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\f10 \fs21 \cf0 \fi544 \f10 \fs21 \cf0 BAB I \par}{\phpg\posx5122\pvpg\posy2062\absw1800\absh812 \sl-310 \par\f10 \fs21 \cf0 PENDAHULUAN \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \f10 \fs21 \cf0 \fi719 \f10 \fs21 \cf0 Panopthalmitis merupakan suatu peradangan pada mata yang dapat melibatkan \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 semua lapisan bola mata. Peradangan juga dapat memperluas ke jaringan di sekitar bola \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-420 \f10 \fs21 \cf0 mata. Kejadian rata-rata tahunan adalah sekitar 5 per 10.000 pasien yang berobat. Dan \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 dalam beberapa kasus mata kanan dua kali lebih mungkin terinfeksi sebagai mata kiri, \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 mungkin karena lokasinya yang lebih proksimal untuk mengarahkan aliran darah arteri \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 ke arteri karotid kanan. Kejadian ini dapat meningkat karena penyebaran AIDS, \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 penggunaan agen imunosupresif yang berlebihan, dan yang sering yaitu akibat dari \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-424 \f10 \fs21 \cf0 tindakan prosedur invasif. \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-350 \par\f10 \fs21 \cf0 \fi719 Sebagian besar kasus (sekitar 60%) terjadi setelah operasi intraokular. Ketika \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-420 \f10 \fs21 \cf0 operasi merupakan penyebab, panopthalmitis biasanya dimulai dalam waktu 1 minggu \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 setelah operasi. Di Amerika Serikat, panopthalmitis postcataract merupakan bentuk \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 yang paling umum, dengan sekitar 0,1-0,3% dari operasi yang memiliki komplikasi ini, \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 dan kejadian ini telah meningkat selama beberapa tahun terakhir. Posttraumatic \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 panopthalmitis terjadi pada 4-13% dari semua cedera penetrasi okular. sedangkan \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-420 \f10 \fs21 \cf0 kejadian panopthalmitis akibat benda asing intraokular adalah sekitar 7-31%. \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-351 \par\f10 \fs21 \cf0 \fi719 Komplikasi paling sering akibat penyakit ini ialah penurunan visus yang dapat \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 menjadi permanen, dan yang paling berbahaya apabila terjadi penyebaran infeksi \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 secara hematogen dan menyebabkan syok septik. Menurut penelitian menunjukan \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-420 \f10 \fs21 \cf0 adanya hubungan perkembangan panopthalmitis pada pasien post operasi dengan usia \par}{\phpg\posx1440\pvpg\posy3926\absw9439\absh7973 \sl-422 \f10 \fs21 \cf0 lebih atau sama dengan 70 tahun. \par}{\phpg\posx5888\pvpg\posy15568\absw165\absh253 \f10 \fs21 \cf0 \f10 \fs21 \cf0 2 \par}\sect\sectd\pard\plain\pgwsxn11906\pghsxn16838{\phpg\posx0\pvpg\posy0\absw11900\absh16840 \overlay{\*\shppict {\pict\jpegblip\picw595 \pich842\picwgoal11900 \pichgoal16840\picscalex100 \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