tag:blogger.com,1999:blog-26407784372060509752024-02-20T14:09:43.106-08:00keperawatan medikal bedahAnonymoushttp://www.blogger.com/profile/13151094172208877890noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-2640778437206050975.post-12118129975423584062017-01-19T10:42:00.000-08:002017-01-19T10:42:02.683-08:00glucoma<!--[if !mso]>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">BAB 1</span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">PENDAHULUAN</span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Latar belakang</span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Glaukoma adalah meningkatnya intraokular yang di
sertai dengan cekungnya diskus optikus dan pengecilan lapang pandang.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-themecolor: text1;"> </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Hampir 80.000
penduduk USA akibat glaukoma,sehingga penyakit ini menjadi penyebab utama
kebutaan yang dapat di cegah di USA.glaukoma sudut terbuka primer,bentuk
tersering, menyebabkan pengecilan lapang pandangbilateral progresif asimtomatik
yang timbul perlahan dan sering tidak terditeksi sampai terjadi pengecilan
lapang pandang yang ekstensif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 15.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Mekanisme peningkatan tekanan intraokular pada
glaukoma adalah gangguan aliran keluar <i style="mso-bidi-font-style: normal;">humor
akueus </i><span style="mso-spacerun: yes;"> </span>akibat kelainan sistem
drainase sudut lensa anterior (galukoma sudut terbuka) atau gangguan akses<i style="mso-bidi-font-style: normal;">humor akseus </i>ke sistem drainase
((glaukoma sudut tertutup).</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-themecolor: text1;"> </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Penurunan
pembentukan <i style="mso-bidi-font-style: normal;">humor akueus </i><span style="mso-spacerun: yes;"> </span>adalah suatu metode untukmenurunkan tekanan
intraokular pada semua bentuk glaukoma,terdapat pengobatan yang dapat
menurunkan pembentukan <i style="mso-bidi-font-style: normal;">humor akueus </i>adapun
tindakan-tindakan bedah yang menurunkan <i style="mso-bidi-font-style: normal;">humor
akueus </i>tetapi biasanya di lakukan digunakan hanya setelah terapi medis
gagal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 15.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Pada glaukoma sudut terbuka , dapat dilakukan
tindakan untuk mempermudah aliran <i style="mso-bidi-font-style: normal;">humor
akuous </i>menuju sudut lensa anterior apabila terdapat unsur penutupan sudut
yang reversibel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 15.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Pada semua pasien glaukoma,perlu tidaknya terapi
segera di berikan danefektivitas dinilai denganmelakukan pengukuran tekanan
intraokular (tonometri).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 15.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-themecolor: text1;">Penatalaksanaan glaukoma sebaiknya dilakukan oleh
oftamologi,terapi besar masalah dan pentingnya deteksi kasusu-kasus asimtomatik
mengharuskan adanya kerjasama dengan dan bantuan dari semua petugas kesehatan.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-themecolor: text1;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l35 level1 lfo26; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makalah ini disusun dengan tujuan :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui defenisi dari Glaukoma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui etiologi dari Glaukoma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui patofisiologi dari Glaukoma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui manifestasi klinis dari glaukoma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui Bagaimana Pemeriksaan diagnosis pada
glaukoma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui penatalaksanaan medis glaukoma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui bagaimana pencegahan terhadap
penyakit glaukoma </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l35 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manfaat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyusunan makalah ini diharapkan dapat menambah
pengetahuan mengenai apa itu glaukoma beserta bagian-bagian penting dari
glaukoma. Dengan penyusunan makalah ini, juga diharapkan dapat menjadi acuan
untuk lebih mengetahui apa yang menjadi tujuan penyusunan makalah ini.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
II</span></div>
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LANDASAN
TEORI</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div align="center" class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anatomi
fisiologi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anatomi
dan Fisiologi Manusia Bentuk mata manusia hampir bulat,<span style="mso-spacerun: yes;"> </span>berdiameter<span style="mso-spacerun: yes;">
</span>2,5 cm. Bola mata terletak<span style="mso-spacerun: yes;"> </span>dalam
batalan lemak, pada sebelah depan dilindungi oleh kelopak mata dan ditempat
lain dengan tulang orbita. </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 59.7pt; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bola
mata terdiri atas:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.7pt; mso-add-space: auto; mso-list: l9 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dinding
mata, terdiri dari:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l25 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kornea
dan sclera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l25 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selaput
khoroid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l25 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Korpus
siliaris</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l25 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Iris
dan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l25 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pupil.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.7pt; mso-add-space: auto; mso-list: l9 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Medium
tempat cahaya lewat, terdiri dari:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l26 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kornea</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l26 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Acqueous
humour</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l26 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lensa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.7pt; mso-add-space: auto; mso-list: l26 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vitreous
humour<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 59.7pt; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jaringan
nervosa, terdiri dari:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; text-align: justify; text-indent: 12.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sel-sel
saraf pada retina Serat saraf yang menjalar melalui sel-sel ini (Gibson,
1995).Sklera merupakan lapisan pembungkus bagian luar mata yang mempunyai
ketebalan ± 1 mm. Seperenam luas sclera di bagian depan merupakan lapisan
bening yang disebut kornea. Kornea merupakan selaput yang tembus cahaya,
melalui kornea kita dapat melihat membran pupil dan iris. Di sebelah dalam
kornea ada iris dan pupil. Iris berfungsi<span style="mso-spacerun: yes;">
</span>mengatur bukaan pupil secara otomatis<span style="mso-spacerun: yes;">
</span>menurut jumlah cahaya yang masuk ke mata. Iris berwarna karena
mengandung pigmen, wama dari iris bervariasi sesuai dengan jumlah pigmen yang
terdapat di dalamnya, makin banyak kandungan pigmen makin gelap warna iris. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; text-align: justify; text-indent: 12.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pupil
berfungsi untuk mengatur cahaya yang masuk ke mata. Dalam keadaan terang bukaan
pupil akan kecil, sedangkan dalam keadaan gelap bukaan pupil akan membesar.
Diameter bukaan pupil berkisar antara 2 sampai 8 mm. Selaput khoroid adalah
lapisan berpigmen diantara sklera dan iris, fungsinya<span style="mso-spacerun: yes;"> </span>memberikan nutrisi. Korpus siliaris merupakan
lapisan yang tebal, berbentuk seperti cincin yang terbentang dari ora serata
sampai ke iris. Fungsinya adalah untuk terjadinya akomodasi,<span style="mso-spacerun: yes;"> </span>proses muskulus siliaris harus
berkontraksi.Lensa mata menerima cahaya dari pupil dan meneruskannya pada
retina. Fungsi lensa mata adalah mengatur fokus cahaya, sehingga cahaya jatuh
tepat pada bintik kuning retina. Untuk melihat objek yang jauh (cahaya datang
dari jauh), lensa mata akan menipis. Sedangkan untuk melihat objek yang dekat
(cahaya datang dari dekat), lensa mata akan menebal. Lensa terletak diantara
iris<span style="mso-spacerun: yes;"> </span>dan kornea, terpisah oleh<span style="mso-spacerun: yes;"> </span>aquerus humour. Aquerus humour<span style="mso-spacerun: yes;"> </span>adalah suatu cairan<span style="mso-spacerun: yes;"> </span>yang komposisinya serupa dengan cairan
serebrospinal. Demikian pula antara lensa mata dan bagian belakang mata terisi
semacam cairan kental ( vitreous<span style="mso-spacerun: yes;">
</span>humour). Vitreous humour adalah suatu cairan kental yang mengandung air
dan<span style="mso-spacerun: yes;"> </span>inukopolisakarida. Cairan ini
bekerja<span style="mso-spacerun: yes;"> </span>bersama-sama lensa mata
untuk<span style="mso-spacerun: yes;"> </span>membiaskan cahaya sehingga tepat
jatuh pada fofea atau dekat fofea.Bagian penting mata lainnya adalah retina.
Retina adalah bagian saraf mata,<span style="mso-spacerun: yes;">
</span>tersusun atas sel-sel saraf dan serat-seratn ya.Sel-sel saraf terdiri
atas sel saraf<span style="mso-spacerun: yes;"> </span>bentuk batang dan
kerucut. Sel saraf bentuk batang sangat peka cahaya tetapi tidak dapat
membedakan warna, sedangkan sel saraf kerucut kurang peka cahaya tetapi dapat
membedakan warna. Sel sa raf bentuk batang tersebar sepanjang retina sedangkan
sel saraf kerucut ter konsentrasi pada fofea dan mempunyai hubungan tersendiri
dengan serat saraf optik. Pada retina terdapat dua buah bintik yaitu bintik
kuning (fofea) dan bintik buta (blind spot). Pada bintik kuning (fof ea)
terdapat sejumlah sel saraf kerucut sedangkan pada bintik buta tidak terdapat
sel saraf batang maupun kerucut. Suatu objek dapat dilihat dengan jelas apabila
bayangan objek tersebut tepat jatuh pada fofea. Dalam hal ini lensa mata akan
bekerja otomatis untuk memfokuskan bayangan objek tersebut sehi ngga tepat
jatuh pada bagian fofea(Mendrofa, 2003).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 59.7pt; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Proses
Pembentukan Citra </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: 23.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Proses kerja mata manusia diawali dengan
masuknya cahaya melalui bagian<span style="mso-spacerun: yes;"> </span>kornea,
yang kemudian dibiaskan oleh<span style="mso-spacerun: yes;"> </span>aquerus
humour<span style="mso-spacerun: yes;"> </span>ke arah pupil. Pada<span style="mso-spacerun: yes;"> </span>bagian pupil, jumlah cahaya yang masuk ke
dalam mata dikontrol secara otomatis, dimana untuk jumlah cahaya yang banyak,
bukaan pupil akan mengecil sedangkan untuk jumlah cahaya yang sedikit bukaan
pupil akan membesar.<span style="mso-spacerun: yes;"> </span>Pupil akan
meneruskan cahaya ke bagian lensa mata dan oleh lensa mata<span style="mso-spacerun: yes;"> </span>cahaya difokuskan ke bagian retina
melalui<span style="mso-spacerun: yes;"> </span>vitreus humour. Cahaya
ataupun<span style="mso-spacerun: yes;"> </span>objek yang telah difokuskan pada
retina, merangsang sel saraf batang dan kerucut untuk bekerja dan hasil kerja
ini diteruskan ke serat saraf optik, ke otak dan kemudian otak bekerja untuk
memberi tanggapan sehingga menghasilkan penglihatan. Sel saraf batang bekerja
untuk penglihatan dalam suasana kurang cahaya, misalnya pada malam han.
Sedangkan sel saraf kerucut bekerja untuk<span style="mso-spacerun: yes;">
</span>penglihatan dalam suasana terang. misalnya pada siang hari (Mendrofa,
2003).<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 59.7pt; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masuk
Cahaya ke Mata </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.7pt; text-align: justify; text-indent: 12.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata menyerupai kamera tetapi bekerja
lebih baik dari kamera karena<span style="mso-spacerun: yes;"> </span>beraksi
secara otomatis, hampir tepat dan cepat tanpa harus ada penyesuaian yang
dilakukan. Proses dimana cahaya memasuki mata adalah sebagai berikut:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cahaya memasuki mata
melalui kornea yang transparan Kemudian menjalar melaui lensa yang membalikkan
cahaya tersebut Kemudian membentuk gambaran balik pada retina Retina mengubah
cahaya ke dalam impuls syaraf. Impuls tersebut melewati<span style="mso-spacerun: yes;"> </span>sepanjang syaraf optikus dan traktus ke otak,
disampaikan ke korteks oksipitalis dan disana diinterpietasikan sebagai
gambar.<span style="mso-spacerun: yes;"> </span>Jumlah cahaya yang memasuki mata
diatur oleh ukuran dari pupil. Iris<span style="mso-spacerun: yes;"> </span>berfungsi
sebagai diafragma, ukuran pupil dikontrol oleh serat - serat otot sirkuler dan
radial. Otot - otot dari iris dikontrol oleh:<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serat<span style="mso-spacerun: yes;">
</span>simpatis yang berasal dari<span style="mso-spacerun: yes;">
</span>ganglion servikalis superior<span style="mso-spacerun: yes;"> </span>pada
rantai<span style="mso-spacerun: yes;"> </span>simpatis di leher. Impuls yang
menjaiar sepanjang serat tersebut mendilatasi<span style="mso-spacerun: yes;">
</span>pupil dengan cara relaksasi serat sirkular.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serat parasimpatis yang menjalar dengan
syaraf kranial ke-3 (okulomotorius):<span style="mso-spacerun: yes;">
</span>impuls sepanjang serat tersebut menyebabkan konstriksi<span style="mso-spacerun: yes;"> </span>pupil dengan cara relaksasi serat radial. Pupil
membesar pada saat gelap dan berkonstriksi pada keadaan terang. Ukuran pupil
setiap saat disebabkan oleh keseimbangan antara stimulasi simpatis dan<span style="mso-spacerun: yes;"> </span>parasimpatis. Kekuatan penglihatan diperiksa
dengan bantuan alat<span style="mso-spacerun: yes;"> </span>grafik<span style="mso-spacerun: yes;"> </span>Snellens. Ukuran dan bentuk dari masing -
masing huruf pada grafik<span style="mso-spacerun: yes;"> </span>tersebut pada
setiap detailnya harus <span style="mso-spacerun: yes;"> </span>mempunyai sudut
pandang 1 menit ketika<span style="mso-spacerun: yes;"> </span>dilihat pada
jarak 6 meter. Mata normal<span style="mso-spacerun: yes;"> </span>dapat melihat
pada jarak 6 meter baris<span style="mso-spacerun: yes;"> </span>ke-6 dengan
jelas. Bila seseorang pada jarak tersebut hanya dapat melihat dengan jelas pada
huruf yang dua kali<span style="mso-spacerun: yes;"> </span>lebih besar,
penglihatannya dicatat<span style="mso-spacerun: yes;"> </span>sebagai 6/12.
Bila seseorang dapat melihat dengan jelas hanya pada huruf- huruf<span style="mso-spacerun: yes;"> </span>yang terbesar (yang untuk mata normal<span style="mso-spacerun: yes;"> </span>harus terlihat dengan jarak sejauh 60<span style="mso-spacerun: yes;"> </span>meter) penglihatannya tercatat sebagai
6/60.<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">DEFINISI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
merupakan suatu kumpulan gejala yang mempunyai suatu karakteristik optik
neuropati yang berhubungan dengan hilangnya lapangan pandang. Walaupun kenaikan
tekanan intra okuli adalah salah satu dari faktor risiko primer, ada atau
tidaknya faktor ini tidak merubah definisi penyakit (Skuta, 2009-2010)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
adalah kelainan optik neuropati disertai kelainan lapang pandang yang
karakteristik dan peningkatan tekanan intra okular (TIO) merupakan faktor
risiko utama.<span style="color: grey;"> </span>(Jurnal Oftalmologi Indonesia
(JOI), Vol. 7. No. 5 Juni 2011: 189−193)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
berasal dari kata Yunani “ glaukos” yang berarti hijau kebiruan,yang memberikan
kesan warna tersebut pada pupil penderita glaukoma.Glaukoma adalah suatu
keadaan tekanan intraokuler/tekanan dalam bola mata relatif cukup besar untuk menyebabkan
kerusakan papil saraf optik dan menyebabkan kelainan lapang pandang.<i> </i>(<i>Faculty
of Medicine – University of Riau Pekanbaru, Riau 2009 </i>)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
adalah kerusakan penglihatan yang biasanya disebabkan oleh meningkatnya tekanan
bola mata. Meningkatnya tekanan di dalam bola mata ini disebabkan oleh
ketidak-seimbangan antara produksi dan pembuangan cairan dalam bola mata,
sehingga merusak jaringan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">jaringan
syaraf halus yang ada di retina dan di belakang bola mata<span style="color: #838b84;">.(</span>2008 Klinik mata nusantara Division of ANJ
Health Care- Healthcare You Can Trust)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
adalah kelainan mata yang ditandai dengan adanya neuropati optik glaukomatosa
dan hilangnya lapang pandang yang khas, dengan peningkatan TIO sebagai salah
satu faktor risiko utama</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">(J Indon Med Assoc, Volum: 61, Nomor: 7, Juli 2011)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
didefinisikan sebagai suatu kumpulan penyakit dengan karakteristik neuropati
optik yang berhubungan dengan penurunan lapang pandangan dan peningkatan
tekanan intraokuli sebagai satu faktor resiko utama (Skuta, et al., 2010;
Kansky, 2002).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glukoma
adalah suatu penyakit yang memberikan gambaran klinik berupa peninggian tekanan
bola mata, penggaungan papil saraf optik dengan defek lapang pandangan
mata.(Sidarta Ilyas,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2000).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glukoma adalah sekelompok kelainan
mata yang ditandai dengan peningkatan tekanan intraokuler.( Long Barbara, 1996)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ETIOLOGI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penyebab terjadinya glaucoma adalah :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">DM</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Katarak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Trauma Mata</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Miopi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Penyakit yang ditandai dengan peninggian tekanan
intraokuler ini disebabkan oleh : </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">-<span style="mso-spacerun: yes;">
</span>Bertambahnya produksi cairan mata oleh badan ciliary </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 22.5pt; text-align: justify;">
<span lang="FR" style="line-height: 150%; mso-ansi-language: FR; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">-
Berkurangnya pengeluaran cairan mata di daerah sudut bilik mata atau</span><span lang="FR" style="line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;"> </span><span lang="FR" style="line-height: 150%; mso-ansi-language: FR; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">di
celah</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 22.5pt; text-align: justify;">
<span style="line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">pupil</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Klasifikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adapun
menurut American of Ophthalmology glaukoma dibagi atas:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l6 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sudut Terbuka<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebabnya
secara umum adalah sebagai suatu ketidaknormalan pada matriks ekstraselular
trabekular meshwork dan pada sel trabekular pada<span style="mso-spacerun: yes;"> </span>daerah jukstakanalikuler, meskipun juga ada
di<span style="mso-spacerun: yes;"> </span>tempat lain. Sel tr abekular dan
matriks ekstraselular disekitarnya<span style="mso-spacerun: yes;"> </span>diketahui
ada pada tempat agak sedikit spesifik.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Primer Sudut Terbuka/Primary Open Angle Glaucoma<span style="mso-spacerun: yes;"> </span>(POAG)<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">POAG
terjadi ketika tidak terdapat penyakit mata lain atau penyakit<span style="mso-spacerun: yes;"> </span>sistemik yang menyebabkan peningkatan
hambatan terhadap aliran<span style="mso-spacerun: yes;"> </span>akuos atau
kerusakan terhadap saraf optik, biasanya disertai<span style="mso-spacerun: yes;"> </span>dengan peningkatan TIO. Glaukoma primer sudut
terbuka<span style="mso-spacerun: yes;"> </span>merupakan jenis glaukoma
terbanyak dan umumnya mengenai<span style="mso-spacerun: yes;"> </span>umur 40
tahun ke atas. POAG dikarakteri stikkan sebagai suatu<span style="mso-spacerun: yes;"> </span>yang kronik, progresif lambat, optik
neuropati dengan pola<span style="mso-spacerun: yes;"> </span>karakteristik
kerusakan saraf optik dan hilangnya lapangan<span style="mso-spacerun: yes;">
</span>pandang. POAG didiagnosa dengan suatu kombinasi penemuan<span style="mso-spacerun: yes;"> </span>termasuk tingkat TIO, gambaran diskus optik,
dan hilangnya<span style="mso-spacerun: yes;"> </span>lapangan pandang. Tekanan
bola mata merupakan faktor resiko<span style="mso-spacerun: yes;">
</span>penting walaupun beberapa keadaan lain dapat menjadi faktor yang
berpengaruh seperti riwayat keluarga, ras, miopia, diabetes<span style="mso-spacerun: yes;"> </span>mellitus dan lain-lain. (Skuta, 2009-2010) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patogenesis
naiknya TIO pada POAG disebabkan oleh<span style="mso-spacerun: yes;">
</span>karena naiknya tahanan aliran akuos humor di trabekular<span style="mso-spacerun: yes;"> </span>meshwork. Kematian sel ganglion retina timbul
terutama melalui<span style="mso-spacerun: yes;"> </span>apoptosis (program
kematian sel) daripada nekrosis.<span style="mso-spacerun: yes;"> </span>Banyak
faktor yang mempengaruhi kematian sel, tetapi pendapat<span style="mso-spacerun: yes;"> </span>terbaru masih dipertentangkan adalah
kerusakan akibat iskemik<span style="mso-spacerun: yes;"> </span>dan mekanik.
