《结膜、角膜、巩膜病》PPT课件.ppt

1、2020/9/12,1,第五章 结膜病 Disorder of the conjunction,2020/9/12,2,第一节 细菌性结膜炎 Bacterial conjunctivitis,2020/9/12,3,一、急性卡他性结膜炎 Acute catarrhal conjunctivitis,病因 Etiology 临床表现 Clinical findings 诊断 Diagnosis 治疗 Treatment 预防 Prevention,2020/9/12,4,二、慢性卡他性结膜炎 Chronic catarrhal conjunctivitis,病因 Etiology 临床表现 Cl

2、inical findings 诊断 Diagnosis 治疗 Treatment,2020/9/12,5,三、淋菌性结膜炎Gonococcalconjunctivitis,临床表现 Clinical findings 眼分泌物增多 结膜充血 ocular secretion and conjunctival hyperemia.,2020/9/12,6,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。 first of all,it is necessary to look for the cause,and then to give proper manag

3、ement according to different causes.,2020/9/12,7,第二节 衣原体性结膜炎 Chlamydial conjunctivitis,2020/9/12,8,沙眼 Crachoma,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.，papillary hyperplasia in palpebra

4、l conjunctiva,follicles are full of upper and lower fornical conjunctiva.,2020/9/12,9,后遗症与并发症Sequela and complication,1、睑内反及倒睫 Entropion and trichiasis 2、上睑下垂 Blepharoptosis 3、睑球粘连 Symblepharon 4、实质性角结膜干燥症 Parenchymatous xerosis of conjunctiva 5、慢性泪囊炎 Chronic dacryocysititis 6、角膜混浊 Corneal opacity,2

5、020/9/12,10,治疗 Treatment,包括局部用药 systemic administration 全身用药及手术治疗 operative treatment.,2020/9/12,11,第三节 病毒性结膜炎 Viral conjunctivitis,流行性角结膜炎 Epidemic keratocojunctivitis 病因 Etiology 病原体是腺病毒 The pathogen is adenovirus.,2020/9/12,12,临床表现 Clinical findings,刺激症状显著,自觉有异物感、刺痒、疼痛、畏光和流泪 appear strong irritat

6、ing symptoms,such as foreign body sensation,itching,pain,photophobia and tearing etc. 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 of keratitis,2020/9/12,13,治疗 Treatment,本病无特效药物 there is no specific drug for the disorder 药物治疗以局部治疗为主 mainly d

7、epends on topical treatment.,2020/9/12,14,第六章 角膜病 Disease of the cornea,2020/9/12,15,第一节 角膜炎症 Corneal inflammation,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,2020/9/12,16,治疗原则 The treatment principles,1.去除病因 rid of pathogenic

8、 causes 2.积极控制感染 control infection 3.增强全身及局部抵抗力 enhance systemic and local resistance 4.促进愈合 promote to heal 5. 减少瘢痕形成 reduce scar formation,2020/9/12,17,第二节 炎症 Keratitis,2020/9/12,18,细菌性角膜溃疡 Bacterial corneal ulcer,临床表现 Clinical findings 治疗 Treatment,2020/9/12,19,单纯疱疹病毒性角膜炎 Herpes simple keratitis,

9、临床表现 Clinical findings 治疗 Treatment,2020/9/12,20,蚕蚀性角膜溃疡 Rodent ulcer or Mooren ulcer,临床表现Clinical findings 治疗Treatment,2020/9/12,21,角膜软化症 Keratomalacia,临床表现 Clinical findings 治疗 Treatment,2020/9/12,22,第七章 巩膜病 Scleral disorder,2020/9/12,23,第一节 概述 General description,原因 The cause 1. 与多种全身感染性疾病有关 Related to many systemic infectious disorders 2.外伤或感染 The injury or infection 3. 自身免疫性疾病 Autoimmune desmosis,2020/9/12,24,临床特点 Clinical characteristic 治疗 Treatment,2020/9/12,25,第二节 表层巩膜炎 Episcleritis,一结节性表层巩膜炎 Nodular ep