clean (betadine), local anesthetic, irrigate with saline, explore for FB, topical anesthetic and eye shell, repair with 5-0 absorbable suture, antibiotic ointment BID.
• Refer to Ophthalmology if the lid margin involved (may get notch), canaliculus involved (may need tear duct stent), or extends into subcutaneous fat.