(Skuta, 2010-2011) 2.3.1.2.<span style="mso-spacerun: yes;"> </span>Glaukoma
dengan Tensi Normal<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi
ini adalah bilateral dan progresif, dengan TIO dalam<span style="mso-spacerun: yes;"> </span>batas normal. Banyak ahli mempunyai dugaan
bahwa faktor<span style="mso-spacerun: yes;"> </span>pembuluh darah lokal
mempunyai peranan penting pada<span style="mso-spacerun: yes;">
</span>perkembangan penyakit. Merupakan bagian dari glaukoma primer<span style="mso-spacerun: yes;"> </span>sudut terbuka, tanpa disertai peningkatan
TIO. (Skuta, 2010-2011) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Suspek<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma suspek
diartikan sebagai suatu keadaan pada<span style="mso-spacerun: yes;">
</span>orang dewasa yang m empunyai satu dari penemuan berikut paling<span style="mso-spacerun: yes;"> </span>sedikit pada satu mata yaitu:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.7pt; mso-add-space: auto; mso-list: l20 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suatu<span style="mso-spacerun: yes;"> </span>defek<span style="mso-spacerun: yes;">
</span>nerve fiber layer<span style="mso-spacerun: yes;"> </span>atau nervus
optikus perkiraan<span style="mso-spacerun: yes;"> </span>glaukoma (perluasan<span style="mso-spacerun: yes;"> </span>cup-disc ratio, asimetris<span style="mso-spacerun: yes;"> </span>cup-disc ratio,notching neural rim,<span style="mso-spacerun: yes;"> </span>perdarahan diskus, ketidaknormalan lokal atau
difus pada nerve fiber layer).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.7pt; mso-add-space: auto; mso-list: l20 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketidaknormalan
lapangan pandang sesuai dengan glaukoma.<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.7pt; mso-add-space: auto; mso-list: l20 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan
TIO > 21 mmHg. (Kansky, 2003)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.7pt; mso-add-space: auto; mso-list: l20 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biasanya,
jika terdapat dua atau l ebih tanda diatas maka<span style="mso-spacerun: yes;">
</span>dapat mendukung diagnosa untuk POAG, khususny a bila terdapat
faktor-faktor ri siko lain seperti usia > 50 tahun, riwayat kel uarga
glaukoma, dan ras hitam, juga sudut bi lik mata terbuk a pada pemeriksaan
gonioskopi. (Svern P et.al, 2008)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sekunder Sudut Terbuka<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
terjadi peningkatan tekana bola mata sebagai ak ibat menifestasi penyakit lain
maka glaukoma ini disebut sebagai<span style="mso-spacerun: yes;">
</span>glaukoma sekunder. Contoh glaukoma jenis ini adalah:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Sindroma Pseudoeksfoliasi (Exfoliation
Syndrome)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Galukoma
Pigmenter (Pigmentary Glaucoma)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Glaukoma akibat kelainan lensa<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
akibat tumor intraokuli<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
akibat inflamasi intraokuli<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: 29.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada glaukoma pseudoeksfoliasi dijumpai
endapan bahan- bahan berserat mirip serpihan pada kapsul dan epitel lensa,
pinggir<span style="mso-spacerun: yes;"> </span>pupil, epitel siliar, epitel
pigmen iris, stroma iris, pembuluh darah iris, dan j aringan subkonjungtiva.
Pada glaukoma ini material<span style="mso-spacerun: yes;"> </span>serpihan
tersebut akan mengakibatkan obstruksi trabekulum dan<span style="mso-spacerun: yes;"> </span>mengganggu aliran akuos humor. Asal material
ini secara pasti<span style="mso-spacerun: yes;"> </span>tidak diketahui,
kemungkinan berasal dari berbagai sumber sebagai bagian dari kel ainan membaran
dasarumum .<span style="mso-spacerun: yes;"> </span>(Skuta, 2009- 2010) (Skuta,
2010-2011) </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sudut Tertutup<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
sudut tertutup didefenisikan sebagai aposisi iris perifer terhadap trabekular
meshwork dan menghasilkan penurunan aliran akuos humor melalui sudut bilik mata
. Mekanisme terjadinya<span style="mso-spacerun: yes;"> </span>glaukoma sudut
tertutup dibagi dalam 2 kategori yaitu :<span style="mso-spacerun: yes;">
</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme yang mendorong iris ke depan
dari belakang<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Mekanisme yang menarik iris ke depan dan
kontak dengan<span style="mso-spacerun: yes;"> </span>trabecular meshwork Blok
pupil yang terjadi akibat iris yang<span style="mso-spacerun: yes;">
</span>condong<span style="mso-spacerun: yes;"> </span>kearah depan sering
menyebabkan glaukoma sudut<span style="mso-spacerun: yes;"> </span>tertutup.
Aliran akuos humor dari posterior ke anterior akan<span style="mso-spacerun: yes;"> </span>terhalang. Dengan diproduksinya akuos humor
terus -menerus<span style="mso-spacerun: yes;"> </span>sementara tekanan bola
mata terus naik, maka akan sekaligus<span style="mso-spacerun: yes;">
</span>menyebabkan<span style="mso-spacerun: yes;"> </span>terjadinya
pendorongan iris menekan jaringan<span style="mso-spacerun: yes;">
</span>trabekulum sehingga sudut bilik mata menjadi sempit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma Primer Sudut Tertutup
dengan Blok Pupil Relatif(Kansky,2003)<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma dengan blok pupil relatif ini
timbul bila terdapat<span style="mso-spacerun: yes;"> </span>hambatan gerakan
akuos humor melalui pupik<span style="mso-spacerun: yes;"> </span>karena
iris<span style="mso-spacerun: yes;"> </span>kontak dengan lensa, capsular
remnants, anterior hyaloid atau<span style="mso-spacerun: yes;">
</span>vitreous-occupying substance (udara, minyak silikon). Blok pupil relatif
ini diperkirakan penyebab yang mendasari lebih dari 90 % glaukoma primer sudut
tertutup. (Kansky, 2003)<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sudut Tertutup Akut<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbul
ketika tekanan intra okuli meningkat dengan cepat<span style="mso-spacerun: yes;"> </span>sebagai akibat bendungan yang tiba- tiba dari
trabekular<span style="mso-spacerun: yes;"> </span>meshwork oleh iris. Khasnya
terjadi nyeri mata, sakit kepala, kabur, halo, mual, muntah, karena tingginya
TIO menyebabk an edema epitel. (Kansky, 2003)<span style="mso-spacerun: yes;">
</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sudut Tertutp Subakut (Intermiten)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
sudut tertutup akut yang berulang dengan gejala<span style="mso-spacerun: yes;">
</span>ringan dan sering didahului dengan peningkatan tekanan intra<span style="mso-spacerun: yes;"> </span>okuli. Gejala yang timbul dapat hilang secara
spontan, terutama pada waktu tidur karena dapat menginduksi miosis .<span style="mso-spacerun: yes;"> </span>(Kansky,<span style="mso-spacerun: yes;">
</span>2003)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sudut Tertutup Kronik<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan
intra okuli meningkat disebabkan bentuk ruang anterior<span style="mso-spacerun: yes;"> </span>yang bervariasi dan menjadi tertutup secara
permanen oleh<span style="mso-spacerun: yes;"> </span>sinekia posterior.
Penyakit ini cenderung terdiagnosa pada<span style="mso-spacerun: yes;">
</span>stadium akhir, sehingga menjadi penyebab kebutaan terbanyak<span style="mso-spacerun: yes;"> </span>di Asia Tenggara. (Kansky, 2003)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sekunder Sudut Tertutup dengan Blok Pupil<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
disebabkan oleh glaukoma fakomorfik (disebabkan oleh<span style="mso-spacerun: yes;"> </span>lensa yang membengkak), ektopia<span style="mso-spacerun: yes;"> </span>lentis (perubahan letak lensa dari posisi
anatomisnya), blok pupil juga dapat terjadi pada mata afakia dan pseudofakia.
(Kansky, 2003)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sudut Tertutup tanpa Blok Pupil<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma Sekunder ini
dapat terjadi oleh karena 1 dari 2 mekanisme berikut:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.55pt; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi
dari inflamasi, perdarahan, membran pembuluh darah,<span style="mso-spacerun: yes;"> </span>band,<span style="mso-spacerun: yes;">
</span>atau eksudat pada sudut yang menyebabkan perifer anterior sinekia (PAS).</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 78.55pt; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
tempat<span style="mso-spacerun: yes;"> </span>ke<span style="mso-spacerun: yes;"> </span>depan<span style="mso-spacerun: yes;">
</span>dari<span style="mso-spacerun: yes;"> </span>diafragma<span style="mso-spacerun: yes;"> </span>lensa -iris,sering<span style="mso-spacerun: yes;"> </span>disertai<span style="mso-spacerun: yes;">
</span>pembengkakan dan rotasi ke depan badan siliar.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 11.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yang ter masuk glaukoma ini seperti
glauk oma neovaskular,sindrom iridokorneal endothelial (ICE), tumor, inflamasi,
aquos misdirection, dan lain-lain..<span style="mso-spacerun: yes;">
</span>Sindrom Plateau<span style="mso-spacerun: yes;"> </span>(Skuta,
2007)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambarannya sebagai suatu konfigurasi
yang tidak khas dari sudut kamera okuli anterior sebagai akibat dari glaukoma
akut dan kronik. Glaukoma sudut tertutup primer dengan atau tanpa komponen blok
pupil, tetapi lebih sering terjadi blok pupil .(Kansky, 2003)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
pada Anak<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
infantil atau kongenital primer ini tim bul pada saat lahir atau dalam 1 tahun
kehidupannya. Kondisi ini disebabka kelainan perkembangan sudut bilik depan
yang menghambat aliran akuos humor. (Kansky, 2003)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: 11.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patofisiologi terjadinya ada dua, yang
pertama bahwa ketidaknormalan membran atau sel pad a trabekular meshwork adalah
mekanisme patologik primer, yang kedua adalah anomali segmen luas, termasuk
insersi abnormal muskulus siliaris. (Kansky,2003)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Kongenital Primer<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma primer yang
dijumpai pada saat baru lahir hingga usia 1 tahun. (Kansky, 2003) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
disertai dengan Kelainan Kongenital<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disertai
dengan penyakit mata (misalnya disgenesis segmen anterior, aniridia) juga
dengan penyakit sistemik<span style="mso-spacerun: yes;"> </span>(rubella,
sindrom Lowe).<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaukoma
Sekunder pada bayi dan anak<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai contoh glaukoma
sekunder akibat retinoblastoma atau trauma. (Skuta, 2009-2010)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PATOFISIOLOGI</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat
tiga faktor penting yang menentukan tekanan bola mata, yaitu : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah produksi akuos oleh badan siliar </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahanan aliran akuos humor yang melalui
sistem trabekular meshwork-kanalis Schlem. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Level dari tekanan vena episklera.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umumnya
peningkatan TIO disebabkan peningkatan tahanan aliran akuos humor. Akuos humor
dibentuk oleh prosesus siliaris, dimana masing-masing prosesus ini disusun oleh
lapisan epitel ganda, dihasilkan 2,6-2,8 mikroliter/menit mengalir dari kamera
okuli posterior, lalu melalui pupil mengalir ke kamera okuli anterior. Sebagian
besar akan melalui sistem vena, yang terdiri dari jaringan trabekulum, kanal
Schlemm dan selanjutnya melalui saluran pengumpul (collector channel). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aliran akuos
humor akan melewati jaringan trabekulum sekitar 90%. Sebagian kecil akan
melalui struktur lain pada segmen anterior hingga mencapai ruangan supra
koroid, untuk selanjutnya akan keluar melalui sclera serabut saraf maupun
pembuluh darah yang memasukinya. Jalur ini disebut juga jalur uvoesklera
(10-15%) (Svern P, et.al., 2008) (Lee BL et.al., 1998) (Nutheti R, et.al, 2006)
(Freeman EE, et.al, 2008). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan bola
mata yang umum dianggap normal adalah 10-21 mmHg. Pada banyak kasus peningkatan
bola mata dapat disebabkan oleh peningkatan resistensi aliran akuos humor.
