結(jié)膜病教學(xué)講解課件

第五章

結(jié)膜病

Disorderoftheconjunction1/8/20231第五章結(jié)膜病

Disorderofthe第一節(jié)細(xì)菌性結(jié)膜炎

Bacterialconjunctivitis

1/8/20232第一節(jié)細(xì)菌性結(jié)膜炎

Bacterialconjunc一、急性卡他性結(jié)膜炎

Acutecatarrhalconjunctivitis

病因Etiology臨床表現(xiàn)Clinicalfindings診斷Diagnosis治療Treatment預(yù)防Prevention

1/8/20233一、急性卡他性結(jié)膜炎

Acutecatarrhalco二、慢性卡他性結(jié)膜炎

Chroniccatarrhalconjunctivitis

病因Etiology臨床表現(xiàn)Clinicalfindings診斷Diagnosis治療Treatment

1/8/20234二、慢性卡他性結(jié)膜炎

Chroniccatarrhal三、淋菌性結(jié)膜炎Gonococcalconjunctivitis臨床表現(xiàn)Clinicalfindings眼分泌物增多結(jié)膜充血ocularsecretionandconjunctivalhyperemia.1/8/20235三、淋菌性結(jié)膜炎Gonococcalconjunctivit治療

Treatment首先要查找致病原因，然后針對(duì)不同致病原因進(jìn)行恰當(dāng)治療。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.1/8/20236治療Treatment首先要查找致病原因，然后針對(duì)不同致第二節(jié)衣原體性結(jié)膜炎

Chlamydialconjunctivitis

1/8/20237第二節(jié)衣原體性結(jié)膜炎

Chlamydialconju沙眼

Crachoma病因Etiology沙眼衣原體感染infectionofChlamydiatrachomatis臨床表現(xiàn)Clinicalfindings眼分泌物增多，結(jié)膜充血，瞼結(jié)膜乳頭增生，上下穹窿部結(jié)膜布滿濾泡。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.1/8/20238沙眼Crachoma病因Etiology12/12/后遺癥與并發(fā)癥

Sequelaandcomplication

1、瞼內(nèi)反及倒睫Entropionandtrichiasis2、上瞼下垂Blepharoptosis3、瞼球粘連Symblepharon4、實(shí)質(zhì)性角結(jié)膜干燥癥

Parenchymatousxerosisofconjunctiva5、慢性淚囊炎Chronicdacryocysititis6、角膜混濁Cornealopacity1/8/20239后遺癥與并發(fā)癥

Sequelaandcomplicati治療

Treatment包括局部用藥systemicadministration全身用藥及手術(shù)治療o(wú)perativetreatment.1/8/202310治療Treatment包括局部用藥12/12/20221第三節(jié)病毒性結(jié)膜炎

Viralconjunctivitis流行性角結(jié)膜炎

Epidemickeratocojunctivitis病因Etiology病原體是腺病毒Thepathogenisadenovirus.1/8/202311第三節(jié)病毒性結(jié)膜炎

Viralconjunctivit臨床表現(xiàn)

Clinicalfindings刺激癥狀顯著,自覺(jué)有異物感、刺癢、疼痛、畏光和流淚

appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.耳前淋巴結(jié)腫大并有壓痛preauricularlymphadenectasisandtenderness.同時(shí)出現(xiàn)角膜炎癥狀atthesametime,appearthesymptomofkeratitis1/8/202312臨床表現(xiàn)Clinicalfindings刺激癥狀顯著,治療

Treatment本病無(wú)特效藥物thereisnospecificdrugforthedisorder藥物治療以局部治療為主mainlydependsontopicaltreatment.1/8/202313治療Treatment本病無(wú)特效藥物12/12/20221第六章角膜病

Diseaseofthecornea

1/8/202314第六章角膜病

Diseaseofthecorne第一節(jié)角膜炎癥

Cornealinflammation

病因Etiology外源性、內(nèi)源性、局部蔓延exogenous.endogenous.localspeading診斷Diagnosis癥狀實(shí)驗(yàn)室檢查clinicalfindingslabexaminations1/8/202315第一節(jié)角膜炎癥

Cornealinflammation治療原則

Thetreatmentprinciples

1.

