哈尔滨医科大学：眼科学_结膜病 Disorder of the conjunction、角膜、巩膜病

第五章结膜病 Disorder of the conjunction 2021/2/19

2021/2/19 1 第五章 结膜病 Disorder of the conjunction

第一节细菌性结膜炎 Bacterial conjunctivitis 2021/2/19

2021/2/19 2 第一节 细菌性结膜炎 Bacterial conjunctivitis

急性卡他性结膜炎 Acute catarrhal conjunctivitis 病因 Etiology 临床表现 Clinical findings 断 Diagnosis 治疗 Treatment 预防 Prevention 2021/2/19 3

2021/2/19 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

慢性卡他性结膜炎 Chronic catarrhal conjunctivitis 病因 Etiology 临床表现 Clinical findings 诊断 Diagnosis 治疗 Treatment 2021/2/19

2021/2/19 4 二、慢性卡他性结膜炎 Chronic catarrhal conjunctivitis ◼ 病因 Etiology ◼ 临床表现 Clinical findings ◼ 诊断 Diagnosis ◼ 治疗 Treatment

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 h hyperemia 2021/2/19 5

2021/2/19 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

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 give proper management according to different causes 2021/2/19 6

2021/2/19 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 give proper management according to different causes

第二节衣原体性结膜炎 Chlamydial conjunctivitis 2021/2/19

2021/2/19 7 第二节 衣原体性结膜炎 Chlamydial conjunctivitis

沙眼 Trachoma 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 lyperplasia in palpebral conjunctiva, follicles are full of upper and lower fornical conjunctiva 2021/2/19 8

2021/2/19 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 hyperplasia in palpebral conjunctiva,follicles are full of upper and lower fornical conjunctiva

后遗症与并发症 Sequela and complication 1、睑内反及倒睫 Entropion and trichiasis 2、上睑下垂 Blepharoptosis 3、睑球粘连 Symblepharon 4、实质性角结膜干燥症 Parenchymatous xerosis of conjunctiva 5、慢性泪囊炎 Chronic dacryocystitis 6、角膜混浊 Corneal opacity 2021/2/19

2021/2/19 9 后遗症与并发症 Sequela and complication ◼ 1、睑内反及倒睫 Entropion and trichiasis ◼ 2、上睑下垂 Blepharoptosis ◼ 3、睑球粘连 Symblepharon ◼ 4、实质性角结膜干燥症 Parenchymatous xerosis of conjunctiva ◼ 5、慢性泪囊炎 Chronic dacryocysititis ◼ 6、角膜混浊 Corneal opacity

治疗 Treatment 包括局部用药 systemic administration 全身用药及手术治疗 operative treatment 2021/2/19 10

2021/2/19 10 治疗 Treatment ◼ 包括局部用药 systemic administration ◼ 全身用药及手术治疗 operative treatment