第五章 结膜病课件.ppt

2025/1/5第五章结膜病1第五章结膜病

2025/1/5第五章结膜病2第一节细菌性结膜炎

Bacterialconjunctivitis

2025/1/5第五章结膜病3一、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Prevention

2025/1/5第五章结膜病4二、慢性卡他性结膜炎

Chroniccatarrhalconjunctivitis

病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment

2025/1/5第五章结膜病5三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.

2025/1/5第五章结膜病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。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.

2025/1/5第五章结膜病7第二节衣原体性结膜炎

Chlamydialconjunctivitis

2025/1/5第五章结膜病8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.

2025/1/5第五章结膜病9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Cornealopacity

2025/1/5第五章结膜病10治疗Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.

2025/1/5第五章结膜病11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.

2025/1/5第五章结膜病12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,appearthesymptomofkeratitis

2025/1/5第五章结膜病13治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlyd