同济大学：《眼科学》课程电子教案（PPT课件讲稿）巩膜病 Scleral Disease

Introduction character Outer wall of eye. Collagen fiber elastic fiber Lack of cell and vessels Less capacity of self repairing-staphyloma Scleral Disease:Commonly found in inflammation disease course deferment medication inevident Scleral Disease Classifications: Episcleritis Scleritis

Introduction character • Outer wall of eye. • Collagen fiber & elastic fiber • Lack of cell and vessels • Less capacity of self repairing—staphyloma Scleral Disease：Commonly found in inflammation （disease course deferment ，medication inevident） Scleral Disease Classifications： Episcleritis Scleritis

Episcleritis Nodular episcleritis acute in onset symptoms:unilateral、.wine、 round or ellipse limited nodular uplift,diameter 2~3mm redness、edema irritation 图7-I-】结节性表层巩膜炎(nodular episcleritis) 碳侧角巩膜缘外限局性充血，发粉红或紫色，上巩膜组织充 血、浸涧，水肿星结节状隆起。结节在巩腹上可被推动。球结飘 Vission not affected 和Tcon囊也被波及 concurruent mild iritis the inflammation subsided in 2 to 4 weeks easily recurrent

Episcleritis Nodular episcleritis ： acute in onset symptoms:unilateral、wine、 round or ellipse limited nodular uplift，diameter 2～3mm redness 、edema irritation Vission not affected concurruent mild iritis the inflammation subsided in 2 to 4 weeks，easily recurrent

Episcleritis Simple episcleritis periodicity redness and edema light irritation,Vission not affected concurruent lid edema disease course deferment often found in Women's menstrual period self-limited

Episcleritis Simple episcleritis ： periodicity redness and edema light irritation,Vission not affected concurruent lid edema， disease course deferment often found in Women's menstrual period self-limited

Episcleritis different diagnoses Episcleritis Conjunctivitis scleritis Congestion Localized Diffused, palpebral conjunctiva affected Congestion Not affect sclera Affect and edema sclera Nodules movable unmovabl e Adrenaline Disappear Disappear Not disappear

Episcleritis Episcleritis Conjunctivitis scleritis Congestion Localized Diffused, palpebral conjunctiva affected Congestion and edema Not affect sclera Affect sclera Nodules movable unmovabl e Adrenaline Disappear Disappear Not disappear different diagnoses

Episcleritis Treatment: Self-limiting Corticosteroids: Eyedrop -ic NSAIDs:po

Treatment： • Self-limiting • Corticosteroids: – Eyedrop – ic • NSAIDs: po Episcleritis

Scleritis Inflammation of sclera Severe than episcleritis Young and mid-age adults Female>Male ● Autoimmune disease Complicated with general collagenous, granulomatous or metabolic diseases

Scleritis • Inflammation of sclera • Severe than episcleritis • Young and mid-age adults • Female>Male • Autoimmune disease • Complicated with general collagenous, granulomatous or metabolic diseases

Scleritis pathogeny Allergic reaction。 Auto immune connective tissue diseases Metabolic diseases Other infection spreaded,inflammation spreads in the vicinity of the organization

pathogeny： Allergic reaction。 Auto immune connective tissue diseases Metabolic diseases Other：infection spreaded，inflammation spreads in the vicinity of the organization。 Scleritis

Scleritis anterior Scleritis: disease site anterior equator,bilateral eyes current successively. clinical manifestations pain,Vision decrease, sclera focus course:long、recurrent、deferment prognosis not good complications Uveitis,Keratitis,Secondary glaucoma e.g

anterior Scleritis: disease site： anterior equator， bilateral eyes current successively。 clinical manifestations ：pain, Vision decrease 、 sclera focus course：long、recurrent、deferment prognosis：not good complications：Uveitis、Keratitis、Secondary glaucoma e.g。 Scleritis

Scleritis Classification diffuse anterior scleritis nodular anterior scleritis necrotizing anterior scleritis

Classification diffuse anterior scleritis nodular anterior scleritis necrotizing anterior scleritis Scleritis

diffuse anterior scleritis about 40% prognosis preferably sclera diffuse redness bulbar conjunctiva edema 图7-2-4弥漫性前巩膜炎(diffuse anterior scleritis) 病变限于眼球源半侧。伴发表层巩膜炎，因结膜充血水肿 上巩膜组织肿胀，面掩盖巩膜病变。轻压推结膜血管即可见黯红 色深层巩膜充血并有压疼，伴发硬化性角膜炎，基质中层或深层 炎性浸润、混浊、发白，注意病变基底与角巩照缘相津（右要

diffuse anterior scleritis about 40％ prognosis preferably sclera diffuse redness bulbar conjunctiva edema