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CATARACT AND

GL AUCOMA
GROUP 1
2018 A
1. Ophielya Thisna

2. RA.Intan Dwi Saraswati

3. Dewi Rambu Hana p

4. Agus Winangun

5. Angga Putra Surya R

6. I putu Wahyu Widyana Yasa


DEFINITION OF DEFINITION OF
CATARACT GLAUCOMA
• Opacity of the lens, which occurs when fluid • Classifed as agroup of diseases
gathers between the lens • Damage the optic nerve
When eye work properly : • Can cause permanent vision loss if left untreated
• Light passes through the cornea and the • Glaucoma may be present in one or both eyes
pupil lens
• The lens focuses light and producing clear,
sharp images on the retina
• As a cataract develops the lens becomes
clouded, which scatters the light and
prevents a sharply defined image from
reaching retina. As a result, vision become
blurred
CAUSES OF CATARACT
• Old age (commonest) • Congenital
• Ocular and systemic diseases - Dominant
- uveitis - Sporadic
- Previous ocular surgery - Part of a syndrome
• Systemic medication - Abnormal galactose metabolism
- Steroids • Inherited abnormality
- Phenothiazines - Rubella
• Trauma and intraocular foreign - High myopia
bodies
• Ionizing radiation
- X ray
- UV
CAUSES OF GLAUCOMA
• Slow fluid drainage
• Pressure builds up and damages
the optic nerve
• Optic nerve damage can occur at
different pressure level for
different people
SYMTOMS GLAUCOMA
• At first, there are none
• As glaucoma progresses, side
vision fails
• Field of vision narrows as
glaucoma worsens
• Early detection and treatment
can reduce the risk of vision
loss
GLAUCOMA DETECTED

Glaucomaa detected through a comprehensive dilated eye


exam
GLAUCOMA TREATED
• Medication
• Surgery
- Laser trabeculoplasty
Help open up the drainage
angle to allow more fluid to
pass out of the eye
- Conventional surgery
Makes a new opening for the
fluid to leave the eye
WHAT SHOULD YOU REMEMBER ?
• Glaucoma has no warning sign
• Glaucoma can cause
permanent vision loss
• Early detection and treatment
can protect your vision
• Get a dilated eye exam
CATARACT Age related cataract
Divided to : It is the most commonly occurred
• Acquired cataract Classifed accorfing to :
Presenile cataract o Morphological classification
Traumatic cataract - Nuclear
Drug induced cataract - Cortical
Secondary cataract - Subcapsular
• Congenital Cataract - Christmas tree- uncommon
Systemic association o Maturity Classification
Non systemic association - Immature cataract
- Mature cataract
- Hypermature cataract
MORPHOLOGICAL CLASSIFICATION
Nuclear cataract Cortical Cataract Subcapsular
Unfortunately, this so - Occur on the outer edge cataract
called two sight disappers of the lens (cortex) - Occur just under the
as the lens gradually capsule of the lens
- Begins as whitish,wedge-
turms ,more densely - Starts as a small,
shaped opacities or
yellow and further cluds opaque area
streaks
vision - It usually forms near
the back of the lens, ri
ght in the path of light
on its way the retina
SIGN AND TREATMENT CATARACT
Sign Treatment
• Reduced acuity • Glasses : cataract alters the
• Dimred reflex refractive power of the natural
• Contrast sensitivity lens so glasses may allow good
• White pupil vision to be maintened
• Slit lamp examination shows the • Surgical removal : when visual
type of cataract acuity can’t be improved with
glasses
THE RELATIONSHIP BETWEEN
CATARACT AND GLAUCOMA
Glaucoma secondary because a Symtoms
cataract intumesen , It is a closed Red eye and pain, very high TIO,
angle glaucoma incurred due to an corneal edema, cataract lens of
enlarged lens because of immature immature
cataract
MEDICAL CHECK UP AND DIAGNOSIS
• Anamnesis Red eye and pain Treatment
• Visus decline • Medication :
with a bright flashlight will appear : (Scaled TIO with medicine)
- Perilimbal hiperemi Glycerol 1 ml/kgBB , Manitol 20%,
- Conjungtiva hiperemi acetazolamide 500 mg (2 tablet),
Timolol 0,25 %
- Edema cornea
• Surgical Removel :
• Still lamp biomicroscope
- If visus have been very interrupt
• Tonometer : TIO > 21 mmHg
due a cataract (The extraction of a
cataract intrakapsuler)
- If not disturb to visus operation is
performed

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