第五章-结膜病课件.ppt

1、2022-7-111第五章第五章 结膜病结膜病 Disorder of the conjunction2022-7-112第一节 细菌性结膜炎 Bacterial conjunctivitis2022-7-113一、急性卡他性结膜炎 Acute catarrhal conjunctivitis n病因 Etiologyn临床表现 Clinical findingsn诊断 Diagnosisn治疗 Treatmentn预防 Prevention 2022-7-114二、慢性卡他性结膜炎 Chronic catarrhal conjunctivitisn病因 Etiologyn临床表现 Clini

2、cal findingsn诊断 Diagnosisn治疗 Treatment 2022-7-115三、淋菌性结膜炎Gonococcalconjunctivitisn临床表现 Clinical findings 眼分泌物增多 结膜充血 ocular secretion and conjunctival hyperemia.2022-7-116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 look for the cause,and then to give proper management ac

3、cording to different causes.2022-7-117第二节 衣原体性结膜炎 Chlamydial conjunctivitis 2022-7-118沙眼 Crachoman病因 Etiologyn沙眼衣原体感染 infection of Chlamydia trachomatisn临床表现 Clinical findings n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。nocular secretion and conjunctival hyperemia.，papillary hyperplasia in palpebral conjunctiv

4、a,follicles are full of upper and lower fornical conjunctiva.2022-7-119后遗症与并发症Sequela and complicationn1、睑内反及倒睫 Entropion and trichiasisn2、上睑下垂 Blepharoptosisn3、睑球粘连 Symblepharonn4、实质性角结膜干燥症 Parenchymatous xerosis of conjunctivan5、慢性泪囊炎 Chronic dacryocysititisn6、角膜混浊 Corneal opacity2022-7-1110治疗 Tre

5、atmentn包括局部用药 systemic administration n全身用药及手术治疗 operative treatment.2022-7-1111第三节 病毒性结膜炎 Viral conjunctivitisn流行性角结膜炎 Epidemic keratocojunctivitisn病因 Etiologyn病原体是腺病毒 The pathogen is adenovirus.2022-7-1112临床表现 Clinical findingsn刺激症状显著,自觉有异物感、刺痒、疼痛、畏光和流泪 nappear strong irritating symptoms,such as f

6、oreign body sensation,itching,pain,photophobia and tearing etc.n耳前淋巴结肿大并有压痛npreauricular lymphadenectasis and tenderness.n同时出现角膜炎症状 nat the same time,appear the symptom of keratitis2022-7-1113治疗 Treatmentn本病无特效药物 there is no specific drug for the disordern药物治疗以局部治疗为主 mainly depends on topical treatm

7、ent.2022-7-1114第六章 角膜病 Disease of the cornea 2022-7-1115第一节 角膜炎症 Corneal inflammationn病因 Etiology n外源性、内源性、局部蔓延 exogenous.endogenous.local speadingn诊断 Diagnosisn症状 实验室检查 clinical findings lab examinations2022-7-1116治疗原则 The treatment principles n1. 去除病因 rid of pathogenic causesn2. 积极控制感染 control inf

8、ectionn3. 增强全身及局部抵抗力 n enhance systemic and local resistancen4. 促进愈合 promote to heal 5. 减少瘢痕形成 reduce scar formation 2022-7-1117第二节 炎症 Keratitis2022-7-1118细菌性角膜溃疡 Bacterial corneal ulcern临床表现 Clinical findingsn治疗 Treatment 2022-7-1119单纯疱疹病毒性角膜炎 Herpes simple keratitisn临床表现 Clinical findingsn治疗 Treat

9、ment 2022-7-1120蚕蚀性角膜溃疡 Rodent ulcer or Mooren ulcern临床表现Clinical findingsn治疗Treatment 2022-7-1121角膜软化症 Keratomalacian临床表现 Clinical findingsn治疗 Treatment 2022-7-1122第七章 巩膜病 Scleral disorder2022-7-1123第一节 概述 General descriptionn原因 The causen1. 与多种全身感染性疾病有关 Related to many systemic infectious disorder

10、sn2. 外伤或感染 The injury or infectionn3. 自身免疫性疾病 Autoimmune desmosis2022-7-1124n临床特点 Clinical characteristicn治疗 Treatment2022-7-1125第二节 表层巩膜炎 Episcleritisn一结节性表层巩膜炎 n Nodular episcleritisn二周期性表层巩膜炎 n Periodic episcleritis 2022-7-1126第三节 巩膜炎 Scleritisn一前巩膜炎 Anterior scleritisn二后巩膜炎 Posterior scleritsn三坏死性巩膜炎 Necrotizing sclertis