surabaya brain tumor update eye disturbance · 2019. 5. 30. · departemen ilmu kesehatan mata fk...

Surabaya Brain Tumor Update

Eye Disturbance & Brain Tumor

Indri WahyuniDepartemen Ilmu Kesehatan Mata FK Unair/

RSUD Dr. Soetomo

RS Premier Surabaya

Why Eye Examination Important

PREDICTED

PRESENT CONDITION

EDUCATION

Eye Sign for Brain Tumor

Blurring

Diplopia

Visual Field Defect

Eye Movement

Eye position Colour Changes

Optic nerve change

IMPORTANT Eye Examination for Brain Tumor

VISUAL FIELD

EYE MOVEMENT

COLOUR

VISUAL ACUITY

RAPD

OPTIC NERVE

IMPORTANT Eye Examination for Brain Tumor

VISUAL ACUITY

❖ Normal or Abnormal

❖ False Normal

❖ Location, complication

❖ Important !! to check

IMPORTANT Eye Examination for Brain Tumor

RAPD

IMPORTANT Eye Examination for Brain Tumor

VISUAL FIELD

VISUAL FIELD

IMPORTANT Eye Examination for Brain Tumor

EYE MOVEMENT

EYE MOVEMENT

❖ FORCED DUCTION TES

❖ EYE POSITION

IMPORTANT Eye Examination for Brain Tumor

COLOUR ❖ Dyscromatopsia ; red first ; ishihara ; fansworth

IMPORTANT Eye Examination for Brain Tumor

OPTIC NERVE

Optic Disc & Brain Tumor

PAPIL EDEMA PAPIL ATROFI

TEKANAN INTRA KRANIAL ↑

TORNIQUET

TRANSPORT AXSOPLASMIC

ISCHEMIA

GANGLION SEL & AXON OPTIC NERVE

INFLAMATION

INFILTRATION

COMPRESIION

DEMYELINATION

1. C- shape halo; temporal gap 2. Halo Circumferential

3. Start Loss of Major vessel 4. Loss of Major vessel

5. Obscuration vessel PAPIL ATROFI

COMPLICATION AFTER SURGERY

❖ BLINDNESS — PION

❖ CHEMOSIS

❖ Not Direct — Cataract &

Glaukoma

BLINDNESS

TO FIND THE ETIOLOGY AND DIAGNOSIS

THE EARLIER THE BETTER

FOR LIFE SAVING & VISUAL SAVING