眼科學(xué)第五章-結(jié)膜病-課件

第五章

結(jié)膜病

Disorderoftheconjunction9/7/20231眼科學(xué)第五章結(jié)膜病

Disorderofthe第一節(jié)細(xì)菌性結(jié)膜炎

Bacterialconjunctivitis

9/7/20232眼科學(xué)第一節(jié)細(xì)菌性結(jié)膜炎

Bacterialconjunc一、急性卡他性結(jié)膜炎

Acutecatarrhalconjunctivitis

病因Etiology臨床表現(xiàn)Clinicalfindings診斷Diagnosis治療Treatment預(yù)防Prevention

9/7/20233眼科學(xué)一、急性卡他性結(jié)膜炎

Acutecatarrhalco二、慢性卡他性結(jié)膜炎

Chroniccatarrhalconjunctivitis

病因Etiology臨床表現(xiàn)Clinicalfindings診斷Diagnosis治療Treatment

9/7/20234眼科學(xué)二、慢性卡他性結(jié)膜炎

Chroniccatarrhal三、淋菌性結(jié)膜炎Gonococcalconjunctivitis臨床表現(xiàn)Clinicalfindings眼分泌物增多結(jié)膜充血ocularsecretionandconjunctivalhyperemia.9/7/20235眼科學(xué)三、淋菌性結(jié)膜炎Gonococcalconjunctivit治療

Treatment首先要查找致病原因，然后針對不同致病原因進(jìn)行恰當(dāng)治療。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.9/7/20236眼科學(xué)治療Treatment首先要查找致病原因，然后針對不同致第二節(jié)衣原體性結(jié)膜炎

Chlamydialconjunctivitis

9/7/20237眼科學(xué)第二節(jié)衣原體性結(jié)膜炎

Chlamydialconju沙眼

Crachoma病因Etiology沙眼衣原體感染infectionofChlamydiatrachomatis臨床表現(xiàn)Clinicalfindings眼分泌物增多，結(jié)膜充血，瞼結(jié)膜乳頭增生，上下穹窿部結(jié)膜布滿濾泡。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.9/7/20238眼科學(xué)沙眼Crachoma病因Etiology8/3/20后遺癥與并發(fā)癥

Sequelaandcomplication

1、瞼內(nèi)反及倒睫Entropionandtrichiasis2、上瞼下垂Blepharoptosis3、瞼球粘連Symblepharon4、實質(zhì)性角結(jié)膜干燥癥

Parenchymatousxerosisofconjunctiva5、慢性淚囊炎Chronicdacryocysititis6、角膜混濁Cornealopacity9/7/20239眼科學(xué)后遺癥與并發(fā)癥

Sequelaandcomplicati治療

Treatment包括局部用藥systemicadministration全身用藥及手術(shù)治療operativetreatment.9/7/202310眼科學(xué)治療Treatment包括局部用藥8/3/202310眼第三節(jié)病毒性結(jié)膜炎

Viralconjunctivitis流行性角結(jié)膜炎

Epidemickeratocojunctivitis病因Etiology病原體是腺病毒Thepathogenisadenovirus.9/7/202311眼科學(xué)第三節(jié)病毒性結(jié)膜炎

Viralconjunctivit臨床表現(xiàn)

Clinicalfindings刺激癥狀顯著,自覺有異物感、刺癢、疼痛、畏光和流淚

appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.耳前淋巴結(jié)腫大并有壓痛preauricularlymphadenectasisandtenderness.同時出現(xiàn)角膜炎癥狀atthesametime,appearthesymptomofkeratitis9/7/202312眼科學(xué)臨床表現(xiàn)Clinicalfindings刺激癥狀顯著,治療

Treatment本病無特效藥物thereisnospecificdrugforthedisorder藥物治療以局部治療為主mainlydependsontopicaltreatment.9/7/202313眼科學(xué)治療Treatment本病無特效藥物8/3/202313眼第六章角膜病

Diseaseofthecornea

9/7/202314眼科學(xué)第六章角膜病

Diseaseofthecorne第一節(jié)角膜炎癥

Cornealinflammation

病因Etiology外源性、內(nèi)源性、局部蔓延exogenous.endogenous.localspeading診斷Diagnosis癥狀實驗室檢查clinicalfindingslabexaminations9/7/202315眼科學(xué)第一節(jié)角膜炎癥

Cornealinflammation治療原則

Thetreatmentprinciples

1.

去除病因ridofpathogeniccauses2.

積極控制感染controlinfection3.

增強(qiáng)全身及局部抵抗力enhancesystemicandlocalresistance4.

促進(jìn)愈合promotetoheal5.減少瘢痕形成reducescarformation

9/7/202316眼科學(xué)治療原則

Thetreatmentprinciples第二節(jié)炎癥

Keratitis

9/7/202317眼科學(xué)第二節(jié)炎癥Keratitis

8/3/202317眼科學(xué)細(xì)菌性角膜潰瘍

Bacterialcornealulcer

臨床表現(xiàn)Clinicalfindings治療Treatment9/7/202318眼科學(xué)細(xì)菌性角膜潰瘍

Bacterialcornealulc單純皰疹病毒性角膜炎

Herpessimplekeratitis

臨床表現(xiàn)

Clinicalfindings治療Treatment9/7/202319眼科學(xué)單純皰疹病毒性角膜炎

Herpessimplekera蠶蝕性角膜潰瘍

RodentulcerorMoorenulcer

臨床表現(xiàn)Clinicalfindings治療Treatment9/7/202320眼科學(xué)蠶蝕性角膜潰瘍

RodentulcerorMoore角膜軟化癥

Keratomalacia

臨床表現(xiàn)Clinicalfindings治療Treatment9/7/202321眼科學(xué)角膜軟化癥Keratomalacia

臨床表現(xiàn)Cl第七章鞏膜病

Scleraldisorder

9/7/202322眼科學(xué)第七章鞏膜病

Scleraldisorder

8/3第一節(jié)概述

Generaldescription

原因Thecause1.與多種全身感染性疾病有關(guān)

Relatedtomanysystemicinfectiousdisorders2.

外傷或感染Theinjuryorinfection3.自身免疫性疾病

Autoimmunedesmosis9/7/202323眼科學(xué)第一節(jié)概述Generaldescription

原因臨床特點Clinicalcharacteristic治療Treatment9/7/202324眼科學(xué)臨床特點Clinicalcharacterist第二節(jié)表層鞏膜炎

Episcleritis

一．結(jié)節(jié)性表層鞏膜炎

Nodularepiscleritis二．周期性表層鞏膜炎

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