结膜病专业知识.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,*,眼科学,*,结膜病专业知识,第一节 细菌性结膜炎,Bacterial conjunctivitis,7/2/2026,2,一、急性卡他性结膜炎,Acute catarrhal conjunctivitis,病因,Etiology,临床体现,Clinical findings,诊疗,Diagnosis,治疗,Treatment,预防,Prevention,7/2/2026,3,二、慢性卡他性结膜炎,Chronic catarrhal conjunctivitis,病因,Etiology,临床体现,Clinical findings,诊疗,Diagnosis,治疗,Treatment,7/2/2026,4,三、淋菌性结膜炎,Gonococcalconjunctivitis,临床体现,Clinical findings,眼分泌物增多 结膜充血,ocular secretion and conjunctival hyperemia.,7/2/2026,5,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.,7/2/2026,6,第二节 衣原体性结膜炎,Chlamydial conjunctivitis,7/2/2026,7,沙眼,Crachoma,病因,Etiology,沙眼衣原体感染,infection of Chlamydia trachomatis,临床体现,Clinical findings,眼分泌物增多，结膜充血，睑结膜乳头增生，上下穹窿部结膜充满滤泡。,ocular secretion and conjunctival hyperemia.，papillary hyperplasia in palpebral conjunctiva,follicles are full of upper and lower fornical conjunctiva.,7/2/2026,8,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,7/2/2026,9,治疗,Treatment,涉及局部用药,systemic administration,全身用药及手术治疗,operative treatment.,7/2/2026,10,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.,7/2/2026,11,临床体现,Clinical findings,刺激症状明显,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.,同步出现角膜炎症状,at the same time,appear the symptom of keratitis,7/2/2026,12,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.,7/2/2026,13,第六章 角膜病,Disease of the cornea,7/2/2026,14,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,诊疗,Diagnosis,症状 试验室检验,clinical findings lab examinations,7/2/2026,15,治疗原则,The treatment principles,1.清除病因,rid of pathogenic causes,2.主动控制感染,control infection,3.增强全身及局部抵抗力,enhance systemic and local resistance,4.增进愈合,promote to heal,5.降低瘢痕形成,reduce scar formation,7/2/2026,16,第二节 炎症,Keratitis,7/2/2026,17,细菌性角膜溃疡,Bacterial corneal ulcer,临床体现,Clinical findings,治疗,Treatment,7/2/2026,18,单纯疱疹病毒性角膜炎,Herpes simple keratitis,临床体现,Clinical findings,治疗,Treatment,7/2/2026,19,蚕蚀性角膜溃疡,Rodent ulcer or Mooren ulcer,临床体现,Clinical findings,治疗,Treatment,7/2/2026,20,角膜软化症,Keratomalacia,临床体现,Clinical findings,治疗,Treatment,7/2/2026,21,第七章 巩膜病,Scleral disorder,7/2/2026,22,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.本身免疫性疾病,Autoimmune desmosis,7/2/2026,23,临床特点,Clinical characteristic,治疗,Treatment,7/2/2026,24,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,7/2/2026,25,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,7/2/2026,26,