GLAUKOMA ABSOLUT

July 29, 2019 | Author: Aissyiyah Nur An Nisa | Category: N/A
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Short Description

kasus panjang tentang glaukoma absolut yang berasal dari poag yang tidak mendapat terapi dengan cepat dan tepat...

Description

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nmxm gmeb sdpm`tx sumpma ege mbmg xdpxdbmg hmg ptsmb sdpxm nmxe' Bdnmxemg sdc xdpsd`tx mbmg ndgfmbe`mxbmg kecmgfgum zdgfcekmxmg umgf zdpnmgdg +Qmtfkmg# 0::62 Mnds dx mc # 0::1%'

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m' Mcepmg gipnmc ndcmcte mgumnmg xpm`dbtcm +zmgmk `dsmp% hmg ptxd tqdmsbcdpm +zmgmk bdoec% hmg mgmxine umgf `dpkt`tgfmg' Bd`mgumbmg mcepmg ktnip m}tis ndcdvmxe mgumnmg xpm`dbtcm' _dxemz ptxd hemcepbmg bd sepbtcmse qdgm nmxm' `' Zmhm fcmtbinm sthtx xdp`tbm# mcepmg ktnip ktnip m}tis ndcmcte ptxd ege xdpkmcmgf' o' Zmhm fcmbtinm sthtx xdpxtxtz# zisese m`gipnmc epes sdkegffm ndn`cib mcepmg ktnip m}tis ndcdvmxe sthtx `eceb nmxm hdzmg +epehioipgdmc%

0'8 Bcmseaebmse Fcmtbinm

Xdphmzmx Xdphmzmx `d`d `d`dpmzm pmzm nmomn nmomn zdn`mfem zdn`mfemg g fcmt fcmtbinm binm umbge umbge `dphmsmp `dphmsmpbmg bmg bigh bighes esee mgmx mgmxin inee stht sthtxx zmhm zmhm bmnd bmndpm pm ibtc ibtcee mgxd mgxdpe peip ip## zdgu zdgud` d`m` m`## hmg hmg qest qests s zdghdpexm zdgh dpexmgum' gum' Zdn`mfem Zdn`mfemg g `dphmsmp `dphmsmpbmg bmg bigh bighese ese mgm mgmxine xine xdp`mfe xdp`mfe ndglmhe ndglmhe stht sthtxx xdp`tbm hmg sthtx xdpxtxtz' _thtx xdp`tbm mxmt umgf cd`ek hebdgmc hdgfmg Izdg Mgfcd Fmctoinm umbge fcmtbinm hdgfmg sthtx OIM hmcmn tntngum xdplmhe sdompm bpiges' _thtx xdpxtxtz umbge fcmtbinm umgf xdplmhe zmhm nmxm hdgfmg sthtxx OIM hmgfbmc# stht hmgfbmc# tntngum xdplmhe xdplmhe sdpmgfmg sdpmgfmg mbtx zmhm fcmtbinm fcmtbinm hdgfmg sthtxx xdpxtxtz' stht xdpxtxtz' Gmntg Gmntg mzm` mzm`ecm ecm xehmb hei`mxe `dpbdn`mg `dpbdn`mgf f ndglmhe ndglmhe fcmt fcmtbinm binm bpiges +Ecums# 0:==2 Qmtfkmg# 0::62 Vigf# 0::=%' Zdn`mfemg ndgtptx zdgud`m`gum umbge zpendp# sdbtghdp# hmg xdpsedp' Fcmtbinm zpendp umbge fcmtbinm umgf xdplmhe zmhm nmxm umgf sd`dctngum xehmb hexdntbmg bdcmegmg)zdgumbex' _dhmgfbmg zmhm fcmtbinm sdbtghdp hehmzmxbmg ambxip zdgud`m` mxmt ambxip pdsebi umgf ndghmsmpe' Nesmcbmg zmhm bmxmpmb mbmg ndgud`m`bmg htm nmomn fcmtbinm xdpfmgxtgf zmhm xmkmzmggum' Zmhm amsd enmxtp# enmxtp# cdgsm cdgsm pdcmxea pdcmxea ndn`dsmp ndn`dsmp kmc ege hmzm hmzmxx ndgud`m` ndgud`m`bmg bmg `cib ztzec# mcepmg mcepmg m}tis m}ti s xdpfmgff xdpfmgfft t hmg ndgud`m`bmg ndgud`m`bmg epes xdphipigf xdphipigf bd hdzm hdzmg g mbkepgum mbkepgum hmzmx xdplm xdplmhe he fcmtb fcmtbinm inm sth sthtx tx xdpxtx xdpxtxtz tz'' _dh _dhmgf mgfbmg bmg zmh zmhm m ams amsd d nmxtp nmxtp mbm mbmg g xdplmh xdplmhee zpixdiceses he nmgm zpixdeg.zpixdeg zpixdeg.zpixdeg umgf hecdzmsbmg hecdzmsbmg mbmg ndggutn`mx xpm`dbtcmp 

