结膜、角膜、巩膜病.ppt

2020/5/11,1,第五章结膜病Disorderoftheconjunction,2020/5/11,2,第一节细菌性结膜炎Bacterialconjunctivitis,2020/5/11,3,一、急性卡他性结膜炎Acutecatarrhalconjunctivitis,病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment预防Prevention,2020/5/11,4,二、慢性卡他性结膜炎Chroniccatarrhalconjunctivitis,病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment,2020/5/11,5,三、淋菌性结膜炎Gonococcalconjunctivitis,临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.,2020/5/11,6,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。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.,2020/5/11,7,第二节衣原体性结膜炎Chlamydialconjunctivitis,2020/5/11,8,沙眼Crachoma,病因Etiology沙眼衣原体感染infectionofChlamydiatrachomatis临床表现Clinicalfindings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。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.,2020/5/11,9,后遗症与并发症Sequelaandcomplication,1、睑内反及倒睫Entropionandtrichiasis2、上睑下垂Blepharoptosis3、睑球粘连Symblepharon4、实质性角结膜干燥症Parenchymatousxerosisofconjunctiva5、慢性泪囊炎Chronicdacryocysititis6、角膜混浊Cornealopacity,2020/5/11,10,治疗Treatment,包括局部用药systemicadministration全身用药及手术治疗operativetreatment.,2020/5/11,11,第三节病毒性结膜炎Viralconjunctivitis,流行性角结膜炎Epidemickeratocojunctivitis病因Etiology病原体是腺病毒Thepathogenisadenovirus.,2020/5/11,12,临床表现Clinicalfindings,刺激症状显著,自觉有异物感、刺痒、疼痛、畏光和流泪appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.耳前淋巴结肿大并有压痛preauricularlymphadenectasisandtenderness.同时出现角膜炎症状atthesametime,appearthesymptomofkeratitis,2020/5/11,13,治疗Treatment,本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.,2020/5/11,14,第六章角膜病Diseaseofthecornea,2020/5/11,15,第一节角膜炎症Cornealinflammation,病因Etiology外源性、内源性、局部蔓延exogenous.endogenous.localspeading诊断Diagnosis症状实验室检查clinicalfindingslabexaminations,2020/5/11,16,治疗原则Thetreatmentprinciples,1.去除病因ridofpathogeniccauses2.积极控制感染controlinfection3.增强全身及局部抵抗力enhancesystemicandlocalresistance4.促进愈合promotetoheal5.减少瘢痕形成reducescarformation,2020/5/11,17,第二节炎症Keratitis,2020/5/11,18,细菌性角膜溃疡Bacterialcornealulcer,临床表现Clinicalfindings治疗Treatment,2020/5/11,19,单纯疱疹病毒性角膜炎Herpessimplekeratitis,临床表现Clinicalfindings治疗Treatment,2020/5/11,20,蚕蚀性角膜溃疡RodentulcerorMoorenulcer,临床表现Clinicalfindings治疗Treatment,2020/5/11,21,角膜软化症Keratomalacia,临床表现Clinicalfindings治疗Treatment,2020/5/11,22,第七章巩膜病Scleraldisorder,2020/5/11,23,第一节概述Generaldescription,原因Thecause1.与多种全身感染性疾病有关Relatedtomanysystemicinfectiousdisorders2.外伤或感染Theinjuryorinfection3.自身免疫性疾病Autoimmunedesmosis,2020/5/11,24,临床特点Clinicalcharacteristic治疗Treatment,2020/5/11,25,第二节表层巩膜炎Episcleritis,一结节性表层巩膜炎Nodularepiscleritis二周期性表层巩膜炎Periodicepiscleritis,2020/5/11,26,第三节巩膜炎Scleritis,一前巩膜炎Anteriorscleritis二后巩膜炎Posteriorsclerits三坏死性巩膜炎Necrotizingsclertis,