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PRESENTASI KASUS
Latifatun Nikmah (1102010149)
KEPANITERAAN KLINIK STASE MATA
UNIVERSITAS YARSI RS PLRI SAI! SUKANT
Periode November - Desember 2014
P"m#im#in$:
Dr. Aga !ad"a#i$ S%.M
Dr. !ar&a&i Ismai#$ S%.M
Dr. 'e(r) A.*$ S%.M
Dr. 'erma(s)a$ S%.M
Dr. M+s&a,a$ S%.M
%&'"&um
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I!ENTITAS PASIEN
No. Ream Medis: 1//
Nama : N(. D
m+r : 22 &a+(
e(is Ke#ami( : Perem%+a(
Agama : Is#am
Ta(gga# #air : 11 Ag+s&+s 1332
Pe(didia( : SMA
Peer"aa( : Pe#a"arMaasis5i
A#ama& : K%. a&i r& 020 Par+(g
S&a&+s : 6e#+m me(iaTa(gga# %emerisaa( : November 2014
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ANA*NESIS
Di#a+a( se7ara a+&oa(am(esis
'ariTa(gga# : Se(i($ November 2014
Tem%a& : Po#i Ma&a RS P8LRI Said S+a(&o
am : 10.00 *I6
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KELU%AN UTA*A
6e("o#a( di e#o%a ma&a a(a( a&as
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KELU%AN TA*+A%AN
N)eri se(&+
!a&a#
Rasa me(gga("a# %ada %ada ma&a a(a(
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6e("o#a( diser&ai rasa sai&$ &er+&ama bi#a be("o#a( &erse(&+
da( &erasa ga&a#.
Pasie( "+ga merasa se%er&i ada )a(g me(gga("a# %ada ma&a
a(a( a&as. Ke#+ar o&ora($ ma&a ab+r da( demam disa(ga# o#e
%asie(.
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RI,AYAT PENYAKIT !A%ULU
Pasie( &ida %er(a me(deri&a %e()ai& )a(g sama se%er&i i(i
sebe#+m()a.
Ri5a)a& %e()ai& diabe&es me#i&+s disa(ga#
Ri5a)a& %e()ai& i%er&e(si disa(ga#
Ri5a)a& %er(a me(ga#ami be(&+ra( a&a+ &ra+ma be(da #ai(
disa(ga#
Ri5a)a& me(gg+(aa( a7ama&a disa(ga#
Ri5a)a& a#ergi disa(ga# Ri5a)a& me(gg+(aa( oba& ()eri %ege# #i(+ da#am "a(ga 5a&+
)a(g #ama disa(ga#
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RI,AYAT KELUAR-A
Tida &erda%a& a(ggo&a e#+arga de(ga( ri5a)a& )a(g sama
de(ga( %asie(.
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RI,AYAT KNSU*SI +AT
Se#ama sai& %asie( memaai oba&-oba&a( )ai&+ sa#e% ma&a
#amesi&i( da( a(&ibio&i 291$ (am+( #+%a (ama oba&()a.
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RI,AYAT TRAU*A
Ri5a)a& &ra+ma$ &ere(a be(da asi(g$ a&a+ baa( imia %ada
ma&a disa(ga# o#e %asie(.
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PE*ERIKSAAN .ISIK
Di%erisa %ada November 2014 %++# 10.00 *I6
S&a&+s ge(era#is:
Keadaa( +m+m : Tam%a sai& ri(ga(
Kesadara( : om%os Me(&is
Ta(da ;i&a#
Tea(a( dara : 120/0
Nadi : /0 a#ime(i&
Res%irasi : 20 a#ime(i&
S++ : a,ebris ?
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STATUS .TAL*L-I
INSPEKSI
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! S
== Vi/u/ !a/a' ==
!eraa( bo#a ma&a baiesega#a ara
P&/i/i %i'/h#"'$
't&f&'ia
!eraa( bo#a ma&a baiesega#a ara
Madarosis
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'i%eremis
6e("o#a(
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6e(&+ b+#a&$ se(&ra#$
reg+#er
Re,#es 7aa)a#a(gs+(g &ida
#a(gs+(g
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RESU*E
Pasie( %erem%+a( ber+m+r 22 &a+( da&a(g de(ga( e#+a( :
6e("o#a( %ada ma&a a(a( a&as se"a 4 b+#a( #a#+ smrs )a(g a5a#()a
ber+%a bi(&i da#am e#o%a ma&a a(a( a&as em+dia( semai( #ama
semai( membesar sei(gga e#o%a ma&a a(a( a&as me("adi mera da(
be(ga.
