巩膜病(leucitis).pptVIP

巩 膜 病(leucitis) 巩 膜 病 概 述 组成：由胶原纤维和弹力纤维交织组成 功能：维持眼球形状 病理改变：肉芽肿性增殖反应、变性、坏死。 巩膜炎容易发生在表层血管较多 （尤其是前睫状血管穿过巩膜）的部位。 修复能力差：因为血管和神经少，代谢不活跃，药物疗效较差。 特点：病程长、反复发作、疼痛、畏光、流泪。 常见巩膜病：表层巩膜炎(episcleritis)、巩膜炎(scleritis)、巩膜葡萄肿(staphyloma)。 Episcleritis Sectoral redness, engorged episcleral vessels, mild pain Normal vision Typically idiopathic, sometimes collagen-vascular disease related Rx – topical steroids, REFER if recurrent Episcleral redness with localized tenderness, usually sectoral, may be nodular, blanches with topical epinephrine 2.5%, benign and self-limited Etiology: