军医大眼科学课件第五章结膜病

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1、第五章结膜病Disorderoftheconjunction8/13/20211眼科学第一节细菌性结膜炎Bacterialconjunctivitis8/13/20212眼科学一、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Prevention8/13/20213眼科学二、慢性卡他性结膜炎Chroniccatarrhalconjunctivitis病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment8/13

2、/20214眼科学三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.8/13/20215眼科学治疗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.8/13/20216眼科学第二节衣原体性结膜炎Chlamydialconjun

3、ctivitis8/13/20217眼科学沙眼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,folliclesarefullofupperandlowerfornicalconjunctiva.8/13/20218眼科学后遗症与并发症Sequelaandcom

4、plication1、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Cornealopacity8/13/20219眼科学治疗Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.8/13/202110眼科学第三节病毒性结膜炎Viralconjunctivitis流行性角结膜

5、炎Epidemickeratocojunctivitis病因Etiology病原体是腺病毒Thepathogenisadenovirus.8/13/202111眼科学临床表现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,photophobiaandtearingetc.耳前淋巴结肿大并有压痛preauricularlymphadenectasisandtenderness.同时出现角膜炎症状atthesametime

6、,appearthesymptomofkeratitis8/13/202112眼科学治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.8/13/202113眼科学第六章角膜病Diseaseofthecornea8/13/202114眼科学第一节角膜炎症Cornealinflammation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clinicalf

7、indingslabexaminations8/13/202115眼科学治疗原则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reducescarformation8/