Beberapa faktor risiko dapat menyertai perkembangan suatu glaukoma termasuk
riwayat keluarga, usia, jenis kelamin, ras, genetik, variasi diurnal, olahraga,
obat-obatan. (Svern P, et.al., 2008) (Freeman EE, et.al, 2008). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Proses kerusakan
papil saraf optik (cupping) akibat tekanan intra okuli yang tinggi atau
gangguan vaskular ini akan bertambah luas seiring dengan terus berlangsungnya
kerusakan jaringan sehingga skotoma pada lapang pandang makin bertambah luas.
Pada akhirnya terjadi penyempitan lapang pandang dari ringan sampai berat.
(Svern P, et.al., 2008) (Nutheti R, et.al, 2006)<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glaucomatous
optic neuropathy adalah tanda dari semua bentuk glaukoma. cupping glaucomatous
awal terdiri dari hilangnya akson-akson, pembuluh darah dan sel glia.
Perkembangan glaucomatous optic neuropathy merupakan hasil dari berbagai
variasi faktor, baik instriksi maupun ekstrinsik. Kenaikan TIO memegang peranan
utama terhadap perkembangan </span><span class="MsoSubtleEmphasis"><span style="color: windowtext; font-family: "Times New Roman","serif";">glaucomatous</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
optic neuropathy. (Svern P, et.al., 2008)<span style="mso-spacerun: yes;">
</span>.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat dua
hipotesis yang menjelaskan perkembangan glaucomatous optic neuropathy, teori
mekanik dan iskemik. Teori mekanik menekankan pentingnya kompresi langsung
serat-serat akson dan struktur pendukung nervus optikus anterior, dengan
distorsi lempeng lamina kribrosa dan interupsi aliran aksoplasmik, yang
berakibat pada kematian sel ganglion retina (RGCs). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teori iskemik
fokus pada perkembangan potensial iskemik intraneural akibat penurunan perfusi
nervus atau proses instrinsik pada nervus optikus. Gangguan autoregulasi
pembuluh darah mungkin menurunkan perfusi dan mengakibatkan gangguan saraf.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembuluh darah
optik secara normal meningkat atau menurunkan tekanannya memelihara aliran
darah konstan, tidak tergantung TIO dan variasi tekanan darah. (Svern P, et.al.,
2008) (Lee BL et.al., 1998) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">PATHWAY</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="FR" style="mso-ansi-language: FR;">Usia <u>></u><span style="mso-spacerun: yes;"> </span>40 th DM Kortikosteroid jangka panjang Miopia
Trauma mata katarak</span></div>
<div align="center" class="MsoBodyTextIndent" style="line-height: 150%; text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
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<td height="4" width="178"><br /></td>
<td width="121"><br /></td>
<td width="2"><br /></td>
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</tr>
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<td height="26"><br /></td>
<td><br /></td>
<td align="left" valign="top"><img height="26" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image001.png" width="2" /></td>
</tr>
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<td height="15"><br /></td>
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<td height="24"><br /></td>
<td align="left" colspan="3" valign="top"><img height="24" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image002.png" width="312" /></td>
</tr>
</tbody></table>
<span lang="FR" style="mso-ansi-language: FR;"> </span>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="FR" style="mso-ansi-language: FR;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Obstruksi jaringan <span style="mso-tab-count: 3;"> </span>peningkatan
tekanan </span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt 297.7pt; text-align: justify;">
<span style="height: 51px; left: 0px; margin-left: 498px; margin-top: 15px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251650560;"><img height="51" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image003.png" width="12" /></span><span lang="FR" style="mso-ansi-language: FR;"><span style="mso-tab-count: 1;"> </span>Trabekuler<span style="mso-tab-count: 3;"> </span>Vitreus</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt 297.7pt; text-align: justify;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
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<td height="4" width="198"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="48" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image004.png" width="12" /></td>
</tr>
</tbody></table>
<span lang="FR" style="mso-ansi-language: FR;"> </span>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt 297.7pt; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt 297.7pt; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="FR" style="mso-ansi-language: FR;"><span style="mso-tab-count: 3;"> </span>Hambatan
pengaliran<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>pergerakan iris kedepan</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="height: 68px; left: 0px; margin-left: 498px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251652608;"><img height="68" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image005.png" width="12" /></span><span lang="FR" style="mso-ansi-language: FR;"><span style="mso-tab-count: 3;"> </span>Cairan
humor aqueous</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="mso-ignore: vglayout;">
</span></div>
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<td height="8" width="11"><br /></td>
<td width="102"><br /></td>
<td width="87"><br /></td>
<td width="12"><br /></td>
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<td height="55"><br /></td>
<td colspan="2"><br /></td>
<td align="left" valign="top"><img height="55" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image006.png" width="12" /></td>
</tr>
<tr>
<td height="24"><br /></td>
</tr>
<tr>
<td height="42"><br /></td>
<td bgcolor="white" height="42" style="background: white; border: .75pt solid black; vertical-align: top;" width="102"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251654656;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
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<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
Nyeri </div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span lang="FR" style="mso-ansi-language: FR;"> </span>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo3; tab-stops: 120.5pt; text-align: justify; text-indent: -18.0pt;">
<span lang="FR" style="mso-ansi-language: FR;"><span style="mso-list: Ignore;">2.7<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="height: 12px; left: 0px; margin-left: 106px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 51px; z-index: 251655680;"><img height="12" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image007.png" width="51" /></span><span style="height: 12px; left: 0px; margin-left: 370px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 51px; z-index: 251656704;"><img height="12" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image007.png" width="51" /></span><span style="height: 12px; left: 0px; margin-left: 263px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 39px; z-index: 251657728;"><img height="12" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image008.png" width="39" /></span><span lang="FR" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: FR;"><span style="mso-tab-count: 1;"> </span></span><span lang="FR" style="mso-ansi-language: FR;">TIO meningkat<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Glaukoma<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>TIO Meningkat</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo3; tab-stops: 120.5pt; text-align: justify; text-indent: -18.0pt;">
<span lang="FR" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: FR;"><span style="mso-list: Ignore;">2.8<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
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<td height="5" width="198"><br /></td>
<td width="12"><br /></td>
<td width="125"><br /></td>
<td width="12"><br /></td>
</tr>
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<td height="6"><br /></td>
<td colspan="2"><br /></td>
<td align="left" rowspan="3" valign="top"><img height="63" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image009.png" width="12" /></td>
</tr>
<tr>
<td height="51"><br /></td>
<td align="left" valign="top"><img height="51" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image003.png" width="12" /></td>
</tr>
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<td height="6"><br /></td>
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<span lang="FR" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: FR;"> </span>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt; text-align: justify;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251660800;"><span style="height: 12px; left: 0px; left: 340px; position: absolute; top: -2px; width: 127px;"><img height="12" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image010.png" width="127" /></span></span><span lang="FR" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: FR;"><span style="mso-tab-count: 1;"> </span></span><span lang="FR" style="mso-ansi-language: FR;">Gangguan saraf optik<span style="mso-tab-count: 4;"> </span>tindakan
operasi</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt; text-align: justify;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251661824;"><span style="height: 158px; left: -28px; left: 0px; position: absolute; top: -2px; width: 621px;">
</span></span></div>
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<tbody>
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<td width="153"><br /></td>
<td width="75"><br /></td>
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<td width="135"><br /></td>
<td width="90"><br /></td>
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<td width="12"><br /></td>
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<td height="12"><br /></td>
<td colspan="7"><br /></td>
<td align="left" rowspan="2" valign="top"><img height="56" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image011.png" width="12" /></td>
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<tr>
<td height="44"><br /></td>
<td colspan="2"><br /></td>
<td align="left" valign="top"><img height="44" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image012.png" width="12" /></td>
</tr>
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<td height="24"><br /></td>
</tr>
<tr>
<td height="9"><br /></td>
<td bgcolor="white" height="63" rowspan="3" style="background: white; border: .75pt solid black; vertical-align: top;" width="153"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251664896;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
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<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal">
Gangguan persepsi sensori penglihatan</div>
</div>
</td>
</tr>
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</span> </td>
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<td height="42"><br /></td>
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<td bgcolor="white" height="42" style="background: white; border: .75pt solid black; vertical-align: top;" width="90"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251665920;">
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<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
Anxietas </div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
<td><br /></td>
<td bgcolor="white" colspan="3" height="69" rowspan="3" style="background: white; border: .75pt solid black; vertical-align: top;" width="138"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251663872;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
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<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal">
Kurang pengetahuan</div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
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<td height="12"><br /></td>
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<td height="15"><br /></td>
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<span lang="FR" style="mso-ansi-language: FR;"> </span>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.5pt; text-align: justify;">
<br /></div>
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<span lang="FR" style="mso-ansi-language: FR;"><span style="mso-list: Ignore;">2.9<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FR" style="mso-ansi-language: FR;"> </span></div>
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<span lang="FR" style="mso-ansi-language: FR;"><span style="mso-list: Ignore;">2.10<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="height: 12px; left: 0px; margin-left: 118px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 39px; z-index: 251666944;"><img height="12" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image013.png" width="39" /></span><span style="height: 12px; left: 0px; margin-left: 311px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 27px; z-index: 251667968;"><img height="12" src="file:///C:\Users\JAIPC~1\AppData\Local\Temp\msohtmlclip1\01\clip_image014.png" width="27" /></span><span lang="FR" style="mso-ansi-language: FR;"><span style="mso-tab-count: 1;"> </span>Perubahan penglihatan </span></div>
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<span lang="FR" style="mso-ansi-language: FR;"><span style="mso-list: Ignore;">2.11<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FR" style="mso-ansi-language: FR;"><span style="mso-tab-count: 2;"> </span>Perifer</span></div>
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<span style="mso-ignore: vglayout;">
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<td height="1" width="198"><br /></td>
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<span lang="FR" style="mso-ansi-language: FR;"> </span>
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<span lang="FR" style="mso-ansi-language: FR;"><span style="mso-tab-count: 1;"> </span>Kebutaan</span></div>
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<br /></div>
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<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm; tab-stops: 120.5pt; text-align: justify;">
<span lang="FR" style="mso-ansi-language: FR;">`<span style="mso-spacerun: yes;"> </span>2.7 </span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 12.0pt;">Manifestasi Klinis</span><span lang="FR" style="mso-ansi-language: FR;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien dengan glukoma sudut terbuka (glaukoma kronik
sudut terbuka) tidak memberikan gejala sampai kerusakan penglihatan yang berat
terjadi. Berbeda pada glukoma akut sudut tertututp, peningkatan TIO(tekanan
intra okuler) berjalan cepat dan memberikan gejala mata merah, nyeri dan
gangguan penglihatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkaan
TIO</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal
TIO 10-21 mmHg (rata-rata 16 mmHg). Tingginya TIO menyebabkan kerusakan saraf
optik tergantung beberapa fakor, meliputi tingginya TIO dan apakah glaukoma lam
tahap awal atau lanjut. Secara umum, TIO dalam rentang 20-30 mmHg biasanya
menyebabkan kerusakan dalam tahunan. TIO yang tinggi 40-5- mmHg dapat
menyebabkan kehilangan penglihatan yang cepat dan mencetuskan oklusi pembuluh
darah retina</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Halo
sekitar cahaya dan kornea yang keruh</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kornea
akan tetap jernih dengan terus berlangsung pergantian cairan oleh sel-sel
endotel. Jika tekanan meningkat dengan cepat (glaukoma akut sudut tertutup),
kornea menjadi penuh air, menimbulkan halo disekitar cahaya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
bukan karakteristik dari glaukoma primer sudut terbuka</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyempitan
lapang pandang</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan
yang inggi pada serabut saraf dan iskemia kronis pada saraf optik menimbulkan
kerusakan dari saraf<span style="mso-spacerun: yes;"> </span>retina yang