去除病因ridofpathogeniccauses2.

積極控制感染controlinfection3.

增強(qiáng)全身及局部抵抗力enhancesystemicandlocalresistance4.

促進(jìn)愈合promotetoheal5.減少瘢痕形成reducescarformation

1/8/202316治療原則

Thetreatmentprinciples第二節(jié)炎癥

Keratitis

1/8/202317第二節(jié)炎癥Keratitis

12/12/202217細(xì)菌性角膜潰瘍

Bacterialcornealulcer

臨床表現(xiàn)Clinicalfindings治療Treatment1/8/202318細(xì)菌性角膜潰瘍

Bacterialcornealulc單純皰疹病毒性角膜炎

Herpessimplekeratitis

臨床表現(xiàn)

Clinicalfindings治療Treatment1/8/202319單純皰疹病毒性角膜炎

Herpessimplekera蠶蝕性角膜潰瘍

RodentulcerorMoorenulcer

臨床表現(xiàn)Clinicalfindings治療Treatment1/8/202320蠶蝕性角膜潰瘍

RodentulcerorMoore角膜軟化癥

Keratomalacia

臨床表現(xiàn)Clinicalfindings治療Treatment1/8/202321角膜軟化癥Keratomalacia

臨床表現(xiàn)Cl第七章鞏膜病

Scleraldisorder

1/8/202322第七章鞏膜病

Scleraldisorder

12/第一節(jié)概述

Generaldescription

原因Thecause1.與多種全身感染性疾病有關(guān)

Relatedtomanysystemicinfectiousdisorders2.

外傷或感染Theinjuryorinfection3.自身免疫性疾病

Autoimmunedesmosis1/8/202323第一節(jié)概述Generaldescription

原因臨床特點(diǎn)Clinicalcharacteristic治療Treatment1/8/202324臨床特點(diǎn)Clinicalcharacterist第二節(jié)表層鞏膜炎

Episcleritis

一．結(jié)節(jié)性表層鞏膜炎

Nodularepiscleritis二．周期性表層鞏膜炎

Periodicepiscleritis1/8/202325第二節(jié)表層鞏膜炎Episcleritis

一．結(jié)節(jié)性表層第三節(jié)鞏膜炎

Scleritis

一．前鞏膜炎Anteriorscleritis二．后鞏膜炎Posteriorsclerits三．壞死性鞏膜炎Necrotizingsclertis1/8/202326第三節(jié)鞏膜炎Scleritis

一．前鞏膜炎Anter第五章

結(jié)膜病

Disorderoftheconjunction1/8/202327第五章結(jié)膜病

Disorderofthe第一節(jié)細(xì)菌性結(jié)膜炎

Bacterialconjunctivitis

1/8/202328第一節(jié)細(xì)菌性結(jié)膜炎

Bacterialconjunc一、急性卡他性結(jié)膜炎

Acutecatarrhalconjunctivitis

病因Etiology臨床表現(xiàn)Clinicalfindings診斷Diagnosis治療Treatment預(yù)防Prevention

1/8/202329一、急性卡他性結(jié)膜炎

Acutecatarrhalco二、慢性卡他性結(jié)膜炎

Chroniccatarrhalconjunctivitis

病因Etiology臨床表現(xiàn)Clinicalfindings診斷Diagnosis治療Treatment

1/8/202330二、慢性卡他性結(jié)膜炎

Chroniccatarrhal三、淋菌性結(jié)膜炎Gonococcalconjunctivitis臨床表現(xiàn)Clinicalfindings眼分泌物增多結(jié)膜充血ocularsecretionandconjunctivalhyperemia.1/8/202331三、淋菌性結(jié)膜炎Gonococcalconjunctivit治療

