??? ??? Disorder of the conjunction

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??? ??? Disorder of the conjunction ???????
???????? ??
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??? ?????
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????????????

• ????? ????
• 1)?? ???? ??????
• 2)?? ??????? ???????
• 3)?? ??? ???
• 4)??? ????? ??????
• 5)1???????? ???
• 6)?? ??? ?????????

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??? ?????? Bacterial conjunctivitis
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?????????? Acute catarrhal conjunctivitis

• ?? Etiology
• ???? Clinical findings
• ?? Diagnosis
• ?? Treatment
• ?? Prevention

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?????????? Chronic catarrhal conjunctivitis

• ?? Etiology
• ???? Clinical findings
• ?? Diagnosis
• ?? Treatment

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????????Gonococcalconjunctivitis

• ???? Clinical findings
• ?????? ????
• ocular secretion and conjunctival hyperemia.

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?? Treatment

• ?????????,?????????????????
• first of all,it is necessary to look for the
  cause,and then to give proper management
  according to different causes.

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??? ??????? Chlamydial conjunctivitis
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?? Crachoma

• ?? Etiology
• ??????? infection of Chlamydia trachomatis
• ???? Clinical findings
• ??????,????,???????,????????????
• ocular secretion and conjunctival
  hyperemia.,papillary hyperplasia in palpebral
  conjunctiva,follicles are full of upper and lower
  fornical conjunctiva.

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???????Sequela and complication

• 1??????? Entropion and trichiasis
• 2????? Blepharoptosis
• 3????? Symblepharon
• 4??????????
• Parenchymatous xerosis of conjunctiva
• 5?????? Chronic dacryocysititis
• 6????? Corneal opacity

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?? Treatment

• ??????
• systemic administration
• ?????????
• operative treatment.

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??? ?????? Viral conjunctivitis

• ???????
• Epidemic keratocojunctivitis
• ?? Etiology
• ???????
• The pathogen is adenovirus.

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???? Clinical findings

• ??????,??????????????????
• appear strong irritating symptoms,such as foreign
  body sensation,itching,pain,photophobia and
  tearing etc.
• ???????????
• preauricular lymphadenectasis and tenderness.
• ?????????
• at the same time,appear the symptom of keratitis

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?? Treatment

• ???????
• there is no specific drug for the disorder
• ???????????
• mainly depends on topical treatment.

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??? ??? Disease of the cornea
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??? ???? Corneal inflammation

• ?? Etiology
• ????????????
• exogenous.endogenous.local speading
• ?? Diagnosis
• ?? ?????
• clinical findings lab examinations

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??? ????
???
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???? The treatment principles

• 1.   ???? rid of pathogenic causes
• 2.   ?????? control infection
• 3.   ??????????
• enhance systemic and local resistance
• 4.   ???? promote to heal
• 5. ?????? reduce scar formation

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??? ?? Keratitis
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??????? Bacterial corneal ulcer

• ???? Clinical findings
• ?? Treatment

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?????????? Herpes simple keratitis

• ????
• Clinical findings
• ?? Treatment

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??????? Rodent ulcer or Mooren ulcer

• ????Clinical findings
• ??Treatment

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Mooren??
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????? Keratomalacia

• ???? Clinical findings
• ?? Treatment

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??? ???????????corneal degeneration and
dystrophy
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(Terrien????)
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??? ??? Scleral disorder
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??? ?? General description

• ?? The cause
• 1. ????????????
• Related to many systemic infectious
  disorders
• 2.   ????? The injury or infection
• 3. ???????
• Autoimmune desmosis

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• ???? Clinical characteristic
• ?? Treatment

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??? ????? Episcleritis

• ?.????????
• Nodular episcleritis
• ?.????????
• Periodic episcleritis

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??? ??? Scleritis

• ?.???? Anterior scleritis
• ?.???? Posterior sclerits
• ?.?????? Necrotizing sclertis