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Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?pHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut kapal1 a1l1 glokom B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bs    Tart1_mar;~ :H 1 ( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP ՜.+,0    Ekran GsterisifarabiV' ArialTimes New RomanVerdana Wingdingsakan Kreler"VAKA SUNUMU: ARISIZ KIRMIZI GZSlayt 2Slayt 3Slayt 4Slayt 5 n tan? TartmaSlayt 8Akut a kapanmas glokomu Slayt 10 Episklerit Slayt 12Hifema Slayt 14Viral Konjuk_lenovolenovotivit Slayt 16ZET KAYNAKLARTEEKKRLER.. Kullanlan Yaz TipleriTasarm ablonuSlayt BalklaralngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@`` !,    21      ,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppVBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?pHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut kapal1 a1l1 glokom B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bs    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.(Zf~ 4 -;  0 (  r  S ^`_^ ^ H  0޽h ? ___ff3ff80___PPT10.`lrm ]~ rm 1%( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@`` "/    21      !,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?pHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut kapal1 a1l1 glokom B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bs    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -;     0 (  r  S ^`,_^ ^ H  0޽h ? ___ff3ff80___PPT10.`l$  0 $(  r  S c^`_^  O r  S ^`_^ O H  0޽h ? ___ff3ff80___PPT10.rK x*~ 'V 1)( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@`` "/    21      !,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit \     Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; $  0 t$(  tr t S @e`_^  e r t S e`_^ e H t 0޽h ? ___ff3ff80___PPT10.S3rǸ~ r 1( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@`` "/    21      !,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 pp(BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1l1kla karakterizedir. intraoooP$  $  0 $(  r  S c^`_^  O r  S ^`_^ O H  0޽h ? ___ff3ff80___PPT10.r/ ~   1( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@`` "/    21      !,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppPBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1l1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil ota dercede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.$   % 5$  0 $(  r  S c^`_^  O r  S ^`]_^ O H  0޽h ? ___ff3ff80___PPT10.r8 ~ - 1( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@`` "/    21      !,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppPBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1l1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil ota dercede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.$   % 5ri~ E2 1 ( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@``  #2    21      !",R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppvBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNO|QRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1l1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil ota dercede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.$   % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir.0Z   ) % 5$  0  $(  r  S `^`_^  ^ r  S 0g^`_^ ^ H  0޽h ? ___ff3ff80___PPT10.'rf ]1 ~ B3 1 ( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@``  #2    21      !",R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppvBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1l1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil ota dercede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.$   % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir.0Z   ) % 5r3 ~ 3T 1 ( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@``  #2    21      !",R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 pphBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.t$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5$  0 $(  r  S c^`_^  O r  S ^`]_^Y O H  0޽h ? ___ff3ff80___PPT10.