结膜、角膜、巩膜病

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1、第五章结膜病Disorderoftheconjunction10/20/20211第一节细菌性结膜炎Bacterialconjunctivitis10/20/20212一、急性卡他性结膜炎Acutecatarrhalconjunctivitis病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment预防Prevention10/20/20213二、慢性卡他性结膜炎Chroniccatarrhalconjunctivitis病因Etiology临床表现Clinicalfindings诊断Diagnosis治

2、疗Treatment10/20/20214三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.10/20/20215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。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.10/20/202

3、16第二节衣原体性结膜炎Chlamydialconjunctivitis10/20/20217沙眼Crachoma病因Etiology沙眼衣原体感染infectionofChlamydiatrachomatis临床表现Clinicalfindings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,folliclesarefullofupperandlowerfornica

4、lconjunctiva.10/20/20218后遗症与并发症Sequelaandcomplication1、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Cornealopacity10/20/20219治疗Treatment包括局部用药systemicadministration全身用药及手术治疗opera

5、tivetreatment.10/20/202110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.10/20/202111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appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearinge

6、tc.耳前淋巴结肿大并有压痛preauricularlymphadenectasisandtenderness.同时出现角膜炎症状atthesametime,appearthesymptomofkeratitis10/20/202112治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.10/20/202113第六章角膜病Diseaseofthecornea10/20/202114第一节角膜炎症Cornealinf

7、lammation病因Etiology外源性、内源性、局部蔓延exogenous.endogenous.localspeading诊断Diagnosis症状实验室检查clinicalfindingslabexaminations10/20/202115治疗原则Thetreatmentprinciples1.   去除病因ridofpathogeniccauses2.积极控制感染controlinfection3.增强全身及局部抵抗力enhancesystemicandlocalresistance4.促进愈合promotetoheal5.减少瘢痕形成r

8、educescarformation10/20/202116第二节炎症Keratitis10/