结膜病专业知识.pptVIP

结膜病专业知识

第一节细菌性结膜炎

Bacterialconjunctivitis

5/29/20252

一、急性卡他性结膜炎

Acutecatarrhalconjunctivitis病因Etiology临床体现Clinicalfindings诊疗Diagnosis治疗Treatment预防Prevention5/29/20253

二、慢性卡他性结膜炎

Chroniccatarrhalconjunctivitis

病因Etiology临床体现Clinicalfindings诊疗Diagnosis治疗Treatment5/29/20254

三、淋菌性结膜炎Gonococcalconjunctivitis临床体现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.5/29/20255

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.5/29/20256

第二节衣原体性结膜炎

Chlamydialconjunctivitis5/29/20257

沙眼Crachoma病因Etiology沙眼衣原体感染infectionofChlamydiatrachomatis临床体现Clinicalfindings眼分泌物增多，结膜充血，睑结膜乳头增生，上下穹窿部结膜充满滤泡。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.5/29/20258

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Cornealopacity5/29/20259

治疗Treatment涉及局部用药systemicadministration全身用药及手术治疗operativetreatment.5/29/202510

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.5/29/202511

临床体现Clinicalfindings刺激症状明显,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.同步出现角膜炎症状atthesametime,appearthesymptomofkeratitis5/29/202512

治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.5/29/202513

第六章角膜病

Diseaseofthecornea5/29/202514

第一节角膜炎症