$  0  $(  r  S `^`_^  ^ r  S 0g^`_^Y ^ H  0޽h ? ___ff3ff80___PPT10.'rT ux~ T1z 1f"( / 00DArialngsRomanPP&ؖ 0ؖ"DTimes New RomanPP&ؖ 0ؖ DVerdanaw RomanPP&ؖ 0ؖ"0DWingdingsRomanPP&ؖ 0ؖ A . @n?" dd@  @@`` ($5    21      !"#,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYdɘ 0ppp@ <4dddd^ 0P& 80___PPT10 ppBVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemaHifema n kamaraya kanama nedeni ile olu_ur. Bu durum eritrositlerin katman halinde gze yay1lmalar1na yol aar. rr$a $  0 0$(  r  S ^`_^  ^ r  S tY^`_^ ^ H  0޽h ? ___ff3ff80___PPT10.@Grqzߜ ~ Mz 1(( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` 0%8   21      !"#$,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp^#BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. IIH N $  0 0$(  r  S C:`_^  : r  S lD:`_^ : H  0޽h ? ___ff3ff80___PPT10.@G$  0 @$(  r  S A `_^    r  S | `_^   H  0޽h ? ___ff3ff80___PPT10.rG 6b ~ #1(( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ !"#$,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp^#BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. IIH N r ~ 1)( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` @'Q   21      !"#$%1,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp#BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZETf  0 P0f(  r  S  *`j    T 0 #"*T    <* ?  @ @`  <" ?T  j"V0RAL KONJUKT0V0T @`  <, ?  @ @`   <D ?T  r*SUBKONJ0KT0VAL KANAMA @`   < ?   n kamaraya yay1lm1_ eritrositler,olas1 grme keskinliinde azalma, fotofobi, gz ar1s1YYD  @`   < ?T  T H0FEMA @`   <(K ?   Lokalize ya da yayg1n k1zar1kl1k,hafif ar1,palpasyonla hassasiyet,grme normal, Oral NSA00 ve topikal steroidlere cevap verir.>, (  @`   <?T  \EP0SKLER0T   @`  <d?  Diffz konj.k1zar1kl1k,zellikle limbus kenar1nda,gz ar1s1na e_lik eden ba_ ar1s1,grme bulan1kl11 ve grme keskinliinde azalma,kar1n ar1s1,bulant1-kusma olabilir. Genellikle tek tarafl1,pupil mid-dilated ve 1_1a yan1ts1z.l @`  <?T  bAKUT AI KAPANMASI GLOKOMU @`  <@?  z2KARAKTER0ST0K ZELL0KLER0 @`  <?T  LTANI @``B  0o ?TZB  s *1 ?TZB  s *1 ?TEZB  s *1 ?T  ZB  s *1 ?T  ZB  s *1 ?T`B  0o ?T`B  0o ?TTZB  s *1 ?  `B  0o ?H  0޽h ? ___ff3ff80___PPT10.p՛r ~ 31)( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` @'Q   21      !"#$%4,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp#BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  0 zP3(  r  S  *`j   ` TH 3 #"*TH    <* ? \H @ @`  <" ?T\ H j"V0RAL KONJUKT0V0T @``  <, ? \ Keskin s1n1rla ayr1lm1_ parlak k1zar1k alan,ar1s1z,grme normal,BB: @`   <D ?T \ r*SUBKONJ0KT0VAL KANAMA @`   < ?   n kamaraya yay1lm1_ eritrositler,olas1 grme keskinliinde azalma, fotofobi, gz ar1s1YYD  @`   < ?T  T H0FEMA @`   <(K ?   Lokalize ya da yayg1n k1zar1kl1k,hafif ar1,palpasyonla hassasiyet,grme normal, Oral NSA00 ve topikal steroidlere cevap verir.>, (  @`   <?T  \EP0SKLER0T   @`  <d?  Diffz konj.k1zar1kl1k,zellikle limbus kenar1nda,gz ar1s1na e_lik eden ba_ ar1s1,grme bulan1kl11 ve grme keskinliinde azalma,kar1n ar1s1,bulant1-kusma olabilir. Genellikle tek tarafl1,pupil mid-dilated ve 1_1a yan1ts1z.l @`  <?T  bAKUT AI KAPANMASI GLOKOMU @`  <@?  z2KARAKTER0ST0K ZELL0KLER0 @`  <?T  LTANI @``B  0o ?TZB  s *1 ?TZB  s *1 ?TZB  s *1 ?T  ZB  s *1 ?T  ZB  s *1 ?T\\`B  0o ?THH`B  0o ?TTHZB  s *1 ?  H`B  0o ?HH  0޽h ? ___ff3ff80___PPT10.p՛r3\ ~ 3q1)( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` @'Q   21      !"#$%5,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp#BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  0 P4(  r  S  *`j   j T 4 #"*T    <* ?  @ @`  <" ?T  j"V0RAL KONJUKT0V0T @`j  <, ?  Keskin s1n1rla ayr1lm1_ parlak k1zar1k alan,ar1s1z,grme normal,kendiliinden geriler.XX @`   <D ?T  r*SUBKONJ0KT0VAL KANAMA @`   < ?   n kamaraya yay1lm1_ eritrositler,olas1 grme keskinliinde azalma, fotofobi, gz ar1s1YYD  @`   < ?T  T H0FEMA @`   <(K ?   