双语 眼睑病等.ppt

过敏性结膜炎 变性性结膜病 翼状胬肉(pterygium) 睑裂斑(pingueculae) 结膜结石(conjunctival concretion) 急性泪囊炎(Acute dacryocystitis) Acute dacryocystitis take place on the basis of chronic dacryocystitis; area in the lacrimal sac appears: red, swollen,hot,pain. When pus-punctum appears, drainge is needed to do. When infection is controlled, to do operation as that of chronic dacryocystitis 慢性泪囊炎(chronic dacryocystitis) 病因：鼻泪管狭窄或堵塞伴发细菌感染 临床表现：溢泪、溢浓 眼部感染病灶 治疗：手术 Etiology: trachoma, chronic rhinitis, nasal polyp, hypertrophy of nasal conchae Clinical finding: epiphor, when compression a large amount of mueopurulent secretion reflux from the puncta or lacrimalia. Clinical meaning: Chronic dacryocystitis as an ocular focus makes conjunctival sac in polluted condition, once the globe is injuried or operated on, infection becomes easy, severe complication will take place. 泪液分泌系统疾病 泪腺炎(dacryoadenitis) 泪腺肿瘤 无泪症 泪液分泌过多 Disease of secretory system 1) Dacryoadenitis: less common 2) Tumor of lacrimal gland 眼表疾病(ocular surface disorder) 概述 眼表：参与维持眼球表面健康的防护体系中的所有外眼附属器 泪膜（tear film)结构和功能 眼表疾病(OSD):泛指损害角结膜眼表正常结构与功能的疾病 Ocular surface: All the exter apparatus which attend to maintain a healthy protective system of the globe Tear: including lipid layer, aqueous layer, mucus layer. Function: to make the cornea a smooth optical surface by abolishing minute surface irregularities of its epithelium; to wet the surface of the corneal and conjunctival epithelium, preventing damage to the conjunctival epithelial cell; to inhibit the growth of microorganisms on the conjunctival and cornea by mechanical flushing and the antimicrobial action of the tear fluid. Ocular surface disorder(OSD): Generally refer to the diseases of impairing nomal structure and function of corneal and conjunctival surface. 眼表疾病治疗原则 提供上皮细胞生长所需的、相对健康的基质和基底膜，以及有活力的上皮干细胞来源 应用药物减轻炎症反应和抑制排斥反应 改善干眼症状 角结膜干燥症（干眼症）(dry eye syndrome) 定义：任何原因引起的泪液质和量异常或动力学异常、导致泪膜稳定性下降，并伴有眼部不适，引起眼表病变为特征的多种病症的总称。 Clinical find