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hmg sthtx nmxm xdp`tbm mxmtztg xdpxtxtz%' Fcmtbinm mbtx hmzmx ndgud`m`bmg Fcmtbinm m`sictx xdplmhe mbe`mx bdptsmbmg zmzec gdpqts EE xmkmz cmgltx# bdptsmbmg cmzesmg sdpmx sumpma pdxegm sdpxm fmgfftmg qmsbtcmpesmse zmhm sdpmx.sdpmx sumpma  xdpsd`tx +Ecums# 0:==2 Qmtfkmg# 0::62 Vigf# 0::=%'

0'4 Nmgeadsxmse Bceges Fcmtbinm

Zmhm fcmtbinm m`sictx hehmzmxbmg nmgeadsxmse bceges fcmtbinm sdompm tntn tntn umbge umbge umg umgf f heh hehmz mzmxb mxbmg mg mhmcm mhmcmk k xdphm xdphmzmx zmx xmg xmghm. hm.xmg xmghm hm fcmtb fcmtbinm inm umbge umbge bdptsmbmg zmzec gdpqts EE hdgfmg zpdheszisese zpdheszisese XEI xegffe hmg xdphmzmx zdgtptgmg qests' Umgf `dp`dhm hmpe fcmtbinm cmeg mhmcmk zmhm zdghdpexm fcmtbinm m`sictx qestsg qestsgum um gic gic hmg hmg cefkx cefkx zdpodz zdpodzxei xeig g gdfmx gdfmxea' ea' Mzm Mzm`ec `ecm m nmsek nmsek xdphmz xdphmzmx mx zdpsdz zdpsdzse se omkmum nmbm `dctn hmzmx hehemfgises sd`mfme fcmtbinm m`sictx +Ecums# =5552 Lmzmg Fcmtoinm _ioedxu# 0::1%' Fdlmcm umgf ndgiglic zmhm fcmtbinm m`sictx mhmcmk zdgtptgmg qests xdpsd`tx# xdpsd`tx# gmntg gmntg hdnebemg hdnebemg hmzmx hexd hexdntbm ntbmg g fdlm fdlmcm cm cmeg hmcmn pevmumx pevmumx zmsedg' zmsedg' Pmsm zdfmc he sdbexmp nmxm hmzmx hembe`mxbmg icdk zdpdfmgfmg zmhm hehghegf `icm nmxm mbe`mx XEI umgf xegffe' Fdlmcm.fdlmcm hmpe ZIMF hmg ZMOF sdzdpxe gudpe# gud pe# nmxm nmxm ndpmk ndpmk## hmg hmg kmc kmci i hmzmx hmzmx hexdn hexdntbm tbmg g ltfm ltfm +Zmqmg +Zmqmg.Cm .Cmgf gfsxi sxig g mgh Fpissbpdtx|# 0::0%' Gdfmxeqd Cefkx Zdpodzxeig

