高血压英文ppt精品课件systemic diseases andeye

SystemicdiseasesandEyediseases The4thAffilitatedHospitalofChinaMedicalUniversityEyeHospitalofChinaMedicalUniversity 1 Tounderstandthatdifficultoculardiseasesmaycorrelatetosystemicdiseases 2 Tounderstandocularmanifestationsofcommonsystemicdiseases Object Internaldiseases RetinalArteriosclerosis SeniledegenerativesclerosisandarteriolarsclerosisReflectingsystemicarteriosclerosistocertainextent Arterioscleroticretinopathy Fundus AvesselcourseBcaliber color arteriolarlightreflex Carterio venousnicking Dretinalhemorrhage exudates Gradingofchronichypertensiveretinopathy Significance differentprognosis 70 1 Grade1 Grade2 Grade4 Acutehypertensiveretinopathy Diabeticretinopathy DR DRisaseriouscomplicationofdiabetesandafrequentcauseofblindness50 ofdiabeticpatientssufferfromDR ClassificationandgradingofDR NonproliferativeDRI Redhemorrhage microaneurysm smallbleedingspot II Yellowexudates hardexudate smallbleedingspot III Whitecotton woolspot cotton woolspot hardexudate ProliferativeDRIV Neovascularizationand orvitreoushemorrhageV Neovascularization fibroticproliferationVI Neovascularization tractionalretinaldetachment Nonproliferativediabeticretinopathy Grade Grade Grade NonproliferativeDRGrading ProliferativeDiabeticretinopathy ProliferativeDR Grade Grade Grade Diagnosis 1 historyofdiabetes morethan5yrs 2 visualacuitydecreasedornot 3 ocularsigns microaneurysm hemorrhage exudates neovascularization fibroticproliferation tractionalretinaldetachment4 FFA leakage telangiectasia 5 clincalstaging non proliferative proliferative Treatment Drug Laser surgery1 Bloodglucosecontrol2 Bloodpressurecontrol3 Thrombosisprevention4 Improvingcapillarypermeability5 Improvingaxialtransport repairingneuralfibers6 Vitreoushemorrhagetreatment7 Laser Tyroidrelatedimmuneorbitopathy TAOGravesophthalmopathyImmunedisease TRIO Eye upperlidlagandretractionproptosisdiplopia restrictedextraocularmovementconjunctivalinjectionopticneuropathy urgentproptosis Acuteorbitalhypertension TRIO Treatment CorrectionofthyroidstatusCorticosteroidImmunosupressionBotoxAinjectionRadiationofpituitaryglandSupportivetherapyorbitaldecompression Briantrauma Opticnerveductfracture pupilreflex epiduralhemotoma hippocampalhernia oculomotorpalsy pupilreflex Subduralhemotoma intracranialpressureincreases papillaryedema Skull basefracture bilateraleyelid conjunctival subdermalbruise Braintrauma visualfield nervepalsy Purtscherretinopathy Retinopathyofprematurity Longtimeoxygeninspire prematurechildFibrovascularproliferationofavascularretinaRetinalhemorrhage vitreoushemorrhageTractionalretinaldetachmentSecondaryglaucomaEyeballgrowthretardation atrophy Syphilis Required Istage eyelid conjunctivalchancreIIstage acuteiridocylitissyphiliticroseolachorioretinitisstromalkeratitisIIIstage ArgyllRobertsonpupil 90 opticatrophy 20 oculomotorpalsy Syphilis Neurologicaldisorders myastheniagravis autoimmunedisease striatedmuscle Achinsufficiencyneuromuscularconductingdisorderclinicalmanifestation suddenorslowonsetsymptomsalleviationinthemorningorafterrestaggravatedwhencontinuousandrepeatedexcerise0 5 1mgneostigmineim20