Treatment首先要查找致病原因，然后針對(duì)不同致病原因進(jìn)行恰當(dāng)治療。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.1/8/202332治療Treatment首先要查找致病原因，然后針對(duì)不同致第二節(jié)衣原體性結(jié)膜炎

Chlamydialconjunctivitis

1/8/202333第二節(jié)衣原體性結(jié)膜炎

Chlamydialconju沙眼

Crachoma病因Etiology沙眼衣原體感染infectionofChlamydiatrachomatis臨床表現(xiàn)Clinicalfindings眼分泌物增多，結(jié)膜充血，瞼結(jié)膜乳頭增生，上下穹窿部結(jié)膜布滿濾泡。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.1/8/202334沙眼Crachoma病因Etiology12/12/后遺癥與并發(fā)癥

Sequelaandcomplication

1、瞼內(nèi)反及倒睫Entropionandtrichiasis2、上瞼下垂Blepharoptosis3、瞼球粘連Symblepharon4、實(shí)質(zhì)性角結(jié)膜干燥癥

Parenchymatousxerosisofconjunctiva5、慢性淚囊炎Chronicdacryocysititis6、角膜混濁Cornealopacity1/8/202335后遺癥與并發(fā)癥

Sequelaandcomplicati治療

Treatment包括局部用藥systemicadministration全身用藥及手術(shù)治療o(wú)perativetreatment.1/8/202336治療Treatment包括局部用藥12/12/20221第三節(jié)病毒性結(jié)膜炎

Viralconjunctivitis流行性角結(jié)膜炎

Epidemickeratocojunctivitis病因Etiology病原體是腺病毒Thepathogenisadenovirus.1/8/202337第三節(jié)病毒性結(jié)膜炎

Viralconjunctivit臨床表現(xiàn)

Clinicalfindings刺激癥狀顯著,自覺(jué)有異物感、刺癢、疼痛、畏光和流淚

appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.耳前淋巴結(jié)腫大并有壓痛preauricularlymphadenectasisandtenderness.同時(shí)出現(xiàn)角膜炎癥狀atthesametime,appearthesymptomofkeratitis1/8/202338臨床表現(xiàn)Clinicalfindings刺激癥狀顯著,治療

Treatment本病無(wú)特效藥物thereisnospecificdrugforthedisorder藥物治療以局部治療為主mainlydependsontopicaltreatment.1/8/202339治療Treatment本病無(wú)特效藥物12/12/20221第六章角膜病

Diseaseofthecornea

1/8/202340第六章角膜病

Diseaseofthecorne第一節(jié)角膜炎癥

Cornealinflammation

病因Etiology外源性、內(nèi)源性、局部蔓延exogenous.endogenous.localspeading診斷Diagnosis癥狀實(shí)驗(yàn)室檢查clinicalfindingslabexaminations1/8/202341第一節(jié)角膜炎癥

Cornealinflammation治療原則

Thetreatmentprinciples

1.

去除病因ridofpathogeniccauses2.

積極控制感染controlinfection3.

增強(qiáng)全身及局部抵抗力enhancesystemicandlocalresistance4.

促進(jìn)愈合promotetoheal5.減少瘢痕形成reducescarformation

1/8/202342治療原則

Thetreatmentprinciples第二節(jié)炎癥

Keratitis

1/8/202343第二節(jié)炎癥Keratitis

12/12/202217細(xì)菌性角膜潰瘍

Bacterialcornealulcer

臨床表現(xiàn)Clinicalfindings治療Treatment1/8/202344細(xì)菌性角膜潰瘍

Bacterialcornealulc單純皰疹病毒性角膜炎

Herpessimplekeratitis

臨床表現(xiàn)

Clinicalfindings治療Treatment1/8/202345單純皰疹病毒性角膜炎

Herpessimplekera蠶蝕性角膜潰瘍

RodentulcerorMoorenulcer

臨床表現(xiàn)Clinicalfindings治療Treatment1/8