接触镜的并发症和处理 Complications ofContact Lens Wear.ppt

Hexagonal六边形 * Warpage 扭曲 * Intersubject susceptibility 个体易感性 * Evaporation 蒸发 * Greasy 油脂的 flutuates * Constituents状况 * Contamination 污染 * Penetrate 穿透 * Filamentary 丝状 * Spores 孢子 Proliferates增生扩散 Penetrates穿透 Matrix 矩阵 * Stiffness 硬度 * Sicca 干燥 * Aggressive * Stinging 刺痛 Instillation 滴入 * Irrigate 冲洗 Fornices 结膜囊 * Predisposing 素因性 Entrapment 捕获 * Unilateral 单眼 * Hallmark 标志 * Mast cell 柱状细胞 Eosinophil 嗜红细胞 Basophil 嗜碱细胞 * * Edematous 水肿 Intal 色苷酸钠 * Antihistamine抗组胺剂 NSAID 非甾体抗炎药 Vasoconstrictor 缩血管药 Topical局部的 * Steroid 类固醇 Exacerbation 恶化 Mast 肥大细胞 * Microcyst 微囊 * Metabolic 代谢性 * Desiccation 干燥 * Arcuate 弓形的 Punctate 点状的 * Punctal plugs 泪点栓塞 * Interpalpebral 睑裂间 * Migrate 移行 * Striae 条纹 Folds 皱折 Stromal clouding(haze） 基质雾状混浊 * Haloes 光晕 * Superficial浅表 * Necrosis 坏疽 * Integrity完整性 * Overlie 在。。。上面 * Sterile 无菌的 * Antibiotic抗生素 Taper逐渐变小 re-epithelialization 表皮再植 * Dedewe * Polymegethism 多形变 Polymorphism 多形化 * Transient短暂的 * polymegethism * * Complications of CL wear Eyelids and conjunctiva Tear film Corneal epithelium Corneal stroma Corneal endothelium Corneal shape change * Corneal shape change Mechanical pressure on the cornea by lens or eyelids Corneal edema induced by contact lenses Mucous adherence under the rigid lens * Corneal shape change Overall corneal curvature change SAI and SRI change of corneal topography Corneal warpage * Definition of a deposit: … any lens surface coating or matrix formation which is not flushed or rinsed from a lens by tears during blinking * CONTACT LENS DEPOSITS Care and maintenance procedures reduces deposits But can`t eliminate them * Factors influencing lens deposition Individual difference in tear Lens material Care system Wearing schedule Enviroment Patient hygiene * DEPOSIT SUSCEPTIBILITY:SCL MATERIALS Generally Low water materials deposit less than high water materials Non-ionic materials deposit less than ionic materials * DEPOSIT SUSCEPTIBILITY:RGP MATERIALS Deposits form