6e("o#a( diser&ai rasa sai&$ &er+&ama bi#a be("o#a( &erse(&+ da( &erasaga&a#.
Se%er&i ada )a(g me(gga("a# %ada e#o%a ma&a a(a( a&as.
Pada %emerisaa( ,isi : ;is+s 8DS : ==
Pa#%ebra s+%erior : Edema
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!IA-NSIS +AN!IN-
'ordeo#+m es&er(a 8D
'ordeo#+m i(&er(a 8D
Ka#aio( 8D
T+mor %a#%ebra 8D
Se#+#i&is %rese%&a# 8D
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!IA-NSIS KER5A
'ordeo#+m es&er(+m 8D
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TATALAKSANA
Re(7a(a &era%i : I(sisi ordeo#+m es&er(a
A(&ibio&i sis&emi : e,rado9i# 9=00 mg
A(a#ge&i : Asam me,e(ama& 9=00 mg
A(&ibio&i &o%ia# : #oram,e(i7o# a#, =9B.s Kom%res a(ga& 4- a#i seari se#ama 1= me(i& &ia% a#i()a +(&+
memba(&+ drai(ase. La+a( de(ga( ma&a &er&+&+%. a(ga(
me(7oba meme7aa( ordeo#+m$ biara( %e7a se(diri.
6ersia( e#o%a ma&a de(ga( air bersi
Ko(&ro# e %o#i#i(i ma&a ari me(da&a(g
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PR-NSIS
C+o Ad ;i&am : Ad 6o(am
C+o Ad +(gsio(am : D+bia Ad 6o(am
C+o Ad Sa(a7&io(am : D+bia Ad bo(am
C+o Ad osme&i7a( : Ad 6o(am
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TINAAN PSTAKA
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ANAT*I PALPE+RA
Pa#%ebra s+%erior da( i(,erior ada#a modi,iasi #i%a&a( +#i&)a(g da%a& me(+&+% da( me#i(d+(gi bo#a ma&a bagia( a(&erior.
6eredi% me#i(d+(gi or(ea da( o("+(g&iva dari deidrasi.
Pa#%ebra s+%erior berair %ada a#is ma&a %a#%ebra i(,erior
me()a&+ de(ga( %i%i.
Pa#%ebra &erdiri a&as #ima bida(g "ari(ga( +&ama. Dari s+%er,isia#
e da#am &erda%a& #a%isa( +#i&$ #a%isa( o&o& ra(ga
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Te%ia( %a#%ebra di%isaa( o#e garis e#ab+
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Re&ra&or %a#%ebra ber,+(gsi memb+a %a#%ebra. Di %a#%ebra
s+%erior$ bagia( o&o& ra(ga ada#a #eva&or %a#%ebra s+%erior$ )a(gberasa# dari a%es orbi&a da( ber"a#a( e de%a( da( ber7aba(g
me("adi seb+a a%o(e+rosis da( bagia( )a(g #ebi da#am )a(g
me(ga(d+(g sera&-sera& o&o& %o#os dari m+s+#+s M+##er
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is+ra %a#%ebra ada#a r+a(g e#i%s di a(&ara ed+a %a#%ebra )a(gdib+a. is+ra i(i berair di a(&+s media#is da( #a&era#is.
Ka(&+s #a&era#is ira-ira 0$= 7m dari &e%ia( #a&era# orbi&a da(
membe(&+ s+d+& &a"am.
Pemb+#+ dara )a(g mem%erdarai %a#%ebra ada#a a. Pa#%ebra.Persara,a( se(sori e#o%a ma&a a&as dida%a&a( dari ram+s ,ro(&a#
(erv+s ;$ seda(g e#o%a ma&a ba5a o#e 7aba(g ed+a (erv+s ;.
