《第二军医大眼科学课件第五章结膜病》教学课件.pptVIP

眼科学 眼科学 * 眼科学 * 第五章 结膜病 Disorder of the conjunction * 眼科学 * 第一节 细菌性结膜炎 Bacterial conjunctivitis * 眼科学 * 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 * 眼科学 * 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 * 眼科学 * 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. * 眼科学 * 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. * 眼科学 * 第二节 衣原体性结膜炎 Chlamydial conjunctivitis * 眼科学 * 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. * 眼科学 * 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 * 眼科学 * 治疗 Treatment 包括局部用药 systemic administration 全身用药及手术治疗 operative treatment. * 眼科学 * 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. * 眼科学 * 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 * 眼科学 * 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 dep