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    Monre Ibsi 20 April 19

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    AnggreanyAshari
    An 18-year-old male presented with blood in his right eye noticed that morning. On examination, he was found to have subconjunctival hemorrhage in the right eye but no other abnormalities. He was diagnosed with right eye subconjunctival hemorrhage and prescribed topical medications. He was reassured that the hemorrhage would resolve on its own within 1-2 weeks.

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    Monre Ibsi 20 April 19

    Uploaded by

    AnggreanyAshari
    20 views14 pages
    An 18-year-old male presented with blood in his right eye noticed that morning. On examination, he was found to have subconjunctival hemorrhage in the right eye but no other abnormalities. He was diagnosed with right eye subconjunctival hemorrhage and prescribed topical medications. He was reassured that the hemorrhage would resolve on its own within 1-2 weeks.

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    An 18-year-old male presented with blood in his right eye noticed that morning. On examination, he was found to have subconjunctival hemorrhage in the right eye but no other abnormalities. He was diagnosed with right eye subconjunctival hemorrhage and prescribed topical medications. He was reassured that the hemorrhage would resolve on its own within 1-2 weeks.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    20 views14 pages

    Monre Ibsi 20 April 19

    Uploaded by

    AnggreanyAshari
    An 18-year-old male presented with blood in his right eye noticed that morning. On examination, he was found to have subconjunctival hemorrhage in the right eye but no other abnormalities. He was diagnosed with right eye subconjunctival hemorrhage and prescribed topical medications. He was reassured that the hemorrhage would resolve on its own within 1-2 weeks.

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    Download as pptx, pdf, or txt
    of 14

    RS.

    IBNU SINA MAKASSAR


    APRIL 20th, 2019

    MORNING REPORT
    DEPARTEMENT OF OPHTHALMOLOGY
    SUBCONJUNCTIVA HEMORRHAGE
    IDENTITAS PASIEN

    Name : Mr. R
    Sex : Male
    Age : 18 y.o
    Address : Sukarno No. 16
    Religion : Islam
    Ethnic / Nation : Makassar / Indonesia
    Occupation : student
    Medical Record : 19 – 30 – 79
    Date of Examination : 16th of April, 2019
    HISTORY TAKING
    Main Complaint : blood in eye
    Guaided Histroy :
    An 18 years – old male patient came to the Polyclinic of Opthalmologist with blood in his right
    eye since this morning and may not have noticed any symptomps. The patient said, this was the
    first time and he was realized this complain when his friend told him.

    Decreased vision (-) , eye discharge (-),fever (-) and pain (-). Other complaints such as glare and
    blurred vision are denied. History of trauma, straining, lifting heavy object, coughing or
    vomiting were denied. History of use glasses were denied. History of use contact lens were
    denied. History of use of any NSAIDs or anticoagulants were denied. History of Ocular Surgery
    was denied.

    History of Disease :
    He didn’t have any history of Allergy
    He didn’t have any history of Hypertension

    History Disease of Family : -


    PHYSICAL Blood Pressure : 110/70 mmhg
    EXAMINATION
    OD Visus OS
    EXAMINATION
    OF
    VISUAL ACUITY 1,0 Uncorrected visual acuity 1.0

    - Correction -

    - Best corrected visual acuity -

    - Near visual acuity -

    - Correction -

    Best corrected near visual acuity


    - -
    OD OS

    Palpebral Margo Oedema (-) Hyperemia (-), Oedema (-) Hyperemia (-), Crusta (-)
    Crusta (-)
    Cilia Scuama (-), Secret (-), Scuama (-), Secret (-), Madarosis (-)
    Madarosis (-)
    ANTERIOR SEGMENT
    EXAMINATION Lacrimal Lacrimation (-) Lacrimation (-)
    Apparatus
    Conjunctiva Hyperemia (+) Injectio (-) Hyperemia (-), Injectio (-)

    Cornea Clear Clear


    Anterior Normal Depth Normal Depth
    Chamber
    Iris Brown, Crypt (+) Brown, Crypt (+)
    Pupil Round, Central Round, Central
    Direct / Inderct +/+ +/+
    Light Reflex
    RAPD - -

    Lens Clear Clear


    EXAMINATION
    OD OS
    METHODS

    INTRAOCULAR Palpation Tn Tn
    PRESSURE
    Non Contact
    11 12
    Tonometry
    EXAMINATION
    OD OS
    METHODS

    PALPATION Tenderness (-) (-)

    Tumor/Mass (-) (-)

    Pre Auriculer gland Not palpable Not palpable


    OVERVIEW
    • DIAGNOSIS
    DIAGNOSIS OD Sub-Conjunctiva hemorrhage

    • DIFFERENTIAL DIAGNOSIS
    Acute hemorrhagic Congjunctivitis
    • Cendo Vasacon-A (Antazoline hydrocloride,
    Naphazoline)
    4x1 gtt OD
    • Cendo Lyteers (Sodium Chloride, Potassium chloride )
    4x1 gtt ODS
    TREATMENT

    EDUCATION :

    Reassure patient that the hemorrhage will resolve over the


    course of about a week or two.
    Quad Ad Visam : Bonam
    Quad Ad Sanam : Bonam
    PROGNOSIS Quad Ad Cosmetican
    Quad Ad Vitam
    : Dubia Bonam
    : Bonam
    THANK
    YOU

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