第五章 结膜病课件

2025/1/5第五章结膜病1第五章

结膜病

2025/1/5第五章结膜病2第一节细菌性结膜炎

Bacterialconjunctivitis

2025/1/5第五章结膜病3一、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

2025/1/5第五章结膜病4二、慢性卡他性结膜炎

Chroniccatarrhalconjunctivitis

病因

Etiology临床表现

Clinicalfindings诊断

Diagnosis治疗

Treatment

2025/1/5第五章结膜病5三、淋菌性结膜炎Gonococcalconjunctivitis临床表现

Clinicalfindings

眼分泌物增多结膜充血

ocularsecretionandconjunctivalhyperemia.2025/1/5第五章结膜病6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.2025/1/5第五章结膜病7第二节衣原体性结膜炎

Chlamydialconjunctivitis

2025/1/5第五章结膜病8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.2025/1/5第五章结膜病9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

Cornealopacity2025/1/5第五章结膜病10治疗

Treatment包括局部用药

systemicadministration全身用药及手术治疗

operativetreatment.2025/1/5第五章结膜病11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.2025/1/5第五章结膜病12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,appearthesymptomofkeratitis2025/1/5第五章结膜病13治疗

Treatment本病无特效药物

thereisnospecificdrugforthedisorder药物治疗以局部治疗为主

mainlydependsontopicaltreatment.2025/1/5第五章结膜病14第六章角膜病

Diseaseofthecornea

2025/1/5第五章结膜病15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

clinicalfindingslabexaminations2025/1/5第五章结膜病16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

2025/1/5第五章结膜病17第二节炎症

Keratitis

2025/1/5第五章结膜病18细菌性角膜溃疡

Bacterialcornealulcer

临床表现Clinicalfindings治疗Treatment2025/1/5第五章结膜病19单纯疱疹病毒性角膜炎

Herpessimplekeratitis

临床表现

Clinicalfindings治疗

Treatment2025/1/5第五章结膜病20蚕蚀性角膜溃疡

RodentulcerorMoorenulcer

临床表现Clinicalfindings治疗Treatment2025/1/5第五章结膜病21角膜软化症

Keratomalacia

临床表现

Clinicalfindings治疗

Treatment2025/1/5第五章结膜病22第七章巩膜病

Scleraldisorder

2025/1/5第五章结膜病23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

Autoimmunedesmosis2025/1/5第五章结膜病24临床特点

Clinicalcharacteristic治疗

Treatment2025/1/5第五章结膜病25第二节表层巩膜炎

Episcleritis

一．结节性表层巩膜炎

Nodularepiscle