眼科學(xué)教學(xué)課件：05 眼瞼病-ENG

EyelidsdiseasesSurgicalAnatomyoftheeyelid1、skin(thinnest)2、subcutaneoustissue(loose，areolartissue)3、muscules：

(orbicularisoculimuscle;levatorpalpebraesuperiorismuscle;)4、fibre：(tarsi)、（orbitalseptem）5、conjunctivaThelackofvenousvalvesintheeyelid’sveins

lidsgland

zeisgland

mollgland

meibomainglndFunctionsProtecteyeballCosmetology

HordeolumTheacuteinflammationofeyelid’sglandMeibomiangland---InternalhordeolumMoll

gland

orZeis

gland---Externalhordeolum1.Etiology：

2.Clinicalmanifestation：redswellingpainknotComplication:

orbitalcellutlitishematosepsiscavernoussnusthrombosis

3.Treatment:hotcompress

eyedropeyeointment

suegicalincitionanddrainagewhenabscessform

DOnotpressing

Hordeolum鑒別診斷

(DifferentiationDiagnosis)二、ChalazionThechronicgranulomatousdisease

1.Etiology：meibomainglandblock

2.Clinicalmanifestation：slowpress，nopain

3.Treatment：observationhotpressoperation

Excludemagligmentchangeinoldmen

ChalazionChalazionoperation

三、Blepharitis

(一)Squamousblepharitis

1.Etiology:sporebacteria

2.Clinicalmanifestation：

3.Treatment：Cleaning

Ointment

Squamousblepharitis(二)

Ulcerativeblepharitis

1.Etiology:bacteria

2.Clinicalmanifestation：Severe

3.Treatment：（2-8weeks）CleanOintmentUlcerativeblepharitis

(三)

Angularblepharitis

1.Etiology：Morar-AxenfeldLackofVitB2

2.Clinicalmanifestation：outcanthushyperemia,swelling,erosion3.Treatment：0.3%ZnSO4

eyedrop

VitB2

四、Contactdermatitis1.(Etiology)：

2.(SymptomsandSigns)：

3.(Treatment)：Abnormalofeyelid’spositionandfunction（一）trichiasis(二)（entropion)