眼科学全套课件.pptx

結膜病Disorderoftheconjunction2024-2-17第一節細菌性結膜炎Bacterialconjunctivitis2024-2-17一、急性卡他性結膜炎Acutecatarrhalconjunctivitis病因Etiology臨床表現Clinicalfindings診斷Diagnosis治療Treatment預防Prevention2024-2-17二、慢性卡他性結膜炎Chroniccatarrhalconjunctivitis病因Etiology臨床表現Clinicalfindings診斷Diagnosis治療Treatment2024-2-17三、淋菌性結膜炎Gonococcalconjunctivitis臨床表現Clinicalfindings眼分泌物增多結膜充血ocularsecretionandconjunctivalhyperemia.2024-2-17治療Treatment首先要查找致病原因，然後針對不同致病原因進行恰當治療。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.2024-2-17第二節衣原體性結膜炎Chlamydialconjunctivitis2024-2-17沙眼Crachoma病因Etiology沙眼衣原體感染infectionofChlamydiatrachomatis臨床表現Clinicalfindings眼分泌物增多，結膜充血，瞼結膜乳頭增生，上下穹窿部結膜佈滿濾泡。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.2024-2-17後遺症與併發症Sequelaandcomplication1、瞼內反及倒睫Entropionandtrichiasis2、上瞼下垂Blepharoptosis3、瞼球粘連Symblepharon4、實質性角結膜乾燥症Parenchymatousxerosisofconjunctiva5、慢性淚囊炎Chronicdacryocysititis6、角膜混濁Cornealopacity2024-2-17治療Treatment包括局部用藥systemicadministration全身用藥及手術治療operativetreatment.2024-2-17第三節病毒性結膜炎Viralconjunctivitis流行性角結膜炎Epidemickeratocojunctivitis病因Etiology病原體是腺病毒Thepathogenisadenovirus.2024-2-17臨床表現Clinicalfindings刺激症狀顯著,自覺有異物感、刺癢、疼痛、畏光和流淚appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.耳前淋巴結腫大並有壓痛preauricularlymphadenectasisandtenderness.同時出現角膜炎症狀atthesametime,appearthesymptomofkeratitis2024-2-17治療Treatment本病無特效藥物thereisnospecificdrugforthedisorder藥物治療以局部治療為主mainlydependsontopicaltreatment.2024-2-17第六章角膜病Diseaseofthecornea2024-2-17第一節角膜炎症Cornealinflammation病因Etiology外源性、內源性、局部蔓延exogenous.endogenous.localspeading診斷Diagnosis症狀實驗室檢查clinicalfindingslabexaminations2024-2-17治療原則Thetreatmentprinciples1.去除病因ridofpathogenic