Zmhm fcmtbinm m`sictx qestsgum gic hmg cefkx zdpodzxeig gdfmxea# kmc ege hesd`m`bmg bdptsmbmg xixmc zmzec G'EE' Zmzec G'EE umgf hmzmx hemgffmz sd`mfme cibts cibts negipe negipes s zmh zmhm m heg heghe hegf gf `ic `icm m nmxm nmxm xdpxdb xdpxdbmg mg mbe`mx mbe`mx XEI umg umgf f xegff xegffe# e# icdk icdk bmpdg bmpdgmgu mgum m xdplm xdplmhe he zdpt` zdpt`mk mkmg. mg.zd zdpt` pt`mkm mkmg g zmh zmhm m zmz zmzecec G'EE G'EE umg umgf f hmz hmzmx mx hecek hecekmx mx ndcmc ndcmcte te atg atght htsbi sbize ze `dptzm `dptzm zdg zdgff ffmtg mtgfmg fmg +Bmgsb +Bmgsbe# e# 0:: 0::42 42 Lmz Lmzmg mg Fcmtoi Fcmtoinm nm

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Zdgudnzexmg cmzmgf zmghmgf

Zdgt Zd gtpt ptgm gmg g qest qests s mbe` mbe`mx mx fcmt fcmtbi binm nm hmzm hmzmxx xd xdpl plmh mhee zdpc zdpcmk mkmg mg nmtz nmtztg tg ndghmhmb' Xmlmn zdgfcekmxmg umgf xdpfmgfft mhmcmk xmlmn zdgfcekmxmg zdpeadp# mxmt umgf cd` cd`ek ek tntn hesd`tx cmzmgf zmgh zmghmgf' mgf' Ndbm Ndbmgesn gesnd d umgf ndghmsmpe ndghmsmpe zdgudnzexmg cmzmgf zmghmgf mhmcmk bdptsmbmg zmzec gdpqts EE sdpxm bdptsmbmg cmzesmg sumpma pdxegm hmg qmsbtcdpgum mbe`mx zdgegfbmxmg XEI' Zmhm zdgegfbmxmg XEI nmbm xdplmhe zdpdfmgfmg heghegf `icm nmxm' Pdxegm ndptzmbmg smcmk smxt zdgutstg heghegf `icm nmxm ebtx xdpdfmgf sxptbxtp sdc sumpma umgf xehmb dcmsxes bdnthemg ndglmhe ptsmb' _dhmgfbmg zdn`tctk bmzecdp umgf ndgutzcme sdpm`tx. sdpm sdpm`t `txx sump sumpma ma ltfm ltfm xd xdpx pxdb dbmg mg sdke sdkegf gffm fm ndgu ndgudn dnze zexx hmg hmg xd xdpl plmh mhee fmgf fmgfft ftmg mg qmsbtcmpesmse qmsbtcmpesmse +Iskdm# 0::?2 Nmpmaam dx mc# =555%' Zdgudnze Zdgudnzexmg xmg cmzm cmzmgf gf zmgh zmghmgf mgf sdompm sdompm `dpxmkmz `dpxmkmz mbe`mx mbe`mx bdptsmbmg bdptsmbmg zmz zmzecec hmg cmz cmzesmg esmg sumpma sumpma pdxegm' pdxegm' Hmpe fdlmcm bceges bceges heh hehmzmxb mzmxbmg mg zdg zdgudnz udnzexmg exmg cmzm cmzmgf gf zmghmgf' zmgh mgf' Cmnm.bdc Cmnm.bdcmnmm mnmmg g zdgh zdghdpxm dpxm sdzd sdzdpxe pxe ndcekmx ndcekmx ndcmcte ndcmcte xdpivigf xdpivigfmg' mg' Hmpe zdndpebsm zdndpebsmmg mg zdpendxpe zdpendxpe `esm hehm hehmzmxbm zmxbmg g bdcmegmg bdcmegmg bkms umbge umbge soixinm soixinm sdgxpmc# sdgxpmc# zdpesdgx zdpesdgxpmc# pmc# hmg gmsm gmsmc' c' Cmnm bdcmnmmg bdcmnmmg soixinm soixinm ege `dp`dgxt `dp`dgxtb b sdzd sdzdpxe pxe oegoeg' oegoeg' Zdgftpmgfmg Zdgftpmgfmg cmzmgf zmghmgf `emsmgum hentcme hmpe sese xdnzipmc# zmhm zdpendxpe hehmzmxbmg hdadb `dp`dgxtb mpotmxm umgf bkms tgxtb fcmtbinm' Cmnm.bmcmnmmg hdadb ege ndctms hmg ndgomzme bdsdctptkmg cmzmgf zmghmgf# kmgum xdpsesm he `mfemg `mfe mg sdgx sdgxpmc pmc umgf smgfmx bdoec' bdoec' Qests Qests cefkx cefkx zdpodzxei zdpodzxeig g gdfm gdfmxea xea ndgmghmb ndgmghmbmg mg bdptsmbmg xixmc zmhm zmzec G'EE' Zmhm bdmhmmg sdzdpxe ege zmsedg xehmb cmfe zdpct hezdpebsm zdpendxpe +Bmgsbe# 0::42 Ziccmob.Ptghcd# Ziccmob.Ptghcd# 0:==%

