第五章结膜病课件

第五章 结膜病9/2/20231Disorder

of the

conjunction第一节细菌性结膜炎9/2/20232Bacterial

conjunctivitis一、急性卡他性结膜炎Acute

catarrhal

conjunctivitis9/2/20233病因

Etiology临床表现Clinicalfindings诊断

Diagnosis治疗

Treatment预防

Prevention二、慢性卡他性结膜炎Chronic

catarrhal

conjunctivitis10/21/20234病因临床表现诊断治疗EtiologyClinical

findingsDiagnosisTreatment三、淋菌性结膜炎Gonococcalconjunctivitis10/21/20235临床表现Clinicalfindings眼分泌物增多结膜充血ocular

secretion

and

conjunctivalhyperemia.治疗

Treatment10/21/20236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

forthe

cause,and

then

to

give

propermanagement

according

to

differentcauses.第二节衣原体性结膜炎Chlamydial

conjunctivitis10/21/20237沙眼

Crachoma10/21/20238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.

，

papillaryhyperplasia

in

palpebral

conjunctiva,follicles

are

full

ofupperandlowerfornicalconjunctiva.后遗症与并发症Sequelaand

complication10/21/202391、睑内反及倒睫2、上睑下垂3、睑球粘连Entropion

andtrichiasisBlepharoptosisSymblepharon4、实质性角结膜干燥症

Parenchymatous

xerosis

of

conjunctiva5、慢性泪囊炎6、角膜混浊Chronic

dacryocysititisCorneal

opacity治疗

Treatment10/21/202310包括局部用药systemic

administration全身用药及手术治疗operative

treatment.第三节病毒性结膜炎Viral

conjunctivitis10/21/202311流行性角结膜炎Epidemic

keratocojunctivitis病因

Etiology病原体是腺病毒The

pathogen

isadenovirus.临床表现

Clinical

findings10/21/202312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

foreignbody

sensation,itching,pain,photophobia

andtearingetc.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

ofkeratitis治疗Treatment10/21/202313本病无特效药物there

is

no

specific

drug

for

thedisorder药物治疗以局部治疗为主mainly

depends

on

topical

treatment.第六章角膜病10/21/202314Disease

of the

cornea第一节角膜炎症Corneal

inflammation10/21/202315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治疗原则The

treatment

principles10/21/202316

1.

去除病因

rid

of

pathogeniccauses2.

积极控制感染

control

infection3.

增强全身及局部抵抗力enhance

systemic

and

local

resistance4.

促进愈合

promote

to

heal5.

减少瘢痕形成

reduce

scarformation第二节炎症Keratitis10/21/202317细菌性角膜溃疡Bacterial

corneal

ulcer10/21/202318临床表现Clinicalfindings治疗Treatment单纯疱疹病毒性角膜炎Herpes

simple

keratitis10/21/202319临床表现Clinical

findings治疗

Treatment蚕蚀性角膜溃疡Rodent

ulcer

or

Mooren

ulcer10/21/202320临床表现Clinical

findings治疗Treatment角膜软化症Keratomalacia10/21/202321临床表现治疗Clinical

findingsTreatment第七章巩膜病10/21/202322Scleral

disorder第一节概述General

description10/21/202323原因

The

cause1.

与多种全身感染性疾病有关Related

to

many

systemic

infectiousdisorders2.

外伤或感染

The

injury

or

infection3.

自身免疫性疾病Autoimmune

desmosis临床特点10/21/202324Clinical

characteristic治疗Treatment第二节表层巩膜炎Episcleritis10/21/202325一．结节性表层巩膜炎Nodu