Lokalize ya da yayg1n k1zar1kl1k,hafif ar1,palpasyonla hassasiyet,grme normal, Oral NSA00 ve topikal steroidlere cevap verir.>, (  @`   <?T  \EP0SKLER0T   @`  <d?  Diffz konj.k1zar1kl1k,zellikle limbus kenar1nda,gz ar1s1na e_lik eden ba_ ar1s1,grme bulan1kl11 ve grme keskinliinde azalma,kar1n ar1s1,bulant1-kusma olabilir. Genellikle tek tarafl1,pupil mid-dilated ve 1_1a yan1ts1z.l @`  <?T  bAKUT AI KAPANMASI GLOKOMU @`  <@?  z2KARAKTER0ST0K ZELL0KLER0 @`  <?T  LTANI @``B  0o ?TZB  s *1 ?TZB  s *1 ?TZB  s *1 ?T  ZB  s *1 ?T  ZB  s *1 ?T`B  0o ?T`B  0o ?TTZB  s *1 ?  `B  0o ?H  0޽h ? ___ff3ff80___PPT10.p՛r3rT ~ rx1)( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` @'Q   21      !"#$%7,R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp#BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  0 4,P6(  r  S  *`j    T 6 #"* tjT  \  <* ?  Yayg1n k1zar1kl1k,sulu ak1nt1,s1kl1kla st olunum yolu enfeksiyonuna e_lik eder.QQ @`  <" ?T  j"V0RAL KONJUKT0V0T @`j  <, ?  Keskin s1n1rla ayr1lm1_ parlak k1zar1k alan,ar1s1z,grme normal,kendiliinden geriler.XX @`   <D ?T  r*SUBKONJ0KT0VAL KANAMA @`   < ?   n kamaraya yay1lm1_ eritrositler,olas1 grme keskinliinde azalma, fotofobi, gz ar1s1YYD  @`   < ?T  T H0FEMA @`   <(K ?   Lokalize ya da yayg1n k1zar1kl1k,hafif ar1,palpasyonla hassasiyet,grme normal, Oral NSA00 ve topikal steroidlere cevap verir.>, (  @`   <?T  \EP0SKLER0T   @`  <d?  Diffz konj.k1zar1kl1k,zellikle limbus kenar1nda,gz ar1s1na e_lik eden ba_ ar1s1,grme bulan1kl11 ve grme keskinliinde azalma,kar1n ar1s1,bulant1-kusma olabilir. Genellikle tek tarafl1,pupil mid-dilated ve 1_1a yan1ts1z.l @`  <?T  bAKUT AI KAPANMASI GLOKOMU @`  <@?  z2KARAKTER0ST0K ZELL0KLER0 @`  <?T  LTANI @``B  0o ?TZB  s *1 ?TZB  s *1 ?TZB  s *1 ?T  ZB  s *1 ?T  ZB  s *1 ?T`B  0o ?T`B  0o ?TTZB  s *1 ?  `B  0o ?H  0޽h ? ___ff3ff80___PPT10.p՛r ~ 1)( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` H(T   21      !"#$%7',R$M?]Dݚqd>p 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp$BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. 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ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HyphemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. 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A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. 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Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. 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ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. 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A . @n?" dd@  @@`` h,g   21      !"#$%7'()*+4R$M?]Dݚqd>pR$Z:agtaWk6pb$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8J 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp$BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. 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A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. 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ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0Z  0 PH(  r  S <`_^   r  S `_^    C ArANd9GcQpK5hkZJD9aHMpwyBN1IW-llak-NHSkfARP5riwEXvUKnmbtPuH  0޽h ? ___ff3ff80___PPT10.X{r0\~ 0_1      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~                           ! 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ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..(  0 & (  r  S V`t   r  S >`_^ >   C bA Hchild_eyes_face_hat_82165_1920x1080zH  0޽h ? ___ff3ff80___PPT10.FG+r`]~ _1g,( / 00DArialngsRomanPP,ؖ 0ؖ" DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp>%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.PMuayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?tHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hyphema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..