結(jié)膜、角膜、鞏膜病課件

1、2022-1-28結(jié)膜、角膜、鞏膜病1第五章第五章 結(jié)膜病結(jié)膜病 Disorder of the conjunction2022-1-28結(jié)膜、角膜、鞏膜病2第一節(jié) 細(xì)菌性結(jié)膜炎 Bacterial conjunctivitis2022-1-28結(jié)膜、角膜、鞏膜病3一、急性卡他性結(jié)膜炎 Acute catarrhal conjunctivitis n病因 Etiologyn臨床表現(xiàn) Clinical findingsn診斷 Diagnosisn治療 Treatmentn預(yù)防 Prevention 2022-1-28結(jié)膜、角膜、鞏膜病4二、慢性卡他性結(jié)膜炎 Chronic catarrhal c

2、onjunctivitisn病因 Etiologyn臨床表現(xiàn) Clinical findingsn診斷 Diagnosisn治療 Treatment 2022-1-28結(jié)膜、角膜、鞏膜病5三、淋菌性結(jié)膜炎Gonococcalconjunctivitisn臨床表現(xiàn) Clinical findings 眼分泌物增多 結(jié)膜充血 ocular secretion and conjunctival hyperemia.2022-1-28結(jié)膜、角膜、鞏膜病6治療 Treatmentn首先要查找致病原因，然后針對(duì)不同致病原因進(jìn)行恰當(dāng)治療。nfirst of all,it is necessary to lo

3、ok for the cause,and then to give proper management according to different causes.2022-1-28結(jié)膜、角膜、鞏膜病7第二節(jié) 衣原體性結(jié)膜炎 Chlamydial conjunctivitis 2022-1-28結(jié)膜、角膜、鞏膜病8沙眼 Crachoman病因 Etiologyn沙眼衣原體感染 infection of Chlamydia trachomatisn臨床表現(xiàn) Clinical findings n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。nocular secretion a

4、nd conjunctival hyperemia.，papillary hyperplasia in palpebral conjunctiva,follicles are full of upper and lower fornical conjunctiva.2022-1-28結(jié)膜、角膜、鞏膜病9后遺癥與并發(fā)癥Sequela and complicationn1、瞼內(nèi)反及倒睫 Entropion and trichiasisn2、上瞼下垂 Blepharoptosisn3、瞼球粘連 Symblepharonn4、實(shí)質(zhì)性角結(jié)膜干燥癥 Parenchymatous xerosis of co

5、njunctivan5、慢性淚囊炎 Chronic dacryocysititisn6、角膜混濁 Corneal opacity2022-1-28結(jié)膜、角膜、鞏膜病10治療 Treatmentn包括局部用藥 systemic administration n全身用藥及手術(shù)治療 operative treatment.2022-1-28結(jié)膜、角膜、鞏膜病11第三節(jié) 病毒性結(jié)膜炎 Viral conjunctivitisn流行性角結(jié)膜炎 Epidemic keratocojunctivitisn病因 Etiologyn病原體是腺病毒 The pathogen is adenovirus.2022-

6、1-28結(jié)膜、角膜、鞏膜病12臨床表現(xiàn) Clinical findingsn刺激癥狀顯著,自覺有異物感、刺癢、疼痛、畏光和流淚 nappear strong irritating symptoms,such as foreign body sensation,itching,pain,photophobia and tearing etc.n耳前淋巴結(jié)腫大并有壓痛npreauricular lymphadenectasis and tenderness.n同時(shí)出現(xiàn)角膜炎癥狀 nat the same time,appear the symptom of keratitis2022-1-28結(jié)膜

7、、角膜、鞏膜病13治療 Treatmentn本病無特效藥物 there is no specific drug for the disordern藥物治療以局部治療為主 mainly depends on topical treatment.2022-1-28結(jié)膜、角膜、鞏膜病14第六章 角膜病 Disease of the cornea 2022-1-28結(jié)膜、角膜、鞏膜病15第一節(jié) 角膜炎癥 Corneal inflammationn病因 Etiology n外源性、內(nèi)源性、局部蔓延 exogenous.endogenous.local speadingn診斷 Diagnosisn癥狀 實(shí)

8、驗(yàn)室檢查 clinical findings lab examinations2022-1-28結(jié)膜、角膜、鞏膜病16治療原則 The treatment principles n1. 去除病因 rid of pathogenic causesn2. 積極控制感染 control infectionn3. 增強(qiáng)全身及局部抵抗力 n enhance systemic and local resistancen4. 促進(jìn)愈合 promote to heal 5. 減少瘢痕形成 reduce scar formation 2022-1-28結(jié)膜、角膜、鞏膜病17第二節(jié) 炎癥 Keratitis202

9、2-1-28結(jié)膜、角膜、鞏膜病18細(xì)菌性角膜潰瘍 Bacterial corneal ulcern臨床表現(xiàn) Clinical findingsn治療 Treatment 2022-1-28結(jié)膜、角膜、鞏膜病19單純皰疹病毒性角膜炎 Herpes simple keratitisn臨床表現(xiàn) Clinical findingsn治療 Treatment 2022-1-28結(jié)膜、角膜、鞏膜病20蠶蝕性角膜潰瘍 Rodent ulcer or Mooren ulcern臨床表現(xiàn)Clinical findingsn治療Treatment 2022-1-28結(jié)膜、角膜、鞏膜病21角膜軟化癥 Keratom

10、alacian臨床表現(xiàn) Clinical findingsn治療 Treatment 2022-1-28結(jié)膜、角膜、鞏膜病22第七章 鞏膜病 Scleral disorder2022-1-28結(jié)膜、角膜、鞏膜病23第一節(jié) 概述 General descriptionn原因 The causen1. 與多種全身感染性疾病有關(guān) Related to many systemic infectious disordersn2. 外傷或感染 The injury or infectionn3. 自身免疫性疾病 Autoimmune desmosis2022-1-28結(jié)膜、角膜、鞏膜病24n臨床特點(diǎn) Clinical characteristicn治療 Treatment2022-1-28結(jié)膜、角膜、鞏膜病25第二節(jié) 表層鞏膜炎 Episcleritisn一結(jié)節(jié)性表層鞏膜炎 n Nodular