Askep gangguan sistem pengelihatan retinal detachment

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  • lapisan peka cahaya jaringanmengirimkan pesan visual melalui saraf optik
  • Askep gangguan sistem pengelihatan retinal detachment

    1. 1. RETINAL DETACHMENT By Diah Fauzia, S.Kep., Ns
    2. 2. RETINA • light-sensitive layer of tissue • sends visual messages through the optic nerve
    3. 3. • pulled away from the underlying choroid • small areas of the retina torn => retinal tears or retinal breaks • retinal cells deprived of oxygen • if not promptly treated => permanent vision loss
    4. 4. SYMPTOMS • floaters - bits of debris in field of vision that look like spots, hairs or strings
    5. 5. SYMPTOMS • floaters • light flashes • shadow or curtain over a portion of visual field • blur in vision
    6. 6. Can occur as a result of: • trauma • advanced diabetes • an inflammatory disorder, such as sarcoidosis • shrinkage of the jelly-like vitreous that fills the inside of the eye
    7. 7. • vitreous liquid leaks through retinal tear and accumulates underneath retina • retina can peel away from underlying layer of blood vessels
    8. 8. Factors that may increase risk of retinal detachment: • aging - more common in people older than 40 • previous retinal detachment in one eye • family history of retinal detachment • extreme nearsightedness • previous eye surgery • previous severe eye injury or trauma
    9. 9. TREATMENTS Retinal tears: • laser surgery (photocoagulation) • freezing (cryopexy) Retinal detachment: • pneumatic retinopexy • scleral buckling • vitrectomy
    10. 10. PHOTOCOAGULATION
    11. 11. CRYOPEXY
    12. 12. PNEUMATIC RETINOPEXY
    13. 13. PNEUMATIC RETINOPEXY
    14. 14. SCLERAL BUCKLING
    15. 15. VITRECTOMY
    16. 16. When a surgeon injects a bubble of expandable gas into the vitreous cavity it is called: • • • • • scleral buckling vitrectomy pneumatic retinopexy photocoagulation cryopexy
    17. 17. When a surgeon uses intense cold to freeze the retina around the retinal tear it is called; • Scleral buckling • Vitrectomy • Pneumatic retinopexy • Photocoagulation • Cryopexy
    18. 18. ASUHAN KEPERAWATAN
    19. 19. Pengkajian • Flashes of light ( photopsia) • Floaters • Blurred vision • Sense of curtain being drawn • Loss of portion of visual field
    20. 20. Diagnosa
    21. 21. Intervensi • Emergency RX – Apply eye patches to both eyes – Provide bed rest • Surgical RX – Gas / Oil inserted inside eye to compress retina. Postop – position on abdomen, head turned with unaffected eye up X 1 week – Scleral buckling – silicone band around eye to hold choroid and retinal layers together
    22. 22. Implementasi
    23. 23. SEMOGA BERMANFAAT

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