($  0 l$(  lr l S :`_^  : r l S :`_^ : H l 0޽h ? ___ff3ff80___PPT10.0 |@rWƻ~ 31S,( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp*%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?rHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hifema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama boukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.&f 4 -; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..($  0 t$(  tr t S T>`_^   r t S ,?`_^  H t 0޽h ? ___ff3ff80___PPT10.S3r.~  1U,( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp,%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?rHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hifema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama bozukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.& f 4 - ; 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1n1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  % 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..(  0 (  r  S X`   H  0޽h ? ___ff3ff80___PPT10.`lr N~ 1W,( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp.%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?rHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hifema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama bozukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.& ft 4 - 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1nt1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.t$    5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemazHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme olmaks1z1n grlen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..($  0 $(  r  S  ]`_^   r  S Tk`]_^Y  H  0޽h ? ___ff3ff80___PPT10.r< G~ I1k,( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 ppB%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?rHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hifema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama bozukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.& ft 4 - 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1nt1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  & 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemaHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme gerek olmaks1z1n grlebilen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma,fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.~c R -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..($  0 0$(  r  S C:`_^  : r  S lD:`_^ : H  0޽h ? ___ff3ff80___PPT10.@GrJvv ~ Ix1[,( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp2%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?rHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hifema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm s                          ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 klera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama bozukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.& ft 4 - 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1nt1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  & 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemaHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme gerek olmaks1z1n grlebilen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma, fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..($  0 0$(  r  S C:`_^  : r  S lD:`_^ : H  0޽h ? ___ff3ff80___PPT10.@GrxA ~ xm1[,( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp2%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?rHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hifema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama bozukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.& ft 4 - 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1nt1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  & 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemaHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme gerek olmaks1z1n grlebilen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma, fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..