第十一章 青光眼 (中英文版).ppt

GLAUCOMAChapter 11第十一章 青光眼;第—节 概述;Intraocular pressure(IOP) : the pressure of the eye content to the eye wall 眼压:眼球内容物作用于眼球内壁的压力 Normal IOP: 10—2l mmHg Double IOP difference5mmHg IOP curve day and night8mmHg 正常眼压： 10—2lmmHg 　　　　　　双眼压差＜5mmHg 　　　　　　昼夜眼压曲线＜8mmHg。 ;Pathological IOP: IOP is beyond eyeball internal organization, especially the optic nerve bearing limit. Cause optic atrophy and visual field defects 病理眼压:超越眼球内部组织，特别是视神经承受限度的眼压。 引起视神经萎缩和视野缺损 ; Ocular hypertension: IOP is higher than normal IOP range, but no damage of the nerve and visual field. 高眼压症:眼压高出正常眼压范围，但无视神经和视野损害。 Normal tension glaucoma: In the normal range of IOP, the optic nerve and visual field of the damage there. 正常眼压性??光眼：眼压在正常范围,但出现视神经 和视野的损伤。 ; ;7;pathophysiological process病理生理过程：;Classification分 类;前房角的检查及分类;;第二节 原发性青光眼;Primary angle-closure glaucoma一.原发性闭角型青光眼;Clinical stages急性闭角型青光眼临床分期;Acute stage: Symptom: eye: pain, photophobia, tears, severe vision loss. with headaches, nausea and vomiting. Sign: Eyelid edema, Conjunctival congestion, Corneal epithelium edema, Anterior chamber extremely shallow, The pupil dilated and light reflection disappeared, Anterior chamber angle closed. Intraocular pressure increased 50 mmHg. 3.急性发作期： 症状：眼部：眼痛、眼胀、畏光、流泪、严重视力下降。 全身：头痛、恶心、呕吐。 体征：眼睑水肿、 结膜混合充血、 角膜上皮水肿、角膜后色素沉着、 前房极浅、虹膜严重缺血、房水浑浊、絮状渗出、 瞳孔中等大、竖椭圆、光反射消失、局限后粘连、 房角关闭、 眼底不清、视网膜动脉搏动, 眼压明显升高50mmHg。;闭角青光眼前房和前房角;急性闭角型青光眼发作;Acute onset sequela: Visual acuity get better KP Iris: atrophy, pigmentation defects and limited sticky The pupil cant return to normal Cloudy-glaucoma spot on the anterior lens capsule Anterior chamber Angle extensive stick 急性发作后遗症： 视力好转 角膜后色素沉着 虹膜阶段性萎缩、色素脱失、局限后粘 瞳孔不能恢复正常 晶体前囊下片状白色混浊---青光眼斑 房角广泛粘连 ;Remission stage : symptoms to ease and anterior chamber angle open Chronic stage: anterior chamber angle extensive stick Final stage: the continuous high intraocular pressure, poor eyesight or no light