biasanya menghasilkan kehilangan lapang pandang (skotoma. Pada glaukoma stadium
akhir kehilangan lapang penglihatan terjadi sangat berat (<i style="mso-bidi-font-style: normal;">tunnel vision</i>), meski virus pasien masih 6/6</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
pada diskus optik. Kenaikan TIO berakibat kerusakan optik berupa penggangguan
dan degenerasi papil saraf optik.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oklusi
vena</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran
mata</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
dewasa pembesaran yang signifikan tidak begitu tampak. Pada anak-anak dapat
terjadi pembesaran dari mata (buftalmus).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.7 Pemeriksaan
Diagnostik</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perimetri
</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat<span style="mso-spacerun: yes;"> </span>ini berguna untuk melihat adanya kelainan
lapang pandang yang disebabkan oleh kerusakan saraf optik. Beberapa perimetri
yang digunakan antara lain :</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perimetri manual : Perimeter Lister, <i style="mso-bidi-font-style: normal;">Tangent screen</i>, Perimeter Goldmann</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perimetri Otomatis</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perimeter Oktopus</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tonometri
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat
ini digunakan untuk pengukuran TIO. Bebrapa tonometri yang digunakan antara
lain tonometer Schiotz, tonometer aplanasi Goldman, tonometer Pulsair,
Tono-Pen, tonometer Pekins, non kontak pneumotonometer.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oftalmoskopi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oftalmoskopi
yaitu pemeriksaan untuk menentukan adanya kerusakan saraf optik berdasarkan
penilain bentuk saraf optik. Rasio cekungan diskus (C/D) digunakan untuk
mencatat ukurn diskus optipus pada penderita glaukoma. Apabila terdapat
peninggian TIO yang signifikan, rasio C/D yang lebih besar dari 0,5 atau adanya
asimetris yang bermakna antara kedua mata, mengidentifikasikan adanya atropi
glaukomatosa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biomikroskopi
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk menentukan
kondisi segmen anterior mata, dengan pemeriksaan ini dapat ditentukan apakah
glaukomanya merupakan glaukoma primer atau sekunder</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gonioskopi
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan dari gonioskopi
adalah mengidentifikasi kelainan struktur sudut, memperkirakan kedalaman sudut
bilik serta untuk visualisasi sudut pada prosedur operasi. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">OCT(<i style="mso-bidi-font-style: normal;">Optical Coherent Tomography</i>)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat ini berguna untuk
mengukur ketebalan serabut saraf sekitar papil saraf</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fluorescein
angiography</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stereophotogrammetry
of the optic disc</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.8<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENATALAKSANAAN
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l2 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Medikamentosa </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; mso-list: l23 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penekanan pembentukan humor aqueus,
antara lain :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 162.0pt; mso-add-space: auto; mso-list: l0 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 22.0pt; line-height: 150%;">ᵦ<span style="mso-spacerun: yes;">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">adrenegik
bloker topikal seperti timolol maleate 0,25</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 162.0pt; mso-add-space: auto; mso-list: l0 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,50% 2kali sehari, betaxolol 0,25% dan
0,5%, levobunolol</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 162.0pt; mso-add-space: auto; mso-list: l0 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,25% dan 0,5% metipranolol 0,3%, daan
carteolol 1%</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 162.0pt; mso-add-space: auto; mso-list: l0 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apraklonidin</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 162.0pt; mso-add-space: auto; mso-list: l0 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">inhibitor karbonik anhidrase seperti
asetazolamid (diamox) oral 250 mg 2kali sehari, diklorofenamid, metazolamid.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; mso-list: l23 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatkann aliran keluar humor aqueus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seperti : prostaglandin
analog, golongan parasimpatomimetik,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh : pilokarpin
tetes mata 1-4 %, 4-6 kali sehari, karbakol, golongan epinefrin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; mso-list: l23 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
volume krpus vitreus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; mso-list: l23 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obat
miotik, midriatikum, siklopegik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l2 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi
operatif dan laser</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; mso-list: l28 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Iridektomi
dan iridotomi perifer</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; mso-list: l28 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bedah
drainase gaukoma dengan trabekulektomi, goniotomi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; mso-list: l28 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Argon Laser Trabeculoplasty</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.9<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">komplikasi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komplikasi yang dapat ditimbulkan karna glukoma yaitu : Kebutaan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB III</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">ASUHAN KEPERAWATAN PADA KLIEN NY.R DENGAN GLAUKOMA</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kasus</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Ny. R (30 tahun) saat ini sedang dirawat dengan
keluhan orbita dextra terasa sakit jika ditekan, penglihatan kabur padahal Ny.R
sudah menggunakan kaca minus 3 pada mata dextra dan sinistra, dua bulan yang
lalu Ny.R menderita kelainan Thyroid. Oleh dokter spesialis mata dilakukan
pemeriksaan Ofthalmoscope, Tonometri dan ukur lapang pandang. Hasil pemeriksaan
teernyata Ny.R menderita Glaukoma. Tanda-tanda vital saat ini TD : 150/100
mmHg, Nadi : 80x/menit, Suhu : 37<sup>o</sup>C , Pernapasan : 20x/menit. Ny. R
tidak tahu kenapa dia sampai mengalami Glaukoma dan mendengar informasi dari
orang-orang bahwa Glaukoma bisa buta, sehingga Ny.R takut mengalami kebutaan.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">PENGKAJIAN</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo8; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Data Pasien :</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nama<span style="mso-tab-count: 5;"> </span>: Ny.
R</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Tempat, Tanggal Lahir<span style="mso-tab-count: 3;"> </span>: Jakarta, 23 Februari 1973</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Umur<span style="mso-tab-count: 5;"> </span>:
30 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Jenis kelamin<span style="mso-tab-count: 4;"> </span>: Perempuan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Agama<span style="mso-tab-count: 5;"> </span>:
Islam</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suku<span style="mso-tab-count: 5;"> </span>: Jawa</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pekerjaan<span style="mso-tab-count: 5;"> </span>: Ibu
Rumah Tangga</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Status perkawinan<span style="mso-tab-count: 3;"> </span>: Menikah</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Status pendidikan<span style="mso-tab-count: 4;"> </span>: SLTA</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 2.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Diagnosa medis<span style="mso-tab-count: 4;"> </span>:
Glaukoma</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo8; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Riwayat penyakit :</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo9; text-indent: 0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Keluhan Utama
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien datang ke Rumah Sakit hari Senin, 12Mei 2013
dengan keluhan orbita dextra terasa sakit jika ditekan, penglihatan kabur
padahal Ny.R sudah menggunakan kaca minus 3 pada mata dextra dan sinistra, dua
bulan yang lalu Ny.R menderita kelainan Thyroid</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo9; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Riwayat Penyakit Sekarang
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">KU lemah, hasil pemeriksaan TTV , Tanda-tanda vital
saat ini TD : 150/100 mmHg, Nadi : 80x/menit, Suhu : 37<sup>o</sup>C ,
Pernapasan : 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo9; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Riwayat Penyakit
Dahulu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien tidak mempunyai riwayat penyakit atau riwayat
masuk rumah sakit, tetapi dua bulan yang lalu Ny.R menderita kelainan Thyroid.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo9; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Riwayat Kesehatan
Keluarga :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Keluarga klien tidak ada yang mempunyai penyakit
yang berhubungan dengan saraf persepsi sensori</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo8; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pemeriksaan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; mso-add-space: auto; mso-list: l34 level1 lfo10; tab-stops: 70.9pt; text-indent: 20.7pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Aktivitas/Istirahat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gejala
: Perubahan aktivitas biasanya/hobi sehubungan dengan gangguan penglihatan</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; mso-add-space: auto; mso-list: l34 level1 lfo10; text-indent: 20.7pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"> Makanan/Cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gejala
: Mual, muntah (glaukoma akut)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; mso-add-space: auto; mso-list: l34 level1 lfo10; text-indent: 20.7pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Neurosensori</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gejala
: Gangguan penglihatan (kabur/tidak jelas), sinar terang menyebabkan silau
dengan kehilangan bertahap penglihatan perifer, kesulitan memfokuskan kerja
dengan dekat/merasa di ruang gelap (katarak).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"> Penglihatan
berawan/kabur, tampak lingkaran cahaya/pelangi sekitar sinar, kehilangan
penglihatan perifer, fotofobia (glaukoma akut).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">
Perubahan kacamata/pengobatan tidak memperbaiki penglihatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Tanda :
Tampak kecoklatan atau putih susu pada pupil (katarak)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">
Pupil menyempit dan merah / mata keras dengan kornea berawan (glaukoma darurat)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">
Peningkatan air mata</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; mso-add-space: auto; mso-list: l34 level1 lfo10; text-indent: 20.7pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Nyeri/Kenyamanan:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gejala
: Ketidaknyamanan ringan/mata berair (glaukoma kronis)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"> Nyeri
tiba-tiba/berat menetap atau tekanan pada dan sekitar mata, sakit kepala
(glaukoma akut).</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; mso-add-space: auto; mso-list: l34 level1 lfo10; text-indent: 20.7pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Penyuluhan
/pembelajaran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gejala :
riwayat keluarga glaukoma, diabetes, gangguan sistem vaskuler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">
Riwayat stres, alergi, gangguan vasomotor (contoh peningkatan tekaan vena),
ketidakseimbangan endokrin, diabetes (glaukoma)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">
Terpajan pada radiasi, steroid/ toksistas fenotiazin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pertimbangan rencana pemulangan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">
DRG menunjukkan rerata lama dirawat : 4,2 hati (biasanya dilakukan sebagai
prosedur pasien rawat jalan)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">
Memerlukan bantuan dengan transportasi, penyediaan maknaan, perawatan diri,
perawatan / pemeliharaan rumah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2. DATA
FOKUS</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; margin-left: 36.0pt; mso-background-themecolor: background1; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.05pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">DATA SUBJEKTIF</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-left-alt: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.05pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">DATA OBJEKTIF</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-top-alt: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.05pt;" valign="top" width="308">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo11; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien mengeluh orbita dextra terasa sakit jika
ditekan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 51.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 51.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 51.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien mengeluh penglihatan kabur padahal Ny.R
sudah menggunakan kaca minus 3 pada mata dextra dan sinistra</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 13.65pt; mso-add-space: auto; text-indent: -13.65pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien mengatakan dua bulan yang lalu Ny.R
menderita kelainan Thyroid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien mengatakan tidak tahu kenapa dia sampai
mengalami Glaukoma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien mengatakan bahwa mendengar informasi dari
orang-orang bahwa Glaukoma bisa buta, sehingga Ny.R takut mengalami kebutaan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien mengatakan mengalami perubahan
aktivitas biasanya akibatgangguan penglihatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 13.65pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien mengeluh mual dan muntah</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.05pt;" valign="top" width="308">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo12; text-indent: -13.95pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Tanda-tanda vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 150/100 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo12; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Skala nyeri : 6</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo12; text-indent: -13.7pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien terlihat menggunakan kacamata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 16.15pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo12; text-indent: -13.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien tampak kecoklatan atau putih susu pada pupil
(katarak)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo12; text-indent: -13.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien terlihat pupil menyempit dan merah / mata
