结膜病课件全.pptVIP

2023/5/171结膜病 Disorder of the conjunction 2023/5/172第一节 细菌性结膜炎 Bacterial conjunctivitis 2023/5/173一、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 2023/5/174二、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 2023/5/175三、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. 2023/5/176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. 2023/5/177第二节 衣原体性结膜炎 Chlamydial conjunctivitis 2023/5/178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. 2023/5/179后遗症与并发症Sequela and complication1、睑内反及倒睫 Entropion and trichiasis2、上睑下垂 Blepharoptosis3、睑球粘连 Symblepharon4、实质性角结膜干燥症 Parenchymatous xerosis of conjunctiva5、慢性泪囊炎 Chronic dacryocysititis6、角膜混浊 Corneal opacity 2023/5/1710治疗 Treatment包括局部用药 systemic administration 全身用药及手术治疗 operative treatment. 2023/5/1711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. 2023/5/1712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 2023/5/1713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 depends on topical treatment. 2023/5/1714第六章 角膜