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Fmn`mp 0'? Zdpt`mkmg zmhm zmzec G'EE zmhm atghtsbize hmg cmzmgf zmghmgf zmhm zdndpebsmmg zdpendxpe +Bmgsbe# 0::4%

_thtx Nmxm

_tht _t htxx nmxm nmxm zmhm zmhm zmse zmsedg dg fcmt fcmtbi binm nm m`si m`sict ctxx hmzm hmzmxx hmgf hmgfbm bmcc mx mxmt mt hmcm hmcmn# n# xdpfmgxtgf bdcmegmg umgf ndghmsmpe' Zdndpebsmmg hecmbtbmg tgxtb ndgfdxmkt bdcme bdcmegmg gmg xdpsd` xdpsd`tx' tx' Hmpe Hmpe pevmum pevmumxx ntgfb ntgfbeg eg hehmz hehmzmxb mxbmg mg xmg xmghm hm.xm .xmghm ghm sdpmg sdpmgfmg fmg fcmtbinm fcmt binm mbtx zmhm zmsedg sdzdpxe gudpe# gudpe# nmxm ndpmk# kmci# hmg zdgtptgmg zdgtptgmg qest qests s

ndgh ndghmh mhmb mb''

Hdgf Hdgfmg mg stht sthtxx

xd xdp` p`tb tbm m

ntgf ntgfbe beg g

zmse zmsedg dg ndgf ndgfdc dctk tkbm bmg g

zdgudnze zdgu dnzexmg xmg cmz cmzmgf mgf zmgh zmghmgf mgf sdompm sdompm `dpxmkmz' `dpxmkmz' Zdndpebsm Zdndpebsmmg mg hmzm hmzmxx hecmbtbm hecmbtbmg g hdgfmg hdgf mg zdgc zdgcefkx efkx mxmt mxmtztg ztg fige figeisbi isbize' ze' Hdgfmg Hdgfmg zdgc zdgcefkx efkx OIM hmcm hmcmn n hexm hexmghme ghme

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Xdbmgmg Egxpm Ibtcmp 

Xdbmgmg egxpmibtcmp zmhm fcmtbinm m`sictx hmzmx xegffe mxmt gipnmc' Xdbmgmg gipnmc hmzmx xdplmhe mbe`mx bdptsmbmg oipzts oecempes# sdkegffm zpihtbse m}tdts xtptg' Kmc ege `esm xdplmhe zmhm zdghdpexm hdgfmg pevmumx tqdexes' XEI xegffe cd`ek sdpegf hexdntbmg zmhm zdghdpexm fcmtbinm' Hebmxmbmg xdbmgmg xegffe mzm`ecm XEI 7 0= nnKf +Qmtfkmg# 0::6%'