keras dengan kornea berawan (glaukoma darurat)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 16.15pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo12; text-indent: -13.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Klien
terlihat peningkatan produksi air mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 16.15pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo12; text-indent: -13.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Klien terlihat mual dan muntah</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3. ANALISA
DATA</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; border: none; margin-left: 36.0pt; mso-background-themecolor: background1; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DATA</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">PROBLEM</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">ETIOLOGI</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="3" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 426.15pt;" width="568">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pra
Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DS
:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh keluhan orbita dextra terasa sakit jika ditekan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh penglihatan kabur padahal Ny.R sudah menggunakan kaca minus 3 pada
mata dextra dan sinistra</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan dua bulan yang lalu Ny.R menderita kelainan Thyroid</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DO: </span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Tanda-tanda
vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 150/100 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat menggunakan kacamata</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Skala
nyeri : 6</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
tampak kecoklatan atau putih susu pada pupil (katarak)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat pupil menyempit dan merah / mata keras dengan kornea berawan
(glaukoma darurat)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat peningkatan produksi air mata</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat memokuskan saat meliat sesuatu benda</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat mengerutkan dahi pada saat melihat</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gangguan
persepsi sensori penglihatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gangguan
penerimaan, gangguan status organ ditandai dengan kehilangan lapang pandang
progresif.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DS
:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh keluhan orbita dextra terasa sakit jika ditekan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh penglihatan kabur padahal Ny.R sudah menggunakan kaca minus 3 pada
mata dextra dan sinistra</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan dua bulan yang lalu Ny.R menderita kelainan Thyroid</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DO: </span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Tanda-tanda
vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 150/100 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Skala
nyeri : 6</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat menggunakan kacamata</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat memegangi are kepala dan sekitar mata</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat memokuskan saat meliat sesuatu benda</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat mengerutkan dahi pada saat melihat</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gangguan
rasa nyaman : Nyeri</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Peningkatan
tekanan intra okuler (TIO)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DS
:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan bahwa mendengar informasi dari orang-orang bahwa Glaukoma bisa
buta, sehingga Ny.R takut mengalami kebutaan.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh keluhan orbita dextra terasa sakit jika ditekan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DO: </span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Tanda-tanda
vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 150/100 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat menggunakan kacamata</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat gelisah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
tampak pucat</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat mencemaskan keadaan dirinya</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Ansietas</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Faktor
fisilogis, perubahan status kesehatan, adanya nyeri, kemungkinan/kenyataan
kehilangan penglihatan ditandai dengan ketakutan, ragu-ragu, menyatakan
masalah tentang perubahan kejadian hidup</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DS
:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan bahwa mendengar informasi dari orang-orang bahwa Glaukoma bisa
buta, sehingga Ny.R takut mengalami kebutaan.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh keluhan orbita dextra terasa sakit jika ditekan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh penglihatan kabur padahal Ny.R sudah menggunakan kaca minus 3 pada
mata dextra dan sinistra</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan dua bulan yang lalu Ny.R menderita kelainan Thyroid</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DO:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Tanda-tanda
vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 150/100 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat menggunakan kacamata</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat gelisah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
tampak pucat</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat mencemaskan keadaan dirinya</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kurang
pengetahuan (kebutuhan belajar) tentang kondisi, prognosis, dan pengobatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kurang
terpajan/tak mengenal sumber, kurang mengingat, salah interpretasi ditandai
dengan pertanyaan, pernyataan salah</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td colspan="3" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 426.15pt;" width="568">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Post
Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DS
:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh juga nyeri sedang pada area mata</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan ketidaknyamanan setelah operasi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DO:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Tanda-tanda
vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 130/80 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat gelisah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
tampak pucat</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
memegangi area mata yang dibedah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gangguan
rasa nyaman : Nyeri</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Adanya
insisi bedah</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DS
:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh juga nyeri area mata yang di operasi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan kesulitan melakukan aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh takut untuk melakukan aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DO:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Tanda-tanda
vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 130/70 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat gelisah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
tampak pucat</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
memegangi area mata yang dibedah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Risiko
tinggi terhadap cedera</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Peningkatan
TIO, kehilangan vitreous</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.95pt;" valign="top" width="256">
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DS
:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengeluh juga nyeri sedang pada area mata yang dibedah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
mengatakan ketidaknyamanan area mata setelah di operasi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DO:</span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Tanda-tanda
vital :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TD
: 130/70 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nadi
: 80x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Suhu
: 37<sup>o</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pernapasan
: 20x/menit.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
terlihat gelisah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
tampak pucat</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Klien
memegangi area mata yang dibedah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">· Kemungkinan
terdapat pus pada area setelah operasi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.4pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Risiko
tinggi terhadap infeksi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.8pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">prosedur
invasif</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4. DIAGNOSA
KEPERAWATAN</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; border: none; margin-left: 36.0pt; mso-background-themecolor: background1; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.1pt;" valign="top" width="196">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">DIAGNOSA
KEPERAWATAN</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.95pt;" valign="top" width="188">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TANGGAL
DITEMUKAN</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.1pt;" valign="top" width="184">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TANGGAL
TERATASI</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="3" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 426.15pt;" valign="top" width="568">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pra
Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.1pt;" valign="top" width="196">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gangguan persepsi sensori penglihatan b.d gangguan
penerimaan sensori, gangguan status organ</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gangguan rasa nyaman : Nyeri b/d peningkatan
tekanan intra okuler (TIO) yang ditandai dengan mual dan muntah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 13.65pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 13.65pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Ansietas b/d faktor fisilogis, perubahan status
kesehatan, adanya nyeri, kemungkinan/kenyataan kehilangan penglihatan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kurang
pengetahuan (kebutuhan belajar) tentang kondisi, prognosis, dan pengobatan
b/d kurang terpajan/tak mengenal sumber, kurang mengingat, salah interpretasi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.95pt;" valign="top" width="188">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">17– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">17– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">17– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">17– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.1pt;" valign="top" width="184">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">20– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">20– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">20– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">20– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td colspan="3" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 426.15pt;" valign="top" width="568">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Post
Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.1pt;" valign="top" width="196">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo14; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"> Gangguan rasa nyaman : Nyeri b/d adanya
insisi bedah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 13.65pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo14; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Risiko tinggi terhadap cedera b.d peningkatan TIO,
kehilangan vitreous</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 13.65pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo14; text-indent: -13.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"> Risiko tinggi terhadap infeksi b.d prosedur
invasif</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.95pt;" valign="top" width="188">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">18– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">18– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">18– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.1pt;" valign="top" width="184">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">21– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">21– 04–2013</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">21– 04–2013</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">5. INTERVENSI</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; border: none; margin-left: 33.75pt; mso-background-themecolor: background1; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">NO
DX</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">TUJUAN
DAN KRITERIA HASIL</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">INTERVENSI</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="3" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 428.35pt;" valign="top" width="571">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pra
Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam diharapkan masalah keperawatan
Gangguan persepsi sensori penglihatan teratasi dengan kriterria hasil :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
mengidentifikasi faktor-faktor yang mempengaruhi fungsi penglihatan.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
mengindentifikasi dan menunjukkan pola-pola alternatif untuk meningkatkan penerimaan
rangsang penglihatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mandiri
:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pastikan derajat
/ tipe kehilangan penglihatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : mempengaruhi harapan masa depan pasien
dan pilihan intervensi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Dorong
mengekspresikan perasaan tentang kehilangan / kemungkinan kehilangan
penglihatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : sementara intervensi dini mencegah
kebutaan, pasien menghadapi kemungkinan atau mengalami pengalaman kehilangan
penglihatan sebagian atau total. Meskipun kehilangan penglihatan telah
terjadi tak dapat diperbaiki (meskipun dengan pengobatan), kehilangan lanjut
dapat dicegah.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Tunjukkan
pemberian tetes mata, contoh menghitung tetesan, mengikuti jadwal, tidak
salah dosisi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : mengontrol TIO, mencegah kehilangan
penglihatan lanjut.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Lakukan tindakan
untuk membantu pasien menangani keterbatasan penglihatan, contoh , krangi
kekacauan, atur perabot, ingatkan memutar kepala ke subjek yang terlihat,
perbaiki sinar suram dan masalah penglihatan malam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : menurunkan bahaya kemanan sehubungan
dengan perubahan lapang pandang / kehilangan penglihatan dan akomodasi pupil
terhdap sinar lingkungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kolaborasi :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Berikan obat sesuai indikasi :</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 30.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; text-indent: -14.15pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kronis, sederhana, tipe sudut terbuka :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pilokarpin hidroklorida (IsoptoCarpine,
