眼科学第五章-结膜病-课件

第五章第五章 结膜病结膜病 Disorder of the conjunction5/15/20241眼科学第五章 结膜病 Disorder of the 第一节细菌性结膜炎Bacterialconjunctivitis5/15/20242眼科学第一节 细菌性结膜炎 Bacterial conjunc一、急性卡他性结膜炎Acutecatarrhalconjunctivitis n病因Etiologyn临床表现Clinicalfindingsn诊断Diagnosisn治疗Treatmentn预防Prevention 5/15/20243眼科学一、急性卡他性结膜炎 Acute catarrhal co二、慢性卡他性结膜炎Chroniccatarrhalconjunctivitisn病因Etiologyn临床表现Clinicalfindingsn诊断Diagnosisn治疗Treatment 5/15/20244眼科学二、慢性卡他性结膜炎 Chronic catarrhal 三、淋菌性结膜炎Gonococcalconjunctivitisn临床表现Clinicalfindings眼分泌物增多结膜充血ocular secretion and conjunctivalhyperemia.5/15/20245眼科学三、淋菌性结膜炎Gonococcalconjunctivit治疗Treatmentn首先要查找致病原因，然后针对不同致病原因进行恰当治疗。nfirst of all,it is necessary to lookfor the cause,and then to giveproper management according todifferentcauses.5/15/20246眼科学治疗 Treatment首先要查找致病原因，然后针对不同致第二节衣原体性结膜炎Chlamydialconjunctivitis 5/15/20247眼科学第二节 衣原体性结膜炎 Chlamydial conju沙眼Crachoman病因Etiologyn沙眼衣原体感染infectionofChlamydiatrachomatisn临床表现Clinicalfindingsn眼分泌物增多，结膜充血，睑结膜乳头增生，上下穹窿部结膜布满滤泡。nocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.5/15/20248眼科学沙眼 Crachoma病因 Etiology8/3/20后遗症与并发症Sequelaandcomplicationn1、睑内反及倒睫Entropionandtrichiasisn2、上睑下垂Blepharoptosisn3、睑球粘连Symblepharonn4、实质性角结膜干燥症Parenchymatousxerosisofconjunctivan5、慢性泪囊炎Chronicdacryocysititisn6、角膜混浊Cornealopacity5/15/20249眼科学后遗症与并发症Sequela and complicati治疗Treatmentn包括局部用药systemicadministrationn全身用药及手术治疗operativetreatment.5/15/202410眼科学治疗 Treatment包括局部用药8/3/202310眼第三节病毒性结膜炎Viralconjunctivitisn流行性角结膜炎Epidemickeratocojunctivitisn病因Etiologyn病原体是腺病毒Thepathogenisadenovirus.5/15/202411眼科学第三节 病毒性结膜炎 Viral conjunctivit临床表现Clinicalfindingsn刺激症状显著,自觉有异物感、刺痒、疼痛、畏光和流泪nappearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.n耳前淋巴结肿大并有压痛npreauricularlymphadenectasisandtenderness.n同时出现角膜炎症状natthesametime,appearthesymptomofkeratitis5/15/202412眼科学临床表现 Clinical findings刺激症状显著,治疗Treatmentn本病无特效药物there is no specific drug for thedisordern药物治疗以局部治疗为主mainlydependsontopicaltreatment.5/15/202413眼科学治疗 Treatment本病无特效药物8/3/202313眼第六章角膜病Diseaseofthecornea 5/15/202414眼科学第六章 角膜病 Disease of the corne第一节角膜炎症Cornealinflammationn病因Etiologyn外源性、内源性、局部蔓延exogenous.endogenous.localspeadingn诊断Diagnosisn症状实验室检查clinicalfindingslabexaminations5/15/202415眼科学第一节 角膜炎症 Corneal inflammation治疗原则Thetreatmentprinciples n1.去除病因ridofpathogeniccausesn2.积极控制感染controlinfectionn3.增强全身及局部抵抗力nenhancesystemicandlocalresistancen4.促进愈合promotetoheal5.减少瘢痕形成reducescarformation 5/15/202416眼科学治疗原则 The treatment principles第二节炎症Keratitis5/15/202417眼科学第二节 炎症 Keratitis8/3/202317眼科学细菌性角膜溃疡Bacterialcornealulcern临床表现Clinicalfindingsn治疗Treatment5/15/202418眼科学细菌性角膜溃疡 Bacterial corneal ulc单纯疱疹病毒性角膜炎Herpessimplekeratitisn临床表现Clinicalfindingsn治疗Treatment5/15/202419眼科学单纯疱疹病毒性角膜炎 Herpes simple kera蚕蚀性角膜溃疡RodentulcerorMoorenulcern临床表现Clinicalfindingsn治疗Treatment5/15/202420眼科学蚕蚀性角膜溃疡 Rodent ulcer or Moore角膜软化症Keratomalacian临床表现Clinicalfindingsn治疗Treatment5/15/202421眼科学角膜软化症 Keratomalacia临床表现 Cl第七章巩膜病Scleraldisorder5/15/202422眼科学第七章 巩膜病 Scleral disorder8/3第一节概述Generaldescriptionn原因Thecausen1.与多种全身感染性疾病有关Related to many systemic infectiousdisordersn2.外伤或感染Theinjuryorinfectionn3.自身免疫性疾病Autoimmunedesmosis5/15/202423眼科学第一节 概述 General description原因 n临床特点Clinicalcharacteristicn治疗Treatment5/15/202424眼科学临床特点 Clinical characterist第二节表层巩膜炎Episcleritisn一结节性表层巩膜炎nNodularepiscleritisn二周期性表层巩膜炎nPeriodicepiscleritis5/15/202425眼科学第二节 表层巩膜炎 Episcleritis一结节性表层第三节巩膜炎Scleritisn一前巩膜炎Anteriorscleritisn二后巩膜炎Posteriorscleritsn三 坏 死 性 巩 膜 炎 Necrotizingsclertis5/15/202426眼科学第三节 巩膜炎 Scleritis一前巩膜炎 Anter