0'1 Zdgmxmcmbsmgmmg Fcmtbinm

0'1'= Xdpmze Ndhebmndgxism =' _tzpdse zdn`dgxtbmg m}tdits ktnitp  Zdgfkmn`mx Zdgfkmn`mx mhpdgdpfeb `dxm `dbdplm hdgfmg ndgftpmgfe zpihtbse ktnitp  m}tdits' Zpdzmpmx umgf xdpsdhem mxmpm cmeg mhmcmk xenicic nmcdmx :#04$ hmg :#4$' :#4 $' @dx @dxm{i m{ici cicc :#0 :#04$ 4$ hmg :#4 :#4$# $# hmg cmeg‟ cmeg‟cme cmeg' g' Big Bigxpm xpmeg egheb hebmse mse txm txmnm nm zdgfftgm zdgf ftgmmg mg i`mx i`mx‟i`m ‟i`mxx ege mhm mhmcmk cmk zdgu zdgumbex mbex i`sxptbse i`sxptbse lmcmg lmcmg gmz gmzms ms bpigeb# bpigeb# xdptxmnm msnm# hmg hdadb kmgxmpmg lmgxtgf' @dxm{icic hdgfmg sdcdbxeqexms pdcmxea xegffe xdpkmhmz pdsdzxip ΰ = cd`ek lmpmgf ndgen`tcbmg dadb smnzegf pdszep pdszepmxi mxipeb peb## xd xdxmz xmzee i`mx i`mx ege ege ltf ltfm m btpmgf btpmgf dad dadbxe bxeaa hmcmn hmcmn ndgtpt ndgtptgbm gbmg g XEI' XEI' Hdzp Hdzpds dse# e# bd`e bd`egf gftg tgfm fmg# g# pmsm pmsm cdcm cdcmk k hmzm hmzmxx xen` xen`tc tc zmhm zmhm zdnm zdnmbm bmem emg g i`mx i`mx

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umgf umg f heftg heftgmbm mbmg g zmhm zmhm fcm fcmtbi tbinm nm bpige bpiges s bdx bdxebm ebm xdpmz xdpmzee xiz xizebm ebmcc sth sthmk mk xehmb xehmb ndnmhme hmg zmhm fcmtbinm mbtx henmgm xdbmgmg egxpmibtcmp umgf smgfmx xegffe zdpct sdfdpm hebigxpic' I`mx.i`mx ege nmnzt ndgdbmg zpihtbse ktnip  m}tdits m}td its sd`d sd`dsmp smp 8:.1:$' 8:.1:$' Modxm|icm Modxm|icmnehd nehd hmz hmzmx mx he` he`dpeb dpebmg mg zdp ipmc hmcmn hises =04.04: nf smnzme dnzmx bmce sdkmpe mxmt sd`mfme Hemni{ _d}tdcs 4:: nf sdbmce mxmt htm bmce sdkmpe# mxmt hmzmx he`dpebmg sdompm egxpmqdgm +4:: nf%' Egke Egke`exi `exipp bmp`igm bmp`igmxx mgke mgkehpms hpmsd d ndgen`tc ndgen`tcbmg bmg dadb smnzegf smnzegf nmuip  nmuip  umgf umg f ndn`m ndn`mxms xmsee zdgff zdgfftg tgmmg mmg i`mx. i`mx.i` i`mx mx ege ege tgx tgxtb tb dpmze dpmze lmg lmgfbm fbm zmg zmglm lmgf gf +Qmtfkmg# 0::6%' 0' Amsecexmse mcepmg bdctmp ktnip m}tdits Mgmcif zpisxmfcmgheg ndptzmbmg i`mx‟i`mx i`mx‟i`mx cege zdpxmnm mxmt xmn`mkmg umgf dadb dadbxe xea' a'

_dnt _d ntm m

mgmc mgmcif if

zpis zpisxm xmfc fcmg mghe heg g

hmzm hmzmxx

ndge ndgen` n`tc tcbm bmg g

kezd kezdpd pdne nem m

bigltgf bigltgfxeqm# xeqm# kezd kezdpzef pzefndgx ndgxmse mse btcex btcex zpdip`e zpdip`exm# xm# zdpxtn`tk zdpxtn`tkmg mg `tct nmxm# nmxm# hmg zdgffdcm zdgf fdcmzmg zmg epes umgf zdpnmgdg zdpnmgdg +Qmtfkmg +Qmtfkmg## 0::6 0::6%' %' I`mx ege ltf ltfm m sthm sthmk k  lmpmgf hekt`tgfbmg hdgfmg pdmbxeqmse tqdexes hmg kdpzds bdpmxexes sdpxm hmzmx ndgud`m`bmg ndgud`m`bmg dhdnm nmotcm zmhm egheqeht hdgfmg zpdheszisese +Qmtfkmg# 0::6%' I`mx I` mx zmpm zmpmse senz nzmx mxin inen endx dxeb eb ndge ndgegf gfbm bmxb xbmg mg mcep mcepmg mg bdct bdctmp mp ktni ktnipp m}td m}tdit its s

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