OcuserPilo, Pilopine HS Gel)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : Obat miotik topikal ini menyebabkan
konstriksi pupil, memudahkan keluarnya akueus humor.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 30.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; text-indent: -14.15pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Timolol maleat
(Timoptic); betaksalol (Betopic)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : Menurunkan pembentukan akueus humor
tanpa mengubah ukuran pupil, penglihatanm atau akomodasi, catatan : Timoptic
kontrainidikasi pada adanya bradikardia atau asma</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam diharapkan masalah
keperawatan Gangguan rasa nyaman : Nyeri teratasi dengan kriterria hasil :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
dapat mengidentifikasi penyebab nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
menyebutkan faktor-faktor yang dapat meningkatkan nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
mampu melakukan tindakan untuk mengurangi nyeri</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Mandiri :</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Kaji
derajat nyeri setiap hari atau sesering mungkin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Rasional
: nyeri glaukoma umumnya sangat parah</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Jelaskan
penyebab nyeri dan faktor tindakan yang dapat memicu timbulnya nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Rasional
: penyebab munculnya nyeri adalah peningkatan tekanan intraokular yang dapat
dipicu oleh batuk, mengejan, mengangkat benda berat, gerakan kepala tiba-tiba</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Anjurkan
klien untuk menghindari perilaku yang dapat memprovokasi nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Rasional
: untuk mencegah peningkatan TIO lebih lanjut</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Ajarkan
tindakan distraksi dan relaksasi pada klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Rasional
: menurunkan sensasi nyeri dan memblokir sensari nyeri menuju otak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Kolaborasi
:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Berikan
obat sesuai indikasi : relaksasi otot misalnya dantren (antrium) alagesik,
antiansietas, misalnya diazepam (Valium)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Rasional
: dibutuhkan menghilangkan spasme/neyri otot atau untuk menghilangkan
ansietas dan meningkatkan istirahat</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam diharapkan masalah
keperawatan Ansietas teratasi dengan kriterria hasil :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
tampak rileks dan melaporkan ansietas menurun sampai tingkat dapat diatasi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
menunjukkan keterampilan pemecahan masalah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
menggunakan sumber secara efekti</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mandiri
:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo18; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kaji tingkat
ansietas, derajat pengalaman nyeri/ timbulnya gejala tiba-tiba dan
pengetahuan kondisi saat ini</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : faktor ini mempengaruhi persepsi pasin
terhadap ancaman diri, potensial sikulus ansietas dan dapat mempengaruhi
upaya medik untuk mengontrol TIO</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo18; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Berikan infromasi
yang akurat dan jujur. Diskusikan kemungkinan bahwa pengwasan dan pengubahan
dapat mencegah kehilangan penglihatan tambahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : menurunkan ansietas sehubungan dengan
ketidaktahuan/ haraan yang akan datang dan memberikan dasar fakta untuk
membuat pilihan informasi tentang pengobatan</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo18; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Dorong pasien
untuk mengakui msalah dan mengekspresikan persaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : memberikan kesempatan untuk pasien
menerima situasi nyata, mengklarifikasi salah konspesi dan pemecahan masalah.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo18; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Identifikasi
sumber / orang yang menolong</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : memberikan keyakinan bahwa pasien tidak
sendiri dalam menghadapi masalah.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam diharapkan masalah
keperawatan Kurang Pengetahuan teratasi dengan kriterria hasil :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
menyatakan pemahaman kondisi, prognosis dan pengobatan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
mengidentifikasi hubungan tanda/gejala dengan proses penyakit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
melakukan prosedur dengan benar dan menjelaskan atasan tindakan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mandiri
:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Diskusikan
perlunya menggunakn identifikasi contoh gelang Waspada-Medik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : vital untuk memberikan informasi pada
perawat kasus darurat untuk menurunkan resiko menerima obat yang dikontraindikasikan
(contoh atropin).</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Tunjukkan teknik
yang benar untuk pemberian tetes mata. Izinkan pasien mengulang tindakan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : meningkatkan keefektifan pegobatan.
Memberikan kesempatan untuk pasien menunjukkan kompetensi untuk pasien
menanyakan pertanyaan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kaji pentingnya
mempertahankan jadwal obat, contoh tetes mata. Diskusikan obat yang harus
dihindari, contoh tetes midriatik (atropin/ propantelin bromin),
kelbihan pemakaian steroid topika.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : penyakit ini dapat dikontrol, bukan
diobati, dan memeprtahankan konsistensi program obat adalah kontrol vital.
Beberapa obat menyebabkan dilatasi pupil, peningkatan TIO dan potensial
kehilangan penglihatan tambahan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"> Identifikasi
efek samping / reaksi merugikan dari pengobatan, contoh penurunan selera
makan, mual/muntah, diare, kelemahan, perasaan mabuk, penurunan libido,
impoten, jantung tak teratur, pingsan, GJK.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : efek samping obat/ merugikan
mempengaruhi rentang dari tak nyaman sampai ancaman kesehatan berat. Kurang
lebih 50% pasien akan mengalami sensitifitas/ alergi terhdap obat
parasimpatis (contoh pilokarpin) atau obat anti kolnestrase. Maslah ini
memrlukan evaluasi medik dan kemungkinan perubahan program terapi.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Dorong pasien
membuat peubahan yang perlu untuk pola hidup.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : pola hidup tenang menurunakn respons
emosi terhadap stres, mencegah perubahan ouler yang mendorong iris kedepan
yang dapat mencetuskan serangan akut.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Dorong menhndari
aktivitas, seperti mengangkat berat/mendorong, menyekop salju, menggunakan
baju ketat/sempit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : dapat meningkatkan TIO mencetuskan
serangan akut. Catatan : bila pasien tidak mengalami nyeri, kerja sama dengan
program pengobatan dan penerimaan perubahan pola hidup sering sulit
dilanjutkan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Diskusikan
pertimbangan diet, contoh caiarn adekuat makanan berserat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasioanl : tindakan untuk mempertahanka
konsistensi feses untuk mengidari konstipasi/mengejan selama defekasi.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Tekankan
pentingnya periksa rutin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : penting untuk mengawasi kemajuan/
pemeliharaan penyakit untuk memungkinkan intervensi dini dan mencegah
kehilangan penglihatan lajut.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Nasehatkan pasien
untuk melaporkan dengan cepat nyeri mata hebat, inflmasi, peningkatan
fotofobia, peningkatan lakrimasi, perubahan lapang pandang, penglihatan
kabur, kilatan sinar/ partikel ditengah lapang pandang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : upaya tindakan perlu untuk mencegah
kehilangan penglihatan lanjut / komplikasi lain, contoh robek retina</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo19; text-indent: -15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Anjurkan anggota keluarga meeriksa secara teratur
tanda glaukoma.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : kecenderungan herediter dangkalnya
bilik anterior, menempatkan anggota keluarga berisiko pada kondisi ini.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td colspan="3" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 428.35pt;" valign="top" width="571">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Post
Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam diharapkan masalah
keperawatan Gangguan rasa nyaman : nyeri teratasi dengan kriterria hasil:</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
dapat mengidentifikasi penyebab nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
menyebutkan faktor-faktor yang dapat meningkatkan nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
mampu melakukan tindakan untuk mengurangi nyeri</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mandiri
:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kaji derajat
nyeri setiap hari atau sesering mungkin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : nyeri glaukoma umumnya sangat parah</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Jelaskan penyebab
nyeri dan faktor tindakan yang dapat memicu timbulnya nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : penyebab munculnya nyeri adalah
peningkatan tekanan intraokular yang dapat dipicu oleh batuk, mengejan,
mengangkat benda berat, gerakan kepala tiba-tiba</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Anjurkan klien
untuk menghindari perilaku yang dapat memprovokasi nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : untuk mencegah peningkatan TIO lebih
lanjut</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Ajarkan tindakan
distraksi dan relaksasi pada klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : menurunkan sensasi nyeri dan memblokir
sensari nyeri menuju otak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kolaborasi :</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Berikan obat
sesuai indikasi : relaksasi otot misalnya dantren (antrium) alagesik,
antiansietas, misalnya diazepam (Valium)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : dibutuhkan menghilangkan spasme/neyri
otot atau untuk menghilangkan ansietas dan meningkatkan istirahat</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam diharapkan masalah
keperawatan risiko tinggi terhadap cedera teratasi dengan kriterria hasil :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
menyatakan pemahaman aktor yang terlibat dalam kemungkinan cedera</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
menunjukkan perubahan perilaku, pola hidup untuk menurunkan fakor risiko dan
untuk melindungi dari cedera</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Mengubah
lingkungan sesuai indikasi untuk meningkatkan keamanan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mandiri
:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo21; text-indent: -15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Diskusikan apa
yang terjadi padaa pascaoperasi tentang nyeri, pembatasan aktivitas,
penampilan, balutan mata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : membantu mengurangi rasa takut dan
meningkatkan kerja sama dalm pembatasan yang dilakukan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo21; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Batasi pasien
posisi bersandar, kepala tinggi atau miring ke sisi yang tak sakit sesuai
keinginan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : istirahat hanya beberapa menit sampai
beberapa jam pada bedah rawat jalan atau menginap semalam bila terjadi
komplikasi. Menurunkan tekanan pada mata yang sakit, meminimalkan risiko
perdarahan atau stres pada jahitan/jahitan terbuka.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo21; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Ambulasi dengan
bantuan; berikan kamar mandi khusus bila sembuh dari anastesi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : menrunkan stres pada area
operasi/menurunkan TIO</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo21; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Dorong napas
dalam, bantuk untuk bersihan paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : memerlukan sedikit regangan daripada
penggunakan pispot yang dapat meningkatkan TIO</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo21; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Dorong napas
dalam, batuk untuk bersihan paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : batuk meningkatkan TIO</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo21; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Anjurkan
menggunakan teknik manajemen stres contoh bimbinganimajinasi, visualisasi,
napas dalam dan latihan relaksasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : meningkatkan relaksasi dan koping, menurunkan
TIO</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kolaborasi :</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo21; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Berikan obat
sesuai indikasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Antimetik contoh proklorperazin (Compazine)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Asetazolamid (Diamox)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Siklopegis contoh empirin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : diberikan untuk menurunkan TIO bila
terjadi peningkatan. Membatasi kerja enzim pada produkssi akueus humor.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam diharapkan masalah
keperawatan Risiko tinggi terhadap infeksi teratasi dengan kriterria hasil :</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
dapat meningkatkan penyembuhan luka tepat waktu, bebas drainase purulen, eritema
dan demam</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">- Klien
dapat mengidentifikasi intervensi untuk mencegah/menurunkan risiko infeksi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 236.95pt;" valign="top" width="316">
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mandiri
:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo22; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Diskusikan
pentingnya mencuci tangan sebelum menyentuh/ mengobati mata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : menurnukan jumlah bakteri pada tangan,
mencegah kontaminasi area operasi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo22; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Gunakan/tunjukkan
teknik yang tepat untuk membersihkan mata dari dalam ke luar dengan tisu
basah/ bola kapas untuk tiap usapan, ganti balutan dan masukan lensa ontak
bila menggunakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : teknik aseptik menurunkan risiko
penyebaran bakteri dan kontaminasi silang.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo22; text-indent: -15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Tekankan
pentingnya tidak menyentuh/menggaruk mata yang di operasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt; text-indent: 1.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : mencegah kontaminasi dan kerusakan sisi
operasi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo22; text-indent: -15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Observasi/diskusikan
tanda terjadinya infeksi contoh kemerahan, kelopak bengkak, drainase purulen.
Identifikasi tindakan kewaspadaan bila terjadi ISK.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : infeksi mata terjadi 2-3 hari setelah
prosedur dan memerlkan upaya intervensi. Adanya ISK meningkatkan risiko
kontaminasi silang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Kolaborasi :</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo22; text-indent: -15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Berikan obat
sesuai indikasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt; text-indent: 1.65pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Antibiotik (topikal, parenteral atau
subkonjungtiva)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Steroid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.85pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Rasional : sediaan topikal digunakan secara
profilaksis, dimana terapi lebih agresif diperlukan bila terjadi infeksi.
Catatan : steroid mungkin ditambahkan pada antibiotik topikal bila pasien
mengalami implantasi IOL. Digunakan untuk menurunakn inflamasi.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">5. IMPLEMENTASI
KEPERAWATAN</span></div>
<table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt; mso-background-themecolor: background1; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-anchor-horizontal: page; mso-table-anchor-vertical: paragraph; mso-table-left: 109.35pt; mso-table-lspace: 9.0pt; mso-table-rspace: 9.0pt; mso-table-top: 18.45pt; mso-yfti-tbllook: 1184; width: 576px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Hari/ Tanggal</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">No.DX</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Implementasi dan
Hasil</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.65pt;" valign="top" width="76">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Paraf</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="4" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 432.0pt;" valign="top" width="576">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Pra Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1. Memastikan derajat / tipe kehilangan
penglihatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2. Mendorong mengekspresikan perasaan
tentang kehilangan / kemungkinan kehilangan penglihatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3. Menunjukkan pemberian tetes mata,
contoh menghitung tetesan, mengikuti jadwal, tidak salah dosisi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4. Melakukan tindakan untuk membantu
pasien menangani keterbatasan penglihatan, contoh , krangi kekacauan, atur
perabot, ingatkan memutar kepala ke subjek yang terlihat, perbaiki sinar
suram dan masalah penglihatan malam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">5. Memberikan obat sesuai
indikasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">-
Kronis, sederhana, tipe sudut terbuka:Pilokarpin hidroklorida (IsoptoCarpine,
OcuserPilo, Pilopine HS Gel).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">-
Timolol maleat (Timoptic); betaksalol (Betopic).</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.65pt;" valign="top" width="76"><br /></td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l30 level2 lfo8; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mengkaji derajat
nyeri setiap hari atau sesering mungkin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l30 level2 lfo8; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Menjelaskan
penyebab nyeri dan faktor tindakan yang dapat memicu timbulnya nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l30 level2 lfo8; text-indent: -15.15pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Menganjurkan
klien untuk menghindari perilaku yang dapat memprovokasi nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 14.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l30 level2 lfo8; text-indent: -12.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mengajarkan
tindakan distraksi dan relaksasi pada klien.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 14.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l30 level2 lfo8; text-indent: -12.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Memberikan obat
sesuai indikasi : relaksasi otot misalnya dantren (antrium) alagesik,
antiansietas, misalnya diazepam (Valium).</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.65pt;" valign="top" width="76"><br /></td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l16 level1 lfo23; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mengkaji tingkat
ansietas, derajat pengalaman nyeri/ timbulnya gejala tiba-tiba dan
pengetahuan kondisi saat ini.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l16 level1 lfo23; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Memberikan
infromasi yang akurat dan jujur. Diskusikan kemungkinan bahwa
pengawasan dan pengubahan dapat mencegah kehilangan penglihatan tambahan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l16 level1 lfo23; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Mendorong pasien
untuk mengakui masalah dan mengekspresikan perasaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4. Mengindetifikasi sumber / orang yang
menolong.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.65pt;" valign="top" width="76"><br /></td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1.<span style="mso-spacerun: yes;">
</span>Mendiskusikan perlunya menggunakan identifikasi contoh gelang
Waspada-Medik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2. Menunjukkan teknik yang benar untuk
pemberian tetes mata. Izinkan pasien mengulang tindakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3. Mengkaji pentingnya mempertahankan jadwal
obat, contoh tetes mata. Diskusikan obat yang harus dihindari, contoh
tetes midriatik (atropin/ propantelin bromin), kelbihan pemakaian steroid
topika.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4. Mengidentifikasi efek samping / reaksi
merugikan dari pengobatan, contoh penurunan selera makan, mual/muntah, diare,
kelemahan, perasaan mabuk, penurunan libido, impoten, jantung tak teratur,
pingsan, GJK.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; tab-stops: 14.0pt; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">5. Mendorong
pasien membuat peubahan yang perlu untuk pola hidup.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">6. Mendorong menhndari aktivitas, seperti
mengangkat berat/mendorong, menyekop salju, menggunakan baju ketat/sempit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">7. Mendiskusikan pertimbangan diet,
contoh caiaran adekuat makanan berserat.</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">8. Menekankan
pentingnya periksa rutin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">9. Menasehatkan pasien untuk melaporkan
dengan cepat nyeri mata hebat, inflmasi, peningkatan fotofobia, peningkatan
lakrimasi, perubahan lapang pandang, penglihatan kabur, kilatan sinar/
partikel ditengah lapang pandang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">10. Menganjurkan anggota keluarga memeriksa secara
teratur tanda glaukoma.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.65pt;" valign="top" width="76"><br /></td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td colspan="4" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 432.0pt;" valign="top" width="576">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">Post Operasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1. Mengkaji derajat nyeri setiap hari
atau sesering mungkin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2. Menjelaskan penyebab nyeri dan
faktor tindakan yang dapat memicu timbulnya nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3. Menganjurkan klien untuk menghindari
perilaku yang dapat memprovokasi nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4. Mengajarkan tindakan distraksi dan
relaksasi pada klien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">5. Memberikan obat sesuai indikasi :
relaksasi otot misalnya dantren (antrium) alagesik, antiansietas, misalnya
diazepam (Valium).</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.65pt;" valign="top" width="76"><br /></td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1. Mendiskusikan apa yang terjadi padaa
pascaoperasi tentang nyeri, pembatasan aktivitas, penampilan, balutan mata.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2. Membatasi pasien posisi bersandar,
kepala tinggi atau miring ke sisi yang tak sakit sesuai keinginan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3. Mengambulasi dengan bantuan; berikan
kamar mandi khusus bila sembuh dari anastesi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4. Mendorong napas dalam, bantuk untuk
bersihan paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">5. Mendorong napas dalam, batuk untuk
bersihan paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">6. Menganjurkan menggunakan teknik
manajemen stres contoh bimbinganimajinasi, visualisasi, napas dalam dan
latihan relaksasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">7. Memberikan obat sesuai indikasi :
Antimetik contoh proklorperazin (Compazine), Asetazolamid (Diamox),
Siklopegis contoh empirin.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 56.65pt;" valign="top" width="76"><br /></td>
</tr>
<tr style="mso-yfti-irow: 9; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.05pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.45pt;" valign="top" width="73">
<div class="MsoNormal" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">1. Mendiskusikan pentingnya mencucui
tangan sebelum menyentuh/ mengobati mata.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">2. Menggunakan / menunjukkan teknik
yang tepat untuk membersihkan mata dari dalam ke luar dengan tisu basah/ bola
kapas untuk tiap usapan, ganti balutan dan masukan lensa ontak bila
menggunakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">3. Menekankan pentingnya tidak
menyentuh/menggaruk mata yang di operasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">4. Mengobservasi / mendiskusikan tanda terjadinya
infeksi contoh kemerahan, kelopak bengkak, drainase purulen. Identifikasi
tindakan kewaspadaan bila terjadi ISK.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.55pt; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 109.4pt; mso-element-top: 18.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-indent: -16.55pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text1;">5. Memebrikan obat sesuai indikasi :
Antibiotik (topikal, parenteral atau subkonjungtiva), Steroid.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm;"><br /></td>
</tr>
</tbody></table>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
IV</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif";">PENUTUP</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif";">Kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Glaukoma merupakan
bagian penyakit mata yang menyebabkan proses hilangnya penglihatan, tetapi
proses ini dapat dicegah dengan obat-obatan, terapi laser, dan pembedahan.
Hilangnya penglihatan pada kasus glaukoma tidak dapat disembuhkan kembali, maka
sangat penting untuk mencegah terjadinya kerusakan pada organ mata sedini
mungkin, apalagi glaukoma sering timbul tanpa gejala sampai pada tahap akhir,
kecuali glaucoma jenis akut (tekanan bola mata tiba-tiba meninggi sehingga mata
terasa sakit dan pegal).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Istilah glaukoma
merujuk kepada kelompok penyakit berbeda dalam hal patofisiologi klinis dan
penanganannya. Biasanya ditandai dengan berkurangnya lapang pandang akibat
kerusakan saraf optikus. Kerusakan ini berhubungan dengan derajat TIO, yang
terlalu tinggi untuk berfungsinya saraf optikus secara normal. Semakin tinggi
tekanannya, semakin cepat kerusakan saraf optikus berlangsung. Peningkatan TIO
terjadi akibat perubahan patologis yang menghambat peredaran normal dan humor
aqueous.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 8.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Saran</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Dianjurkan bagi semua
yang mempunya faktor resiko penderita glaukoma, yang berusia diatas 35 tahun
menjalani pemeriksaan berkala pada oftalmologis untuk mengkaji TIO, lapang
pandang, dan kaput neuri optisi. Meskipun tidak ada penanganan untuk glaukoma,
namun dapat dikontrol dengan obat, kadang diperlukan laser atau konvensional
(insisional). Tujuan penanganan adalah untuk menghentikan atau memperlambat
perkembangan agar dapat mempertahankan penglihatan yang baik sepanjang hidup.
Bahaya glaukoma akut harus diwaspadai termasuk oleh dokter umum, karena
menyebabkan kebutaan yang cepat pada kedua mata.</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">DAFTAR
PUSTAKA</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Junadi P.
dkk, Kapita Selekta Kedokteran, Media Aesculapius, FK-UI, 1982</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Sidarta
Ilyas, <i>Ilmu Penyakit Mata</i>, FKUI, 2000.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Long C
Barbara. <i>Medical surgical Nursing.</i> 1992</span></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Doungoes, marilyn E, <i>Rencana Asuhan Keperawatan : Pedoman Untuk
Perencanaan Dan pendokumentasian perawatan pasien.</i> Ed 3, EGC, Jakarta, 2000</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Susan Martin Tucker, <i>Standar Perawatan Pasien :
Proses Keperawatan, Diagnosisi dan Evaluasi. </i>Ed 5 Vol3 EGC. Jakarta 1998</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Brunner
& Suddart. <i><span style="mso-spacerun: yes;"> </span>Keperawatan Medical
Bedah </i>EGC. Jakarta 2002</span></div>
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<br /></div>
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