裂隙灯检查法--北京同仁

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1、裂隙灯检查法角膜病专科金涛DirectilluminationDiffuseillumination宽裂隙照明光学区域照明（窄裂隙）EdemaStromalopacitiesMarginaldystrophyKayser-FleisherringFuchs'dystrophyCornealpannusEpithelialdefectCornealinfiltratesFurrowdystrophyLensopacitiesDellenMicrocystsBullaeEctaticchangesAnteriorchamberdepthTearfilmdeficie

2、ncyCornealthinning镜面反射光内皮观察IndrectilluminationProximalilluminationScleroticscatterCornealforeignbodiesCornealedemaKeraticprecipitatesVerticillataInterstitialkeratitisGranulardystrophyRadialkeratotomyscarsHydropsRetroillumination(iris)LatticedystrophyCornealforeignbodiesMeesmann'sdystrophyF

3、ingerprint,map,dotdystrophyCorneafarinataDescemet'sfoldsKeraticprecipitatesThygeson'ssuperficialpunctatekeratitisCornealinfiltratesEarlyedemaFilamentsMicrocystsFuchs'dystrophyCornealscarsRetroillumination(fundus)LatticedystrophyPseudoexfoliationKeraticprecipitatesCornealscarsMeesmann'sdy

4、strophyMap,dot,fingerprintdystrophyLensvacuolesCataractCornealrejectionlinesTransilluminationoftheirisVitaldyesFluoresceinFluoresceinandrosebengalSeidaltest重点注意患者进入诊室自然光照明寻找不同点学会如何描述病变（硬度、颜色、形状、大小、位置）比较各种不同照明的不同学会使用后照法用窄裂隙来确定病变深度角膜溃疡角膜溃疡定义：分类感染性非感染性角膜水肿ClassificationEtiologiesCharacteristic

5、sPrimaryendothelialfailureCHED,Fuchs'dystrophy,ICE,PPMDPrimarilystromal,diffuse,progressive,irreversibleSecondaryendothelialfailureAcuteorchronictrauma,chemical,inflammatory,hypoxiaPrimarilystromal,focalordiffuse,acuteorchronicNormalendotheliumElevatedintraocularpressurePrimarilyepithelial,micr

6、ocystic,centralordiffuse,acuteEpithelialfailureEpithelialdefectStromal,surroundingdefect,acuteCausesofcornealedemaClinicalevaluationHistoryLateralityAgeDurationDiurnalvariationPreviousoculardiseasePainSlitlampexaminationEpitheliumStromaEndotheliumandDescemet’smembrane