中医眼科学教学课件瞳神疾病论述

第十二章瞳神疾病Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL大纲要求1.掌握瞳神紧小、绿风内障、青风内障、各类暴盲的病因病机、临床表现及辨证论治。熟悉圆翳内障、视瞻昏渺、视瞻有色、青盲、消渴目病的病因病机、临床表现及辨证论治。3.了解视衣脱离、云雾移睛、髙风内障、青盲的病因病机、临床表现及治疗。EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL瞳神的含意1.别名2狭义瞳神3.广义瞳神、瞳神疾病与五轮学说瞳神疾病的特点1外不见症,从内而蔽之2初期,有实有虚,或虚实夹杂;后期,虚症居多。3病情复杂,治疗较外障眼病困难EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL第一节瞳神紧小(虹膜睫状体炎)、病名含义1.瞳神紧小:黄仁受邪,以瞳神持续缩小,展缩失灵为主要症状的眼病。(相当于急性前葡萄膜炎)2瞳神干缺:瞳神紧小失治、误治,致瞳神与其后晶珠粘着,边缘参差不齐,失去正圆为特征的眼病。(相当于慢性前葡萄膜炎)EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病机肝经风热肝胆蕴热火邪上攻肝胆火炽外感风湿内热邪三邪相搏上添清旁灼伤黄仁劳伤肝肾瞳神紧小肝肾阴亏虚火上炎久病伤阴瞳神干缺邪毒内侵EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL、临床表现1、急性者自觉症状:红痛、视力下降、或见眼前黑影飞动检查:1)视力下降2)抱轮红赤、白睛混赤3)黑睛后沉着物(尘状、羊脂状)4)神水混浊5)黄仁纹理不清、色暗6)瞳神紧小、干缺,或见黄液上冲慢性者病情缓慢,症状较轻,反复发作。可能神膏混浊较为明显瞳孔膜闭神水流出受阻眼压瞳孔闭锁EvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLOnlinejournalofophthalmolog-vvivi.chjophEvaluationonry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononlychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL图8-3-3虹膜后粘连图示陈旧性前葡萄膜炎已发生广泛虹膜后粘连,散瞳后表现为典型的梅花状瞳孔Valadononry.chAsposeslidesforNET4od