结膜病教学讲解课件

第五章

结膜病

Disorderoftheconjunction1/8/20231第五章结膜病

Disorderofthe第一节细菌性结膜炎

Bacterialconjunctivitis

1/8/20232第一节细菌性结膜炎

Bacterialconjunc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

1/8/20233一、急性卡他性结膜炎

Acutecatarrhalco二、慢性卡他性结膜炎

Chroniccatarrhalconjunctivitis

病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment

1/8/20234二、慢性卡他性结膜炎

Chroniccatarrhal三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.1/8/20235三、淋菌性结膜炎Gonococcalconjunctivit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.1/8/20236治疗Treatment首先要查找致病原因，然后针对不同致第二节衣原体性结膜炎

Chlamydialconjunctivitis

1/8/20237第二节衣原体性结膜炎

Chlamydialconju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.1/8/20238沙眼Crachoma病因Etiology12/12/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Cornealopacity1/8/20239后遗症与并发症

Sequelaandcomplicati治疗

Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.1/8/202310治疗Treatment包括局部用药12/12/20221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.1/8/202311第三节病毒性结膜炎

Viralconjunctivit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,appearthesymptomofkeratitis1/8/202312临床表现Clinicalfindings刺激症状显著,治疗

Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.1/8/202313治疗Treatment本病无特效药物12/12/20221第六章角膜病

Diseaseofthecornea

1/8/202314第六章角膜病

Diseaseofthecorne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clinicalfindingslabexaminations1/8/202315第一节角膜炎症

Cornealinflammation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

1/8/202316治疗原则

Thetreatmentprinciples第二节炎症

Keratitis

1/8/202317第二节炎症Keratitis

12/12/202217细菌性角膜溃疡

Bacterialcornealulcer

临床表现Clinicalfindings治疗Treatment1/8/202318细菌性角膜溃疡

Bacterialcornealulc单纯疱疹病毒性角膜炎

Herpessimplekeratitis

临床表现

Clinicalfindings治疗Treatment1/8/202319单纯疱疹病毒性角膜炎

Herpessimplekera蚕蚀性角膜溃疡

RodentulcerorMoorenulcer

临床表现Clinicalfindings治疗Treatment1/8/202320蚕蚀性角膜溃疡

RodentulcerorMoore角膜软化症

Keratomalacia

临床表现Clinicalfindings治疗Treatment1/8/202321角膜软化症Keratomalacia

临床表现Cl第七章巩膜病

Scleraldisorder

1/8/202322第七章巩膜病

Scleraldisorder

12/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

Autoimmunedesmosis1/8/202323第一节概述Generaldescription

原因临床特点Clinicalcharacteristic治疗Treatment1/8/202324临床特点Clinicalcharacterist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

Periodicepiscleritis1/8/202325第二节表层巩膜炎Episcleritis

一．结节性表层第三节巩膜炎

Scleritis

一．前巩膜炎Anteriorscleritis二．后巩膜炎Posteriorsclerits三．坏死性巩膜炎Necrotizingsclertis1/8/202326第三节巩膜炎Scleritis

一．前巩膜炎Anter第五章

结膜病

Disorderoftheconjunction1/8/202327第五章结膜病

Disorderofthe第一节细菌性结膜炎

Bacterialconjunctivitis

1/8/202328第一节细菌性结膜炎

Bacterialconjunc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

1/8/202329一、急性卡他性结膜炎

Acutecatarrhalco二、慢性卡他性结膜炎

Chroniccatarrhalconjunctivitis

病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment

1/8/202330二、慢性卡他性结膜炎

Chroniccatarrhal三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.1/8/202331三、淋菌性结膜炎Gonococcalconjunctivit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.1/8/202332治疗Treatment首先要查找致病原因，然后针对不同致第二节衣原体性结膜炎

Chlamydialconjunctivitis

1/8/202333第二节衣原体性结膜炎

Chlamydialconju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.1/8/202334沙眼Crachoma病因Etiology12/12/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Cornealopacity1/8/202335后遗症与并发症

Sequelaandcomplicati治疗

Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.1/8/202336治疗Treatment包括局部用药12/12/20221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.1/8/202337第三节病毒性结膜炎

Viralconjunctivit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,appearthesymptomofkeratitis1/8/202338临床表现Clinicalfindings刺激症状显著,治疗

Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.1/8/202339治疗Treatment本病无特效药物12/12/20221第六章角膜病

Diseaseofthecornea

1/8/202340第六章角膜病

Diseaseofthecorne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clinicalfindingslabexaminations1/8/202341第一节角膜炎症

Cornealinflammation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

1/8/202342治疗原则

Thetreatmentprinciples第二节炎症

Keratitis

1/8/202343第二节炎症Keratitis

12/12/202217细菌性角膜溃疡

Bacterialcornealulcer

临床表现Clinicalfindings治疗Treatment1/8/202344细菌性角膜溃疡

Bacterialcornealulc单纯疱疹病毒性角膜炎

Herpessimplekeratitis

临床表现

Clinicalfindings治疗Treatment1/8/202345单纯疱疹病毒性角膜炎

Herpessimplekera蚕蚀性角膜溃疡

RodentulcerorMoorenulcer

临床表现Clinicalfindings治疗Treatment1/8