眼科學(xué)課件：05 眼瞼病-ENG

1、Eye lids diseases Surgical Anatomy of the eye lid 1、skin (thinnest)2、subcutaneous tissue(loose ，areolar tissue)3、muscules： (orbicularis oculi muscle;levator palpebrae superioris muscle;)4、fibre ： (tarsi)、（orbital septem）5、 conjunctivauThe lack of venous valves in the eyelids veinsulids gland zeis gl

2、and moll gland meibomain glnduFunctionsProtect eyeballCosmetologyHordeolumHordeolumThe acute inflammation of eyelids glandThe acute inflammation of eyelids gland MeibomianMeibomian gland-Internal gland-Internal hordeolumhordeolum Moll Moll glandgland or or ZeisZeis gland-External gland-External hord

3、eolumhordeolum1.Etiology1.Etiology： 2.Clinical manifestation2.Clinical manifestation： red swelling pain knot red swelling pain knot Complication: Complication: orbital cellutlitisorbital cellutlitis hematosepsis hematosepsis cavernous snus thrombosis cavernous snus thrombosis 3.Treatment: 3.Treatmen

4、t: hot compresshot compress eye dropeye drop eye ointment eye ointment suegical incition and drainage when abscess formsuegical incition and drainage when abscess formu DO not pressingDO not pressingC ChalazionhalazionThe chronic granulomatous diseaseThe chronic granulomatous disease 1.Etiology1.Eti

5、ology：meibomainmeibomain gland block gland block 2.Clinical manifestation2.Clinical manifestation：slow pressslow press，no no painpain 3.Treatment3.Treatment：observationobservation hot press hot press operation operation uExclude magligment change in old Exclude magligment change in old menmenChalazi

6、on operation( (一一)Squamous blepharitis)Squamous blepharitis 1.Etiology:1.Etiology:spore bacteriaspore bacteria 2.Clinical manifestation2.Clinical manifestation： 3.Treatment3.Treatment：CleaningCleaning OintmentOintment uSquamous Squamous blepharitisblepharitis( (二二) ) Ulcerative blepharitisUlcerative

7、 blepharitis 1.Etiology: 1.Etiology:bacteriabacteria 2.Clinical manifestation2.Clinical manifestation：SevereSevere 3.Treatment3.Treatment：（2-8weeks2-8weeks） Clean Clean Ointment OintmentUlcerative Ulcerative blepharitisblepharitis ( (三三) ) Angular blepharitisAngular blepharitis 1.Etiology 1.Etiology

8、：Morar-Axenfeld Morar-Axenfeld Lack of Vit B Lack of Vit B2 2 2.Clinical manifestation2.Clinical manifestation：out canthus out canthus hyperemia,swelling,erosionhyperemia,swelling,erosion3.Treatment3.Treatment：0.3%ZnSO0.3%ZnSO4 4 eye dropeye drop Vit B Vit B2 21.(Etiology)1.(Etiology)： 2.(Symptoms and Signs)2.(Symptoms and Signs)： 3.(Treatment)3.(Treatment)：u（一）（一）tri