《結(jié)膜、角膜、鞏膜病》PPT課件.ppt

1、2020/9/12,1,第五章 結(jié)膜病 Disorder of the conjunction,2020/9/12,2,第一節(jié) 細(xì)菌性結(jié)膜炎 Bacterial conjunctivitis,2020/9/12,3,一、急性卡他性結(jié)膜炎 Acute catarrhal conjunctivitis,病因 Etiology 臨床表現(xiàn) Clinical findings 診斷 Diagnosis 治療 Treatment 預(yù)防 Prevention,2020/9/12,4,二、慢性卡他性結(jié)膜炎 Chronic catarrhal conjunctivitis,病因 Etiology 臨床表現(xiàn) Cl

2、inical findings 診斷 Diagnosis 治療 Treatment,2020/9/12,5,三、淋菌性結(jié)膜炎Gonococcalconjunctivitis,臨床表現(xiàn) Clinical findings 眼分泌物增多 結(jié)膜充血 ocular secretion and conjunctival hyperemia.,2020/9/12,6,治療 Treatment,首先要查找致病原因，然后針對不同致病原因進(jìn)行恰當(dāng)治療。 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,第二節(jié) 衣原體性結(jié)膜炎 Chlamydial conjunctivitis,2020/9/12,8,沙眼 Crachoma,病因 Etiology 沙眼衣原體感染 infection of Chlamydia trachomatis 臨床表現(xiàn) Clinical findings 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。 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,后遺癥與并發(fā)癥Sequela and complication,1、瞼內(nèi)反及倒睫 Entropion and trichiasis 2、上瞼下垂 Blepharoptosis 3、瞼球粘連 Symblepharon 4、實(shí)質(zhì)性角結(jié)膜干燥癥 Parenchymatous xerosis of conjunctiva 5、慢性淚囊炎 Chronic dacryocysititis 6、角膜混濁 Corneal opacity,2

5、020/9/12,10,治療 Treatment,包括局部用藥 systemic administration 全身用藥及手術(shù)治療 operative treatment.,2020/9/12,11,第三節(jié) 病毒性結(jié)膜炎 Viral conjunctivitis,流行性角結(jié)膜炎 Epidemic keratocojunctivitis 病因 Etiology 病原體是腺病毒 The pathogen is adenovirus.,2020/9/12,12,臨床表現(xiàn) Clinical findings,刺激癥狀顯著,自覺有異物感、刺癢、疼痛、畏光和流淚 appear strong irritat

6、ing symptoms,such as foreign body sensation,itching,pain,photophobia and tearing etc. 耳前淋巴結(jié)腫大并有壓痛 preauricular lymphadenectasis and tenderness. 同時(shí)出現(xiàn)角膜炎癥狀 at the same time,appear the symptom of keratitis,2020/9/12,13,治療 Treatment,本病無特效藥物 there is no specific drug for the disorder 藥物治療以局部治療為主 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,第一節(jié) 角膜炎癥 Corneal inflammation,病因 Etiology 外源性、內(nèi)源性、局部蔓延 exogenous.endogenous.local speading 診斷 Diagnosis 癥狀 實(shí)驗(yàn)室檢查 clinical findings lab examinations,2020/9/12,16,治療原則 The treatment principles,1.去除病因 rid of pathogenic

8、 causes 2.積極控制感染 control infection 3.增強(qiáng)全身及局部抵抗力 enhance systemic and local resistance 4.促進(jìn)愈合 promote to heal 5. 減少瘢痕形成 reduce scar formation,2020/9/12,17,第二節(jié) 炎癥 Keratitis,2020/9/12,18,細(xì)菌性角膜潰瘍 Bacterial corneal ulcer,臨床表現(xiàn) Clinical findings 治療 Treatment,2020/9/12,19,單純皰疹病毒性角膜炎 Herpes simple keratitis,

9、臨床表現(xiàn) Clinical findings 治療 Treatment,2020/9/12,20,蠶蝕性角膜潰瘍 Rodent ulcer or Mooren ulcer,臨床表現(xiàn)Clinical findings 治療Treatment,2020/9/12,21,角膜軟化癥 Keratomalacia,臨床表現(xiàn) Clinical findings 治療 Treatment,2020/9/12,22,第七章 鞏膜病 Scleral disorder,2020/9/12,23,第一節(jié) 概述 General description,原因 The cause 1. 與多種全身感染性疾病有關(guān) Related to many systemic infectious disorders 2.外傷或感染 The injury or infection 3. 自身免疫性疾病 Autoimmune desmosis,2020/9/12,24,臨床特點(diǎn) Clinical characteristic 治療 Treatment,2020/9/12,25,第二節(jié) 表層鞏膜炎 Episcleritis,一結(jié)節(jié)性表層鞏膜炎 Nodular ep