结膜、角膜、巩膜病VIP免费

24/12/291第五章结膜病Disorderoftheconjunction24/12/292第一节细菌性结膜炎Bacterialconjunctivitis24/12/293一、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Prevention24/12/294二、慢性卡他性结膜炎Chroniccatarrhalconjunctivitis病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment24/12/295三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.24/12/296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.24/12/297第二节衣原体性结膜炎Chlamydialconjunctivitis24/12/298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.24/12/299后遗症与并发症Sequelaandcomplication1、睑内反及倒睫Entropionandtrichiasis2、上睑下垂Blepharoptosis3、睑球粘连Symblepharon4、实质性角结膜干燥症Parenchymatousxerosisofconjunctiva5、慢性泪囊炎Chronicdacryocysititis6、角膜混浊Cornealopacity24/12/2910治疗Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.24/12/2911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.24/12/2912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,appearthesymptomofkeratitis24/12/2913治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.24/12/2914第六章角膜病Diseaseofthecornea24/12/2915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clinicalfindingslabexaminations24/12/2916治疗原则Thetreatmentprinciples1.去除病因ridofpathogeniccauses2.积极控制感染controlinfection3.增强全身及局部抵抗力enhancesystemicandlocalresistance4.促进愈合promotetoheal5.减少瘢痕形成reducescarformation24/12/2917第二节炎症Keratitis24/12/2918细菌性角膜溃疡Bacterialcornealulcer临床表现Clinicalfindings治疗Treatment24/12/2919单纯疱疹病毒性角膜炎Herpessimplekeratitis临床表现Clinicalfindings治疗Treatment24/12/2920蚕蚀性角膜溃疡RodentulcerorMoorenulcer临床表现Clinicalfindings治疗Treatment24/12/2921角膜软化症Keratomalacia临床表现Clinicalfindings治疗Treatment24/12/2922第七章巩膜病Scleraldisorder24/12/2923第一节概述Generaldescription原因Thecause1.与多种全身感染性疾病有关Relatedtomanysystemicinfectiousdisorders2.外伤或感染Theinjuryorinfection3.自身免疫性疾病Autoimmunedesmosis24/12/2924临床特点Clinicalcharacteristic治疗Treatment24/12/2925第二节表层巩膜炎Episcleritis一．结节性表层巩膜炎Nodularepiscleritis二．周期性表层巩膜炎Periodicepiscleritis24/12/2926第三节巩膜炎Scleritis一．前巩膜炎Anteriorscleritis二．后巩膜炎Posteriorsclerits三．坏死性巩膜炎Necrotizingsclertis