Endophthalmitis Et Causa Corneal Ulcer and Secondary Glaucoma with Thyroid Eye Disease in Agromedicine


  • Rosy Osiana Medical Faculty Lampung University
  • Rani Himayani Medical Faculty Lampung University
  • Helmi Ismunandar Medical Faculty Lampung University


Corneal Ulcer, exposure keratitis, secondary glaucoma, thyroid eye disease


Thyroid Eye Disease (TED)  is a disease of the eye that is characterized by bilateral proptosis which is added by increasing levels of T3, T4 and increasing TSH levels. TED patients are common exposure to keratitis in the cornea that is not properly closed and not completely closed by the palpebra. Corneal ulcers can occur due to keratitis. TED patients can also be approved with glaucoma. 31-year-old man who came with the main complaint that refused perfect vision since 2 weeks of SMRS. The initial complaint of the patient was raised casually for the second time since 3 weeks of SMRS. The patient has a view about the use leaf extract of the right eye so that make red eye and vision decrease increasingly then left eye and enlarge white spots. In patients complaining of weight loss of 14 kg for 1 month released with weakness, nausea, sweating, and shaking compilation in resting conditions. At the time of physical examination found a general situation, the level of compost mentis awareness, blood pressure 140/100 mmhg, pulse 130 x / min. The results of physical examination on the eyes obtained sharp vision of VOD 1/300 and VOS 6/60, exoftamus (+) ODS, ciliary injection (+) OD, conjunctival injection (+) ODS, corneal edema (+) OD, cumhipopion (+ ) OD size 2 mm x 1 mm, shallow anterio OD occer camera, and ODS secret (+). Laboratory examination T3 and T4 increased and TSH decreased. Treatment involves education, antibiotik, antihistamin, kalium, beta blocker, antifungal, diuretic, and steroid.


Sitorus R.S, Sitompul R.S, Widyawati S, Bani A.P. Buku Ajar Oftalmologi. Edisi ke-1. Jakarta: Balai penerbit FK UI; 2017.

Kim JW et al. Prevalence of Ocular Hypertension and Glaucoma as well Associated Thyroid Eye Disease (TED) Factor in Graves’Orbitopathy: J Glaucoma; 2018.

Riset Kesehatan Dasar Laporan Hasil Riset KesehatanDaerahNasional.Badan penelitian danpengembangan kesehatan [internet]. Jakarta; 2013[diakses tanggal 4 November 2019].Tersediadarihttp://www.depkes.go.id/resources/downloa/general/Hasil%20Riskesdas%202013.pdf.

IlyasSidarta, Rahayu S.Y.IlmuPenyakit Mata. Edisi ke‐5. Jakarta: Balai Penerbit FKUI;2015.

Kasperet al. Horrison’s Principles of Internal Medicine 19th Ed. United States America: The Mc Grawhill Companies; 2015.

Agrawal V. First Aid For Complication of Infectious Keratitis. Indian: Indian J Opthalmol; 2008: 56-3.

Austin A, Lietman T, Nussbaumer J. Update on the Management of Infectious Keratitis. American: Elsevier; 2017: 124.

Deschenes J. Bakterial Keratitis. Medscape [internet] 2017 [diakses tanggal 3 November 2019]. Tersedia dari http://emedicine.medscape.com/article/1194028-overview.

Goldberg I. Thyroid eye disease and Glaucoma. Australia: the Eye Associates; 2003. 12-6

Cross J.M et al. The Association between Thyroid Problem and Glaucoma. United States: NIH Public Access; 2008: 92-11

Hill M, Friedman D, Cooper E, Parker J. Susceptibility Profiles in Infectious Keratitis as an Aid in Antibiotik Selection. IOVS [internet] 2013. [Diakses tanggal 3 November 2019]. Tersedia dari https://iovs.arvojournals.org/article.aspx

Katarina M et al. The Efficacy of Moxifloxacin in Patients with Bacterial keratitis. Serbia; 2018: 75-2.

Borke J. Corneal Ulcer and Ulcerative Keratitis in Emergency Medicine. Medscape [internet] 2019 [diakses tanggal 3 November 2019]. Tersedia dari http://emedicine.medscape.com/article/798100-overview.

Jeong KU et al. Effects of Short-term Potassium Iodide Treatment for Thyrotoxicosis due to Graves Disease in Children and Adolescents. Korea: APEM; 2014:19-4.

Barrio JB et al. Graves’ Ophthalmopathy: VISA versus EUGOGO Classification, Assessment and Management. Hindawi Publishing Corporation Journal of Ophthalmology. 2015:16

Farzam K et al. Acetazolamide. Statpearl Publishing. 2019 [Diakses tanggal 3 November 2019]. Tersedia dari https://www.ncbi.nlm.nih.gov/books



How to Cite

Rosy Osiana, Rani Himayani, & Helmi Ismunandar. (2021). Endophthalmitis Et Causa Corneal Ulcer and Secondary Glaucoma with Thyroid Eye Disease in Agromedicine . Medical Profession Journal of Lampung, 9(4), 685-691. Retrieved from http://journalofmedula.com/index.php/medula/article/view/235




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