（精选课件）眼科检查法).pptVIP

Observal of the fundus:眼底检查 1、optic disc/ optic papillae(视盘/ 视乳头) * 2、central retinal artery, vein * 3、macular region: 黄斑区 fovea centralis: 黄斑中心凹 edema: * staining with fluorescein sodium: 荧光素钠染色/ corneal epithelium: 角膜上皮 * nodule: 结节/ hyperemia: 充血 * jaundice: 黄染 * 圆锥角膜并混浊 * 色素KP * 羊脂状KP * 浅前房 * Tyndall 现象 * 虹膜植入性囊肿 * 虹膜新生血管 * 晶状体脱位 * 核性晶状体混浊 * 绕核性晶状体混浊 * 正常玻璃体支架组织 * 四、Gonioscope: 前房角镜检查 Angle-closure glaucoma: 闭角型青光眼 Angle-open glaucoma：开角型青光眼 * Direct/refractive(直接房角镜/光线的折射) * Indirect/reflective(间接房角镜/光线的反射) * The anterior chamber angle(前房角) * Anterior walls： 1、Schwalbe’s line: The terminal of corneal Descemet’s layer: 角膜后弹力层终止处 The boundary between the cornea and the trabecula: 角膜与小梁网的边界 * 2、trabecular network: 小梁网 A little yellow band structure: The canal of schlemm: Drainage aqueous humor outflow: 房水排出的通路 3、scleral spur: 巩膜突 * Crypts: 隐窝 * Posterior wall: 后壁 Iris root: 虹膜根部 * Classification：分类 * Wide angle:宽角 * Narrow angle:窄角 Grade 1: Eminence in different degree at the iris periphery, under dynamic condition the ciliary body may be seen to be wider or from invisible to be seen. * Grade 2: the scleral spur may be seen but ciliary band in dynamic observation. * Grade 3: the scleral spur and the posterior part of the trabecular network can’t be seen in dynamic observation ,but displacement of the focal line may be seen. *