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1、2023/6/17,眼科学,1,第五章 结膜病 Disorder of the conjunction,2023/6/17,眼科学,2,第一节 细菌性结膜炎 Bacterial conjunctivitis,2023/6/17,眼科学,3,一、急性卡他性结膜炎 Acute catarrhal conjunctivitis,病因 Etiology临床表现 Clinical findings诊断 Diagnosis治疗 Treatment预防 Prevention,2023/6/17,眼科学,4,二、慢性卡他性结膜炎 Chronic catarrhal conjunctivitis,病因 Etio
2、logy临床表现 Clinical findings诊断 Diagnosis治疗 Treatment,2023/6/17,眼科学,5,三、淋菌性结膜炎Gonococcalconjunctivitis,临床表现 Clinical findings 眼分泌物增多 结膜充血 ocular secretion and conjunctival hyperemia.,2023/6/17,眼科学,6,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。first of all,it is necessary to look for the cause,and then to g
3、ive proper management according to different causes.,2023/6/17,眼科学,7,第二节 衣原体性结膜炎 Chlamydial conjunctivitis,2023/6/17,眼科学,8,沙眼 Crachoma,病因 Etiology沙眼衣原体感染 infection of Chlamydia trachomatis临床表现 Clinical findings 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。ocular secretion and conjunctival hyperemia.，papillary hy
4、perplasia in palpebral conjunctiva,follicles are full of upper and lower fornical conjunctiva.,2023/6/17,眼科学,9,后遗症与并发症Sequela and complication,1、睑内反及倒睫 Entropion and trichiasis2、上睑下垂 Blepharoptosis3、睑球粘连 Symblepharon4、实质性角结膜干燥症 Parenchymatous xerosis of conjunctiva5、慢性泪囊炎 Chronic dacryocysititis6、角膜
5、混浊 Corneal opacity,2023/6/17,眼科学,10,治疗 Treatment,包括局部用药 systemic administration 全身用药及手术治疗 operative treatment.,2023/6/17,眼科学,11,第三节 病毒性结膜炎 Viral conjunctivitis,流行性角结膜炎 Epidemic keratocojunctivitis病因 Etiology病原体是腺病毒 The pathogen is adenovirus.,2023/6/17,眼科学,12,临床表现 Clinical findings,刺激症状显著,自觉有异物感、刺痒、
6、疼痛、畏光和流泪 appear strong irritating symptoms,such as foreign body sensation,itching,pain,photophobia and tearing etc.耳前淋巴结肿大并有压痛preauricular lymphadenectasis and tenderness.同时出现角膜炎症状 at the same time,appear the symptom of keratitis,2023/6/17,眼科学,13,治疗 Treatment,本病无特效药物 there is no specific drug for th
7、e disorder药物治疗以局部治疗为主 mainly depends on topical treatment.,2023/6/17,眼科学,14,第六章 角膜病 Disease of the cornea,2023/6/17,眼科学,15,第一节 角膜炎症 Corneal inflammation,病因 Etiology 外源性、内源性、局部蔓延 exogenous.endogenous.local speading诊断 Diagnosis症状 实验室检查 clinical findings lab examinations,2023/6/17,眼科学,16,治疗原则 The treat
8、ment principles,1.去除病因 rid of pathogenic causes2.积极控制感染 control infection3.增强全身及局部抵抗力 enhance systemic and local resistance4.促进愈合 promote to heal 5.减少瘢痕形成 reduce scar formation,2023/6/17,眼科学,17,第二节 炎症 Keratitis,2023/6/17,眼科学,18,细菌性角膜溃疡 Bacterial corneal ulcer,临床表现 Clinical findings治疗 Treatment,2023/
9、6/17,眼科学,19,单纯疱疹病毒性角膜炎 Herpes simple keratitis,临床表现 Clinical findings治疗 Treatment,2023/6/17,眼科学,20,蚕蚀性角膜溃疡 Rodent ulcer or Mooren ulcer,临床表现Clinical findings治疗Treatment,2023/6/17,眼科学,21,角膜软化症 Keratomalacia,临床表现 Clinical findings治疗 Treatment,2023/6/17,眼科学,22,第七章 巩膜病 Scleral disorder,2023/6/17,眼科学,23,
10、第一节 概述 General description,原因 The cause1.与多种全身感染性疾病有关 Related to many systemic infectious disorders2.外伤或感染 The injury or infection3.自身免疫性疾病 Autoimmune desmosis,2023/6/17,眼科学,24,临床特点 Clinical characteristic治疗 Treatment,2023/6/17,眼科学,25,第二节 表层巩膜炎 Episcleritis,一结节性表层巩膜炎 Nodular episcleritis二周期性表层巩膜炎 Periodic episcleritis,2023/6/17,眼科学,26,第三节 巩膜炎 Scleritis,一前巩膜炎 Anterior scleritis二后巩膜炎 Posterior sclerits三坏死性巩膜炎 Necrotizing sclertis,
