葡萄膜疾病英文课件.ppt

uveal disease Anatomy of uveitis iris Ciliary body Choroid. The concept of uveitis uveitis The retina Retinal blood vessels vitreous The pathogenesis of uveitis Infection mechanism Autoimmune mechanism Oxidative damage mechanism Immune genetic mechanism The cause of uveitis infectious Bacteria viruses Fungi helix parasite The cause of uveitis According to the pathological morphological classification： granulomatous non-granulomatous The classification of uveitis According to the anatomical site classification: anterior uveitis intermediate uveitis posterior uveitis Panuveitis anterior uveitis Symptoms Acute: subacute onset of photophobia,redness,pain and blurred vision; usually unilateral Chronic:symptoms may initially be absent or mild  signs Conjunctival: ciliary hyperemia or mixed hyperemia Aqueous flare cnd cells Anterior chamber,:empyema, hemorrhage and flocculent fibers KP:keratic preciptate size, shape, color, quantity and distribution Iris: edema, adhesion, nodules, contraction, of peng, new blood vessels Pupil: narrow, atresia, membrane closed Crystal: pigment vitreous:turbidity Iries-lens adhesions Corneal calcium deposition Cataract Glaucoma A blind ,soft and shrunken globe in the end stage chronic uveitis diagnosis Medical history Symptoms Signs laboratory examination The differential diagnosis Acute conjunctivitis Acute angle-closure glaucoma Intraocular tumor Panuveitisssss 治 疗 Topical steroids and mydriatics are the mainstay of treatment Periocular steroid injection Systemic steroids,immunosuppressive agents and antibiotics for infectionss 中间葡萄膜炎 症 状 发病隐袭 眼前黑影飘动 视物模糊 视力减退 体征 眼前段炎症轻 玻璃体雪球样混浊 睫状体平坦部雪堤样渗出 周边视网膜炎、血管周围炎 并发症 并发性白内障 黄斑病变 视网膜、视神经萎缩 诊断 飞蚊症 后囊下混浊 黄斑囊样水肿 造影 治疗 视力 0.5 观察 视力 0.5 激素 免疫抑制剂 冷冻 激光 玻切 后葡萄膜炎 症 状 眼前黑影飘动 闪光感、