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!E.INISI
'ordeo#+m ada#a i(,esi a&a+ %erada(ga( %ada e#e("ar di &e%i
e#o%a ma&a bagia( a&as ma+%+( bagia( ba5a )a(g disebaba(
o#e ba&eri$ biasa()a o#e +ma( S&a,i#oo+s (Staphylococcus
aureus). 'ordeo#+m da%a& &imb+# %ada 1 e#e("ar e#o%a ma&a a&a+
#ebi. Ke#e("ar e#o%a ma&a &erseb+& me#i%+&i e#e("ar Meibom$e#e("ar Feiss da( Mo##.
'ordeo#+m ada#a i(,esi e#e("ar %ada %a#%ebra. 6i#a e#e("ar
Meibom )a(g &ere(a$ &imb+# %embe(gaa( besar )a(g diseb+&
ordeo#+m i(&er(a. Seda(ga( ordeo#+m es&er(a )a(g #ebi e7i#da( #ebi s+%er,isia# ada#a i(,esi e#e("ar Feiss a&a+ Mo##.
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'ordeo#+m es&er(+m ada#a i(,esi e#e("ar seba7eo+s
dari Feiss di dasar b+#+ ma&a$ a&a+ i(,esi %ada e#e("areri(ga& a%ori( dari Mo##. 'ordeo#+m es&er(+m &erbe(&+
%ada bagia( #+ar %a#%ebra da( da%a& di#ia& sebagai be("o#a(
mera e7i#.
!ambar 'ordeo#+m Es&er(+m
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Pada ordeo#+m es&er(+m be("o#a( i+& bergera de(ga(
%ergeraa( +#i&$ be("o#a( me(o("o# e ara +#i&$ da( bi#a
me(ga#ami s+%+rasi be("o#a( %e7a de(ga( se(diri()a e ara +#i&.
Seda(ga( %ada ordeo#+m i(&er(+m be("o#a( &ida i+& bergerade(ga( %ergeraa( +#i&$ be("o#a( me(o("o# e ara o("+(g&iva da(
are(a #e&a()a da#am &ars+s "ara(g %e7a de(ga( se(diri()a.
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EPI!E*IL-I
Da&a e%idemio#ogi i(&er(asio(a# me()eb+&a( ba5a
ordeo#+m mer+%aa( %e()ai& i(,esi e#o%a ma&a )a(g %a#i(g
seri(g di&em+a(. I(side(si()a &ida berga(&+(g %ada ras da(
"e(is e#ami(. Da%a& me(ge(ai sem+a +sia$ &a%i #ebi seri(g
me()era(g %ada de5asa m+da.
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ETIL-I
'ordeo#+m mer+%aa( i(,esi )a(g disebaba( o#e ba&eri
Staphylococcus da( Streptococcus%ada e#e("ar sebasea e#o%a
ma&a. S&a%)#o7o77+s a+re+s mer+%aa( age(& i(,esi %ada 30-
3=H as+s ordeo#+m.
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PAT.ISIL-I
'ordeo#+m es&er(+m &imb+# dari b#oade da( i(,esi dari
e#e("ar Feiss a&a+ Mo##. Seda(ga( ordeo#+m i(&er(+m &imb+#
dari i(,esi %ada e#e("ar Meibom )a(g &er#e&a di da#am &ars+s.
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Pembe(gaa(
Rasa ()eri %ada e#o%a ma&a
Perasaa( &ida ()ama( da( se(sasi &erbaar %ada e#o%a ma&a
Ri5a)a& %e()ai& )a(g sama
Ta(da
Eri&ema Edema
N)eri bi#a di&ea( di dea& %a(ga# b+#+ ma&a
Se%er&i gambara( abses e7i#
*ANI.ESTASI KLINIS
Ke#+a( +&ama da%a& ber+%a be(ga da( emeraa( %adae#o%a ma&a )a(g &erasa ()eri +(&+ ordeo#+m i(&er(+m$ da(
bis+# a&a+ be("o#a( emeraa( da%a& diser&ai (a(a a&a+ &ida %ada
ordeo#+m es&er(+m.