(r~  1[,( / 00DArialngsRomanPP,ؖ 0ؖ"DTimes New RomanPP,ؖ 0ؖ DVerdanaw RomanPP,ؖ 0ؖ"0DWingdingsRomanPP,ؖ 0ؖ A . @n?" dd@  @@`` d\p-k   21      !"#$%7'( )*+,R$M?]Dݚqd>p$b$ZȏmMY#\ R$峋!l߻(zR$87 Ǖ١eSR$4bMsJ yThR$ }Q8JR$uJʚ?|>dCR$ 9S&%챴bmb_ 0AA@83ʚ;ʚ;g4YdYd^ 0ppp@ <4dddd^ 0Pd, 80___PPT10 pp2%BVAKA SUNUMU: ARISIZ KIRMIZI GZ. ARA^.GR.DR.M.NURDAN ZKAYA KT A0LE HEK0ML00 ABD 10.11.2015&Z55 ya_1nda kad1n, Sabah uyand1ktan sonra fark ettii, Ani ba_layan, Ar1s1z, Sol gznde k1zar1kl1k _ikayeti ile ba_vurdu. Okler ak1nt1, Fotofobi, Bulan1k grme, Knt travma yks, Ar1 tariflemiyordu.>Muayenede , 0ntraokler tansiyonu normotansifti. Pupiller izokorik ve reaktif idi. Dzeltilmi_ grmesi 20/20 idi. P  1n tan1?rHastan1n hikaye ve fizik muayene bulgular1 e_liinde hangisi ncelikli tan1n1zd1r? A) Akut a1 kapanmas1 glokomu B) Episklerit C) Hifema D) Subkonjuktival kanama E) Viral konjuktivit bu    Tart1_maCevap:D Subkonjuktival Hemoraji Subkonjuktival Hemoraji, konjuktiva alt1nda kanla karaktarize,k1rm1z1 gzn yayg1n bir nedenidir. Genellikle gzn bir k1sm1n1 tutar. A1r vakalarda tm sklera kanla kapanm1_ olabilir. Hastalar genellikle asemptomatiktir. Ar1 veya grme dei_iklikleri olmaz. Ancak k1zar1k olan blge keskin s1n1rl1d1r ve s1kl1kla hastalarda tedirginlik olu_turur.  _  \.  ou sub-konjuktival kanamalar kendiliinden veya ksrme,hap_1rma,1k1nma gibi fark edilmeyen minr travmalar sonucu geli_ebilir. Hastada travma yks varsa gz kresinin rptr ekarte edilmelidir. Hipertansiyon,ya_l1 hastalarda sub-konjuktival kanaman1n ba_ta gelen risk faktrdr. Anti-koaglan ilalar ve kanama bozuklular1 da bu duruma neden olabilir. ou vaka iki hafta iinde tedavisiz kendiliinden geriler. Hipertansiyonu olan ya da kanama bozukluu ile ilgili _pheli durumu olanlarda ileri tetkik gerekir.& ft 4 - 4Akut a1 kapanmas1 glokomuAkut a1 kapanmas1 glokomu,en fazla limbusa kom_u alanda yayg1n konjuktival k1zar1kl1kla karakterizedir. 0ntraokler bas1n artm1_t1r. Ak1nt1 olmaz fakat pupil orta derecede dilatedir ve 1_1k refleksi zay1ft1r. Hafiften ok _iddetliye kadar gz ar1s1na ba_ ar1s1,grme bulan1kl11 ya da grmede azalma e_lik edebilir. Hastalar 1_1k etraf1nda haleler grme bildirebilir. Genellikle tek tarafl1d1r. Kar1n ar1s1,bulant1, kusma mevcut olabilir. Tm hastalar acil oftalmolojik sevk gerektirir.b$  & 5   Episklerit Episklerit k1rm1z1 gz grnmn veren , dilate episkleral damarlar ile karakterize iltihabi bir durumdur. K1zar1kl1k genellikle lokalizedir, ancak yayg1n da olabilir. Grme etkilenmez ancak,hastalar etkilenmi_ blgede hafif ar1 veya hassasiyet duyabilirler. Hastal1k oral NSA0 ilalara veya topikal kortikosteroidlere yan1t verir ve genellikle sklerite ilerlemez. Vakalar1n yakla_1k yar1s1nda bilateral tutulum vard1r. Tekrarlayan vakalar oto-immn hastal1klar a1s1ndan deerlendirilmeyi gerektirir..   ) )5 HifemaHifema n kamaraya kanama nedeni ile olu_ur. Biyomikroskop ya da oftalmoskopla inceleme gerek olmaks1z1n grlebilen eritrositlerin katman halinde gze yay1lmalar1na yol aar. Hastalarda genellikle orbitaya knt bir travma yks vard1r. Hifemalar grme keskinliinde azalma, fotofobi ve gz ar1s1 yapabilir ancak ak1nt1 olmaz. Hifemal1 hastalar delici gz travmas1 gibi dier gz yaralanmalar1n1n deerlendirilmesi a1s1ndan acil olarak sevk edilmelidir.l -x Viral Konjuktivit$ Viral konjuktivit birinci basamakta grlen k1rm1z1 gzn en s1k nedenlerinden biridir. Genellikle bir st solunum yolu enfeksiyonuna e_lik eder ve bula_1c1d1r. Fizik muayenede sulu bir ak1nt1yla birlikte yayg1n k1zar1kl1k vard1r. Pupiller reaktiftir. Genellikle hastalar kum batm1_ hissi tarif ederler ama grmeleri normaldir. II6 Z ZET  KAYNAKLARAAFP PHOTO QU0ZTE^EKKRLER..(r@~ 1Root EntrydO) PicturesvCurrent User ,SummaryInformation(WI                          ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8                            ! 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