眼科疾病基礎(chǔ)知識課件

單擊此處編輯母版標(biāo)題樣式,,單擊此處編輯母版文本樣式,,第二級,,第三級,,第四級,,第五級,,*,,*,,眼科常見疾病,,9: Allergan,,,,內(nèi)容,,12青光眼,,(2,,準(zhǔn)分子激光手術(shù)治療屈光不正,,(3)〉葡萄膜炎,,白內(nèi)障,,,,青光眼>1分類,,急性原發(fā)性閉角型青光眼,,原發(fā)性閉角型青光眼,,原發(fā)性青光眼,,慢性原發(fā)性閉角型青光眼,,原發(fā)性開角型青光眼,,繼發(fā)性青光眼,,發(fā)育性青光眼,,混合性青光眼,,,,青光眼>2診斷,,眼痛,,頭痛,,眼脹,,惡心,,虹視,,嘔吐,,霧視,,眼壓,,臨床,,表現(xiàn),,視物模糊,,診斷,,眼底,,視野,,房角,,青光眼,,分型,,,,青光眼>2診斷眼壓,,眼壓異常標(biāo)準(zhǔn),,眼壓≥22mHg,,兩眼眼壓相差≥5mHg,,24小時眼壓波動≥8mmg,,眼壓測量方法,,Goldmann,,壓陷式眼壓計,,,,青光眼>2診斷眼底,,眼底特征性變化:,,Macula,,視神經(jīng)纖維層缺損:,,杯盤比變大,,視盤出血,,optic,,,,青光眼>2診斷眼底,,+*k Et: au:t-t,,所劍,,RNFL H CKVESS AVERAGE ANAL YSIS,,E115,,0檢查,,36世11以:二0,,視神經(jīng)纖維層厚度,,杯盤比,,:⑩111,,定量、定位,,0D“0s,,-t KT: HIS,,,際,,,,青光眼>2診斷視野,,旁中心暗點,,弓形暗點,,·環(huán)形暗點,,鼻側(cè)階梯,,周邊視野縮小,,顳側(cè)視島,,·管狀視野,,Oct,,,,青光眼>2診斷房角,,動態(tài)、靜態(tài),,可觀察到的結(jié)構(gòu): Schwalbe’s線、小梁網(wǎng)、鞏膜突、睫狀體帶、虹膜根部,,,,青光眼>2診斷,,型,,眼底,,視野,,房角,,原發(fā)性發(fā)性閉角(會性發(fā)生閉,,青光眼,,慢性原發(fā)性閉,,閉,,型青光眼,,原發(fā)性開角型青光眼,,開放,,繼發(fā)性青光眼,,關(guān)閉or開放,,先天性青光眼,,多數(shù)開放,,混合型青光眼,,+-關(guān)閉r開放,,高眼壓癥,,正常眼壓性青光眼,,+,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,。