- 3 t # h
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-"3aa tam#ahan
Se#ai( e#+a( +&ama dia&as$ ordeo#+m "+ga da%a& diser&ai de(ga(
bebera%a ge"a#a &ambaa( se%er&i:
6e("o#a( %ada e#o%a ma&a a&as a&a+ ba5a
Pembe(gaa( #oa# e#o%a ma&a
N)eri #oa# e#o%a ma&a
Kemeraa( %ada e#o%a ma&a
N)eri se(&+
Pe(gerasa( +#i& dari margo e#o%a ma&a
Se(sasi &erbaar di ma&a
Terasa bera& %ada e#o%a ma&a
!a&a# %ada bo#a ma&a
Pe(g#ia& ab+r
Sere& %+r+#e( di ma&a
Iri&asi %ada ma&a
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Diag(osis ordeo#+m di&egaa( berdasara( ge"a#a da(
&a(da #i(is )a(g m+(7+# %ada %asie( da( de(ga(
me#a+a( %emerisaa( ma&a )a(g sedera(a. Kare(a
easa( dari ma(i,es&asi #i(is %e()ai& i(i$ %emerisaa(%e(+("a(g &ida di%er#+a( da#am me(diag(osis
ordeo#+m.
!IA-NSIS
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Ka#aio(
T+mor %a#%ebra
Se#+#i&is %rese%&a#
!IA-NSIS +AN!IN-
PENATALAKSANAAN
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6iasa()a ordeo#+m da%a& semb+ de(ga( se(diri()a da#am 5a&+ =-G
ari.
Umum
Kom%res a(ga& 4- a#i seari se#ama 1= me(i& &ia% a#i()a +(&+
memba(&+ drai(ase. La+a( de(ga( ma&a &er&+&+%.
6ersia( e#o%a ma&a de(ga( air bersi a&a+%+( de(ga( sab+( a&a+ sam%o
)a(g &ida me(imb+#a( iri&asi$ se%er&i sab+( ba)i. 'a# i(i da%a&mem%er7e%a& %roses %e()emb+a(. La+a( de(ga( ma&a &er&+&+%.
a(ga( me(ea( a&a+ me(+s+ ordeo#+m$ are(a em+(gi(a( a# i&+
me("adi #ebi seri+s.
'i(dari %emaaia( mae+% %ada ma&a$ are(a em+(gi(a( a# i&+
me("adi %e()ebab i(,esi.
a(ga( memaai #e(sa o(&a are(a da%a& me()ebaba( i(,esi e
or(ea.
PENATALAKSANAAN
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#at
A(&ibio&i dii(diasia( bi#a de(ga( om%res a(ga& se#ama 24 "am &ida
ada %erbaia($ da( bi#a %roses %erada(ga( me()ebar e sei&ar daera
ordeo#+m.
Anti#i&tik t&ika
6a7i&ra7i( a&a+ &obrami7i( sa#e% ma&a diberia( se&ia% 4 "am se#ama G-10
ari. Da%a& "+ga diberia( eri&romi7i( sa#e% ma&a +(&+ as+s ordeo#+m
es&er(a da( ordeo#+m i(&er(a ri(ga(.Anti#i&tik /i/t"mik
Diberia( bi#a &erda%a& &a(da-&a(da ba&erimia a&a+ &erda%a& &a(da
%embesara( e#e("ar #im,e di %rea+ri7+#ar. Pada as+s ordeo#+m
i(&er(+m de(ga( as+s )a(g seda(g sam%ai bera&$ da%a& diberia(
7e%a#e9i( a&a+ di7#o9a7i#i( =00 mg %er ora# 4 a#i seari se#ama G ari.
6i#a a#ergi %e(isi#i( a&a+ 7e%a#os%ori( da%a& diberia( 7#i(dami7i( 00
mg ora# 4 a#i seari se#ama G ari a&a+ #ari&rom)7i( =00 mg 2 a#i seari
se#ama G ari.
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P"m#"ahan
6i#a de(ga( %e(goba&a( &ida beres%o( de(ga( bai$ maa %rosed+r
%embedaa( m+(gi( di%er#+a( +(&+ memb+a& drai(ase %adaordeo#+m.
Pada i(sisi ordeo#+m &er#ebi da+#+ diberia( a(as&esi &o%ia# de(ga(
%a(&oai( &e&es ma&a. Di#a+a( a(as&esi ,i#&rasi de(ga( %roai( a&a+
#idoai( di daera ordeo#+m da( di#a+a( i(sisi bi#a:
'ordeo#+m i(&er(+m dib+a& i(sisi %ada daera ,#+&+asi %+s$ &ega
#+r+s %ada margo %a#%ebra.
