第五章 結膜病9/2/20231Disorder

of the

conjunction第一節(jié)細菌性結膜炎9/2/20232Bacterial

conjunctivitis一、急性卡他性結膜炎Acute

catarrhal

conjunctivitis9/2/20233病因

Etiology臨床表現(xiàn)Clinicalfindings診斷

Diagnosis治療

Treatment預防

Prevention二、慢性卡他性結膜炎Chronic

catarrhal

conjunctivitis10/21/20234病因臨床表現(xiàn)診斷治療EtiologyClinical

findingsDiagnosisTreatment三、淋菌性結膜炎Gonococcalconjunctivitis10/21/20235臨床表現(xiàn)Clinicalfindings眼分泌物增多結膜充血ocular

secretion

and

conjunctivalhyperemia.治療

Treatment10/21/20236首先要查找致病原因，然后針對不同致病原因進行恰當治療。first

of

all,it

is

necessary

to

look

forthe

cause,and

then

to

give

propermanagement

according

to

differentcauses.第二節(jié)衣原體性結膜炎Chlamydial

conjunctivitis10/21/20237沙眼

Crachoma10/21/20238病因

Etiology沙眼衣原體感染

infection

of

Chlamydia

trachomatis臨床表現(xiàn)

Clinical

findings眼分泌物增多，結膜充血，瞼結膜乳頭增生，上下穹窿部結膜布滿濾泡。ocular

secretion

and

conjunctival

hyperemia.

，

papillaryhyperplasia

in

palpebral

conjunctiva,follicles

are

full

ofupperandlowerfornicalconjunctiva.后遺癥與并發(fā)癥Sequelaand

complication10/21/202391、瞼內(nèi)反及倒睫2、上瞼下垂3、瞼球粘連Entropion

andtrichiasisBlepharoptosisSymblepharon4、實質(zhì)性角結膜干燥癥

Parenchymatous

xerosis

of

conjunctiva5、慢性淚囊炎6、角膜混濁Chronic

dacryocysititisCorneal

opacity治療

Treatment10/21/202310包括局部用藥systemic

administration全身用藥及手術治療operative

treatment.第三節(jié)病毒性結膜炎Viral

conjunctivitis10/21/202311流行性角結膜炎Epidemic

keratocojunctivitis病因

Etiology病原體是腺病毒The

pathogen

isadenovirus.臨床表現(xiàn)

Clinical

findings10/21/202312刺激癥狀顯著,自覺有異物感、刺癢、疼痛、畏光和流淚appear

strong

irritating

symptoms,such

as

foreignbody

sensation,itching,pain,photophobia

andtearingetc.耳前淋巴結腫大并有壓痛preauricular

lymphadenectasis

and

tenderness.同時出現(xiàn)角膜炎癥狀at

the

same

time,appear

the

symptom

ofkeratitis治療Treatment10/21/202313本病無特效藥物there

is

no

specific

drug

for

thedisorder藥物治療以局部治療為主mainly

depends

on

topical

treatment.第六章角膜病10/21/202314Disease

of the

cornea第一節(jié)角膜炎癥Corneal

inflammation10/21/202315病因

Etiology外源性、內(nèi)源性、局部蔓延exogenous.endogenous.local

speading診斷

Diagnosis癥狀實驗室檢查clinical

findings lab

examinations治療原則The

treatment

principles10/21/202316

1.

去除病因

rid

of

pathogeniccauses2.

積極控制感染

control

infection3.

增強全身及局部抵抗力enhance

systemic

and

local

resistance4.

促進愈合

promote

to

heal5.

減少瘢痕形成

reduce

scarformation第二節(jié)炎癥Keratitis10/21/202317細菌性角膜潰瘍Bacterial

corneal

ulcer10/21/202318臨床表現(xiàn)Clinicalfindings治療Treatment單純皰疹病毒性角膜炎Herpes

simple

keratitis10/21/202319臨床表現(xiàn)Clinical

findings治療

Treatment蠶蝕性角膜潰瘍Rodent

ulcer

or

Mooren

ulcer10/21/202320臨床表現(xiàn)Clinical

findings治療Treatment角膜軟化癥Keratomalacia10/21/202321臨床表現(xiàn)治療Clinical

findingsTreatment第七章鞏膜病10/21/202322Scleral

disorder第一節(jié)概述General

description10/21/202323原因

The

cause1.

與多種全身感染性疾病有關Related

to

many

systemic

infectiousdisorders2.

外傷或感染

The

injury

or

infection3.

自身免疫性疾病Autoimmune

desmosis臨床特點10/21/202324Clinical

characteristic治療Treatment第二節(jié)表層鞏膜炎Episcleritis10/21/202325一．結節(jié)性表層鞏膜炎Nodu