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176713609-Glaukoma

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glaukom
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  GLAUKOMA Disusun oleh :Tondo Bayu Nugroho (11-2011-0! Angelia M# $elealu (11-2011-11% Beni&a $u&ri $er'a&a (0%0-0-00 Mar)ella (0%0-0*-1* $e'+i'+ing :dr# ,ri ar&o. ,/# MK$ANTAAN LMU $N3AKT MATA,AU D# ,NA4AN ANTAK,AALM $DANAKU,UMA$eriode %0 ,e/&e'+er 201% 5 2 No6e'+er 201% 1  KATA $NGANTA  Puji dan syukur penulis panjatkan kepada Tuhan YME atas berkat danrahmatNya sehingga penulis dapat menyelesaikan makalah ini dengan judul‘Glaukoma’ yang akan digunakan sebagai penyuluhan kepada masyarakat padaumumnya dan juga guna memenuhi salah satu persyaratan dalam menempuhKepaniteraan Klinik lmu Kesehatan Mata ! #$ dr% Esna&an #ntariksa periode '( eptember ) * No+ember *(1'% ,isamping itu- makalah ini juga ditujukan untuk menambah pengetahuan bagi yang memba.anya%Pada kesempatan ini- penulis ingin menyampaikan u.apan terimakasih yangsebesar/besarnya kepada semua pihak yang telah membantu dalam menyelesaikanmakalah ini% Penulis menyadari makalah ini masih jauh dari sempurna% 0leh karenaitu- kritik dan saran yang membangun sangat diharapkan penulis agar makalah inidapat menjadi lebih baik% Penulis mohon maa yang sebesar/besarnya apabila terdapatkesalahan maupun kekurangan dalam makalah ini% #khir kata- penulis berharapsemoga makalah ini dapat bermanaat khususnya bagi penulis sendiri maupun pemba.a umumnya% 2akarta- 0ktober *(1' penulis  *  DA7TA , Kata Pengantar %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%*,atar si%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%'3#3  PEN,#4$5$#N%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%63#3  PEM3#4# #N % ,einisi%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%7 % Epidemiologi%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 7% Etiologi%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%78% 9aktor resiko%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%7 8% Klasiikasi%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%:8% Gejala klinis%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%168% Pemeriksaan%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%1;3#3  PEN#T#5#K #N##N%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%1<,atar pustaka%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%*' '  BAB $NDAULUAN1#1Ana&o'i ,udu& 7il&rasi udut iltrasi merupakan bagian yang penting dalam pengaturan .airan bilik mata% udut ini terdapat di dalam limbus kornea% 5imbus adalah bagian yang dibatasi olehgaris yang menghubungkan akhir dari membran ,es.emet dan membran 3o&man%#khir dari membran ,es.emet disebut garis .h&albe%5imbus terdiri dari * lapisan yaitu epitel dan stroma% Epitelnya * kali ketebalanepitel kornea% ,i dalam stromanya terdapat serat/serat sara dan .abang akhir dariarteri siliaris anterior% 3agian terpenting dari sudut iltrasi adalah trabekular- yang terdiri dari =1%Trabekula korneoskleral erabutnya berasal dari lapisan stroma kornea dan menuju ke belakangmengelilingi kanalis .hlemm untuk berinsersi pada sklera%*%Trabekula u+eal erabutnya berasal dari lapisan dalam stroma kornea- menuju ke s.leral spur >insersi dari m%siliaris? dan sebagian ke m%siliaris meridional%'% erabut yang berasal dari akhir membran ,es.emet >garis .h&albe? erabut ini menuju ke jaringan pengikat m%siliaris radialis dan sirkularis%6%5igamentum pektinatum rudimenter 5igamentum ini berasal dari dataran depan iris menuju ke depan trabekula%Trabekula terdiri dari jaringan kolagen- homogen- elastis dan seluruhnya diliputioleh endotel% Keseluruhannya merupakan spons yang tembus pandang- sehingga bilaada darah di dalam kanalis .hlemm- dapat terlihat dari luar%Kanalis .hlemm merupakan kapiler yang dimodiikasi- yang mengelilingikornea% ,indingnya terdiri dari satu lapisan sel- diameternya (-; mm% Pada dindingsebelah dalam- terdapat lubang/lubang sehingga terdapat hubungan langsung antaratrabekula dan kanalis .hlemm% ,ari kanalis .hlemm keluar saluran kolektor- *(/'( buah- yang menuju ke pleksus +ena di dalam jaringan sklera dan episklera dan +enasiliaris anterior di badan siliar% 6
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