'ordeo#+m es&er(+m dib+a& i(sisi se"a"ar de(ga( margo %a#%ebra.
Se&e#a di#a+a( i(sisi$ di#a+a( eso#easi a&a+ +re&ase se#+r+ isi
"ari(ga( merada(g di da#am a(&o(g()a da( em+dia( diberia( sa#e%
a(&ibio&i.
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Ma&a eri(g
Simb#e,aro(
Abses
Se#+#i&is %a#%ebra
K*PLIKASI
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PR-NSIS
*a#a+%+( ordeo#+m &ida berbaa)a da( om%#iasi()a sa(ga&
"ara(g$ &e&a%i ordeo#+m sa(ga& m+da amb+. 'ordeo#+m
biasa()a semb+ se(diri a&a+ %e7a da#am bebera%a ari sam%ai
mi(gg+. De(ga( %e(goba&a( )a(g bai ordeo#+m 7e(der+(g
semb+ de(ga( 7e%a& da( &a(%a om%#iasi. Prog(osis bai a%abi#a
ordeo#+m &ida di&ea( a&a+ di&+s+ are(a i(,esi da%a& me()ebar
e "ari(ga( sei&ar.
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PEN6E-A%AN
aga ebersia( 5a"a da( membiasaa( me(7+7i &a(ga( sebe#+m
me()e(&+ 5a"a agar ordeo#+m &ida m+da ber+#a(g.
sa% e#o%a ma&a de(ga( #emb+& me(gg+(aa( 5as#a% a(ga&
+(&+ membersia( esresi e#e("ar #ema.
aga ebersia( %ara#a&a( mae+% ma&a agar &ida &ero(&ami(asi
o#e +ma(.
!+(aa( a7ama&a %e#i(d+(g "ia be%ergia( di daera berdeb+.
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RIN-KASAN
'ordeo#+m mer+%aa( i(,esi #oa# a&a+ %roses %erada(ga( %ada
e#o%a ma&a. 6i#a e#e("ar Meibom )a(g &ere(a diseb+& ordeo#+m
i(&er(+m$ seda(ga( bi#a e#e("ar Feiss a&a+ Mo## )a(g &ere(a maa
diseb+& ordeo#+m es&er(+m. Staphylococcus aureus ada#a age(& i(,esi
%ada 30-3=H as+s ordeo#+m. !e"a#a da( &a(da ordeo#+m a(&ara #ai(be(ga$ ()eri %ada e#o%a ma&a$ %erasaa( &ida ()ama( da( se(sasi
&erbaar %ada e#o%a ma&a$ memi#ii ri5a)a& %e()ai& )a(g sama$ eri&ema$
edema$ ()eri bi#a di&ea( di dea& %a(ga# b+#+ ma&a$ se%er&i gambara(
abses e7i#. Pe(a&a#asa(aa( &erdiri dari %era5a&a( +m+m se%er&i om%res
a(ga&$ a(&ibio&i &o%ia# a&a+%+( sis&emi da( %embedaa(.
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PE*+A%ASAN
*"n$aa a/i"n iia$n&/i/ h&'"&um "k/t"'num !7Pasie( didiag(osis ordeo#+m es&er(+m 8D diare(aa( %ada
a(am(esis di&em+a(:
6e("o#a( di e#o%a ma&a a(a( a&as se"a 4 b+#a( smrs )a(g a5a#()a
ber+%a bi(&i da#am e#o%a ma&a a(a( a&as )a(g sai& da( &ida bisa di%e(7e& em+dia( semai( #ama semai( membesar sei(gga e#o%a
ma&a a(a( a&as mera da( be(ga.
6e("o#a( diser&ai rasa sai&$ &er+&ama bi#a be("o#a( &erse(&+ da( &erasa
ga&a#.
Se%er&i ada )a(g me(gga("a# %ada ma&a a(a( a&as.
