军医大眼科学课件第五章结膜病.pptVIP

2025/1/5眼科学1第五章结膜病

Disorderoftheconjunction

2025/1/5眼科学2第一节细菌性结膜炎

Bacterialconjunctivitis

一、急性卡他性结膜炎

Acutecatarrhalconjunctivitis诊断Diagnosis治疗Treatment临床表现Clinicalfindings预防Prevention病因Etiology

二、慢性卡他性结膜炎

ChroniccatarrhalconjunctivitisSTEP4STEP3STEP2STEP1病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment

三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings01眼分泌物增多结膜充血02ocularsecretionandconjunctivalhyperemia.03

治疗Treatment2025/1/5眼科学6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。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.

第二节衣原体性结膜炎Chlamydialconjunctivitis12

沙眼Crachoma2025/1/5眼科学8病因Etiology临床表现Clinicalfindings沙眼衣原体感染infectionofChlamydiatrachomatis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。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.

后遗症与并发症

Sequelaandcomplication

1、睑内反及倒睫Entropionandtrichiasis2、上睑下垂Blepharoptosis3、睑球粘连Symblepharon4、实质性角结膜干燥症Parenchymatousxerosisofconjunctiva5、慢性泪囊炎Chronicdacryocysititis6、角膜混浊Cornealopacity

治疗Treatment2025/1/5眼科学10包括局部用药systemicadministration全身用药及手术治疗operativetreatment.0102

第三节病毒性结膜炎

Viralconjunctivitis流行性角结膜炎Epidemickeratocojunctivitis病因Etiology病原体是腺病毒Thepathogenisadenovirus.

临床表现Clinicalfindings刺激症状显著,自觉有异物感、刺痒、疼痛、畏光和流泪耳前淋巴结肿大并有压痛同时出现角膜炎症状appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.preauricularlymphadenectasisandtenderness.atthesametime,appearthesymptomofkeratitis123456

治疗Treatment2025/1/5眼科学13thereisnospecificdrugforthedisorder本病无特效药物mainlydependsontopicaltreatment.药物治疗以局部治疗为主

第六章角膜病

Diseaseofthecornea

第一节角膜炎症

Cornealinflammation病因Et