结膜、角膜、巩膜病.ppt

,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二层,第三层,第四层,第五层,*,*,*,第五章,结膜病,Disorder of the conjunction,1/12/2026,1,第一节 细菌性结膜炎,Bacterial conjunctivitis,1/12/2026,2,一、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,1/12/2026,3,二、慢性卡他性结膜炎,Chronic catarrhal conjunctivitis,病因,Etiology,临床表现,Clinical findings,诊断,Diagnosis,治疗,Treatment,1/12/2026,4,三、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.,1/12/2026,5,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 management according to different causes.,1/12/2026,6,第二节 衣原体性结膜炎,Chlamydial,conjunctivitis,1/12/2026,7,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,palpebral,conjunctiva,follicles are full of upper and lower,fornical,conjunctiva.,1/12/2026,8,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,1/12/2026,9,治疗,Treatment,包括局部用药,systemic administration,全身用药及手术治疗,operative treatment.,1/12/2026,10,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.,1/12/2026,11,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 irritating 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,1/12/2026,12,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 depends on topical treatment.,1/12/2026,13,第六章,角膜病,Disease of the cornea,1/12/2026,14,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,1/12/2026,15,治疗原则,The treatment principles,1.去除病因,rid of pathogenic 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,1/12/2026,16,第二节 炎症,Keratitis,1/12/2026,17,细菌性角膜溃疡,Bacterial corneal ulcer,临床表现,Clinical findings,治疗,Treatment,1/12/2026,18,单纯疱疹病毒性角膜炎,Herpes simple,keratitis,临床表现,Clinical findings,治疗,Treatment,1/12/2026,19,蚕蚀性角膜溃疡,Rodent ulcer or,Mooren,ulcer,临床表现,Clinical findings,治疗,Treatment,1/12/2026,20,角膜软化症,Keratomalacia,临床表现,Clinical findings,治疗,Treatment,1/12/2026,21,第七章 巩膜病,Scleral,disorder,1/12/2026,22,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,1/12/2026,23,临床特点,Clinical characteristic,治疗,Treatment,1/12/2026,24,第二节 表层巩膜炎,Episcleritis,一结节性表层巩膜炎,Nodular,episcleritis,二周期性表层巩膜炎,Periodic,episcleritis,1/12/2026,25,第三节 巩膜炎,Scleritis,一前巩膜炎,Anterior,scleritis,二后巩膜炎,Posterior,sclerits,三坏死性巩膜炎,Necrotizing sclertis,1/12/2026,26,