!e"a#a-ge"a#a dia&as mer+%aa( ma(i,es&asi #i(is %ada ordeo#+m
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Pada %emerisaa( ,isi di&em+a(:
;is+s 8DS : ==
Pa#%ebra s+%erior 8D : Edema
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*"n$aa iia$n&/i/ #anin$ "n$an h&'"&um int"'num8
kaai&n8 tum&' a"#'a an /"uiti/ '"/"ta7
'a# &erseb+& diare(aa( e#+a( )a(g sama &erda%a& %ada
ordeo#+m es&er(+m$ ordeo#+m i(&er(+m$ a#aio($ &+mor
%a#%ebra da( se#+#i&is %rase%&a# ada#a be("o#a( di e#o%a ma&a.
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J 'ordeo#+m i(&er(+m ada#a i(,esi e#e("ar seba7eo+s Meibom )a(g
me#a%isi bagia( da#am e#o%a ma&a. Pe()ai& i(i "+ga me()ebaba(
be("o#a( mera di ba5a %a#%ebra
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Pada ordeo#+m es&er(+m be("o#a( i+& bergera de(ga(
%ergeraa( +#i&$ be("o#a( me(o("o# e ara +#i&$ da( bi#a
me(ga#ami s+%+rasi be("o#a( %e7a de(ga( se(diri()a e ara
+#i&. Seda(ga( %ada ordeo#+m i(&er(+m be("o#a( &ida i+&
bergera de(ga( %ergeraa( +#i&$ be("o#a( me(o("o# e arao("+(g&iva da( are(a #e&a()a da#am &ars+s "ara(g %e7a
de(ga( se(diri()a.
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J Ka#aio( mer+%aa( s+a&+ %erada(ga( gra(+#oma&osa e#e("ar
Meiobom )a(g &ers+mba&. Ka#aio( memberia( ge"a#a be("o#a(
%ada e#o%a ma&a$ &ida i%eremis$ da( &ida ()eri &ea($ ser&a
ada()a %se+do%&osis. 'a# )a(g membedaa( a(&ara a#aio( da(
ordeo#+m ada#a %ada ordeo#+m &erda%a& i%eremis %a#%ebrada( ()eri &ea(.
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J T+mor %a#%ebra mer+%aa( s+a&+ %er&+mb+a( se# )a(g
ab(orma# %ada e#o%a ma&a. Ada%+( ge"a#a )a(g membedaa(
a(&ara &+mor %a#%ebra de(ga( ordeo#+m ada#a &ida ada()a
&a(da-&a(da %erada(ga( se%er&i i%eremis da( a(ga&. T+mor
%a#%ebra ar+s di&egaa( diag(osis()a de(ga( %emerisaa(bio%s).
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J Se#+#i&is %rese%&a# mer+%aa( i(,esi +m+m %ada e#o%a ma&a
da( "ari(ga( #+(a %eriorbi&a# )a(g diara&eris&ia( de(ga(
ada()a eri&ema %ada e#o%a ma&a )a(g a+& da( edema. a(g
membedaa( se#+#i&is %rese%&a# de(ga( ordeo#+m ada#a
%er"a#a(a( %e()ai&()a$ )a(g di&a(dai de(ga( ada()a demam)a(g dii+&i o#e %embe(gaa(.
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Aakah "nataak/anaan aa a/i"n ini /uah t"at7
Pasie( i(i s+da me(go(s+msi oba& se(diri se%er&i sa#e% ma&a #amesi&i(
da( a(&ibio&i 291$ (am+( #+%a (ama oba&()a.
Pasie( dia("+ra( i(sisi ordeo#+m es&er(+m$ (am+( %asie( be#+m
emba#i o(&ro#.
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+a$aimana '&$n&/i/ a/i"n ini7
Prog(osis %ada %e(deri&a i(i ada#a bai$ are(a %ada as+s i(i
ordeo#+m masi ber++ra( 291 7m sei(gga %roses %erada(ga(
%ada ordeo#+m masi bisa me(ga#ami %e()emb+a( de(ga(
se(diri()a. Se7ara ,+(gsio(a#$ %e(deri&a masi da%a& me#a+a(
%eer"aa(()a a&a+ a&i,i&as()a seari-ari de(ga( bai da( masi
da%a& memi#ii +b+(ga( so7ia# )a(g bai de(ga( ora(g #ai(
disei&ar()a.
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