Hifema
Trauma that damage the body and quickly frozen siliare is dangerous, because a blood clot be merged quickly, not giving time for regeneration to vasa blood going again so that recycling bleeding. Bleeding is common in day-to-5 after bleeding primary. If a lot of bleeding, the absorption of humor aqueous will obstructed, so that arose secondary glaucoma. Uveitis may also occur. Hemosiderin the straggling of eritrosit can be merged into endotel posterior cornea cornea that makes the color or colors is called hemosiderosis. If bleeding occurs the patient try to be elevated 30 - 45 degrees higher wafe blood pressure so that the slices will be reduced to, try to rest with the eyes close and head may not move much for at least 5 days. Give coagulant maximum up to 1 week due to the effect that prevent absorption of humor aquosus. If hifema meet the COA and the increase occurred TIO then give asetazolamid, and solution or 50% glycerol and then assessed for 24 hours. Parasentese do to remove the blood clot if the TIO does not stay down for up to 24 hours or when asetazolamid therapy to 5 days after delivery of asetazolamid TIO is still high and there are still bleeding.
Iridodialyse
If the root of the iris trauma tear, location of pupil rather fringe regular inspections so that the color will be darker than the pupil but also the place where the basic slices iridodialyse occur. On examination with optalmoskop also found the color red on the pupil and also the iridodialyse which is the fundus reflex. Treatment with midriatikum bleeding so will pressing on the root. If the cause diplopia with the repositioning should be done to associate the slices sklera.
In the lens aberration
Trauma that is able to make great rupture zonula Zinni due to pressure coming from the anterior causing subluksasi or back-luksasi lens , whereas if there is pressure behind it will be the fore. In this case when not cause glaucoma, or uveitis, then left alone, only corrections to the refraction only. If there uveitis and glaucoma then calmed first symptoms, then do the extraction lens.
Abdominal Pain
15 years ago
No comments:
Post a Comment