第五章结膜病

,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二层,第三层,第四层,第五层,*,*,*,单击此处编辑母版标题样式,*,*,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,第五章结膜病,第五章结膜病第五章结膜病第一节 细菌性结膜炎 Bacterial conjunctivitis,5/3/20212,第一节 细菌性结膜炎 Bacterial conjunctivitis,9/30/2024,2,一、急性卡他性结膜炎 Acute catarrhal conjunctivitis,病因 Etiology,临床表现 Clinical findings,诊断 Diagnosis,治疗 Treatment,预防 Prevention,9/30/2024,3,二、慢性卡他性结膜炎 Chronic catarrhal conjunctivitis,病因 Etiology,临床表现 Clinical findings,诊断 Diagnosis,治疗 Treatment,9/30/2024,4,三、淋菌性结膜炎Gonococcalconjunctivitis,临床表现 Clinical findings,眼分泌物增多 结膜充血,ocular secretion and conjunctival hyperemia.,9/30/2024,5,治疗 Treatment,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。,first of all,it is necessary to look for the cause,and then to give proper management according to different causes.,9/30/2024,6,第二节 衣原体性结膜炎 Chlamydial conjunctivitis,9/30/2024,7,沙眼 Crachoma,病因 Etiology,沙眼衣原体感染 infection of Chlamydia trachomatis,临床表现 Clinical findings,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。,ocular secretion and conjunctival hyperemia.，papillary hyperplasia in palpebral conjunctiva,follicles are full of upper and lower fornical conjunctiva.,9/30/2024,8,后遗症与并发症Sequela and complication,1、睑内反及倒睫 Entropion and trichiasis,2、上睑下垂 Blepharoptosis,3、睑球粘连 Symblepharon,4、实质性角结膜干燥症,Parenchymatous xerosis of conjunctiva,5、慢性泪囊炎 Chronic dacryocysititis,6、角膜混浊 Corneal opacity,9/30/2024,9,治疗 Treatment,包括局部用药,systemic administration,全身用药及手术治疗,operative treatment.,9/30/2024,10,第三节 病毒性结膜炎 Viral conjunctivitis,流行性角结膜炎,Epidemic keratocojunctivitis,病因 Etiology,病原体是腺病毒,The pathogen is adenovirus.,9/30/2024,11,临床表现 Clinical findings,刺激症状显著,自觉有异物感、刺痒、疼痛、畏光和流泪,appear strong irritating symptoms,such as foreign body sensation,itching,pain,photophobia and tearing etc.,耳前淋巴结肿大并有压痛,preauricular lymphadenectasis and tenderness.,同时出现角膜炎症状,at the same time,appear the symptom of keratitis,9/30/2024,12,治疗 Treatment,本病无特效药物,there is no specific drug for the disorder,药物治疗以局部治疗为主,mainly depends on topical treatment.,9/30/2024,13,第六章 角膜病 Disease of the cornea,9/30/2024,14,第一节 角膜炎症 Corneal inflammation,病因 Etiology,外源性、内源性、局部蔓延,exogenous.endogenous.local speading,诊断 Diagnosis,症状 实验室检查,clinical findings lab examinations,9/30/2024,15,治疗原则 The treatment principles,1.去除病因 rid of pathogenic causes,2.积极控制感染 control infection,3.增强全身及局部抵抗力,enhance systemic and local resistance,4.促进愈合 promote to heal,5.减少瘢痕形成 reduce scar formation,9/30/2024,16,第二节 炎症 Keratitis,9/30/2024,17,细菌性角膜溃疡 Bacterial corneal ulcer,临床表现 Clinical findings,治疗 Treatment,9/30/2024,18,单纯疱疹病毒性角膜炎 Herpes simple keratitis,临床表现,Clinical findings,治疗 Treatment,9/30/2024,19,蚕蚀性角膜溃疡 Rodent ulcer or Mooren ulcer,临床表现Clinical findings,治疗Treatment,9/30/2024,20,角膜软化症 Keratomalacia,临床表现 Clinical findings,治疗 Treatment,9/30/2024,21,第七章 巩膜病 Scleral disorder,9/30/2024,22,第一节 概述 General description,原因 The cause,1.与多种全身感染性疾病有关,Related to many systemic infectious disorders,2.外伤或感染 The injury or infection,3.自身免疫性疾病,Autoimmune desmosis,9/30/2024,23,临床特点 Clinical characteristic,治疗 Treatment,9/30/2024,24,第二节 表层巩膜炎 Episcleritis,一结节性表层巩膜炎,Nodular episcleritis,二周期性表层巩膜炎,Periodic episcleritis,9/30/2024,25,第三节 巩膜炎 Scleritis,一前巩膜炎 Anterior scleritis,二后巩膜炎 Posterior sclerits,三坏死性巩膜炎 Necrotizing sclertis,9/30/2024,26,Thank You,世界触手可及,携手共进，齐创精品工程,