上海市第十人民医院 月哈季用届第十人民医院 www.shdsyy.com.cn Diagnosis acute chronic n Acute attack n Slow onset n Typical manifestation n No irritative sensation, n Systemic diseases: iris atrophy, ankylosing spondylitis, complications urethritis,psoriatic n Systemic diseases: arthritis,skin lesion youth,arthritis n Lab test:ESR,CRP HLA-n Lab test:ANA,RPR B27 tuberculin skin test
Diagnosis acute n Acute attack n Typical manifestation n Systemic diseases: ankylosing spondylitis, urethritis, psoriatic arthritis, skin lesion n Lab test: ESR, CRP, HLAB27 chronic n Slow onset n No irritative sensation, iris atrophy, complications n Systemic diseases: youth, arthritis n Lab test: ANA, RPR, tuberculin skin test
上海市第十人长 同会香用属第十人民医院 Differential diagnosis .shdsyy.com.cn Acute conjuntivitis n Acute attack,irritative sensation n Secretion n Conjunctival injection n No anterior chamber reaction
Acute conjuntivitis n Acute attack, irritative sensation n Secretion n Conjunctival injection n No anterior chamber reaction Differential diagnosis
上海市第十人民医院 见冷季用属第十人民医院 Differential diagnosis .shdsyy.com.cn Acute angle-closure glaucoma n Acute attack n Visual loss,headache,nausea,vomit n Coneal edema,shallow anterior chamber, mydriasis,high IOP
Acute angle-closure glaucoma n Acute attack n Visual loss, headache, nausea, vomit n Coneal edema, shallow anterior chamber, mydriasis, high IOP Differential diagnosis
上海市第十人父医院 同冷十季用属第十人民医院 www.shdsyy.com.cn Treatment To dilate the pupil,to prevent posterior synechia of the iris,to inhibit inflammatory reaction,to reduce tissue destruction n Cycloplegic and mydriatic drops:to prevent or pull open the posterior synechia,to paralyze ciliary muscle tropicamide;atropin;mydriatic mixture (1%atropin+2%lidocaine+0.1%adrenalin) n Corticosteroid drops:1%prednisolone acetate (qlh;q2h;qid;tapered) n NSAIDs drops:decrease recurrence rate and exposure to corticosteroid n Treatment of complications Dsecondary glaucoma:ocular hypotensive agents;peripheral iridectomy; filtration operation 2complicated cataract:phaco+IOL
Treatment n Cycloplegic and mydriatic drops: to prevent or pull open the posterior synechia, to paralyze ciliary muscle tropicamide; atropin; mydriatic mixture (1% atropin+2%lidocaine+0.1%adrenalin) n Corticosteroid drops: 1% prednisolone acetate（q1h; q2h; qid; tapered) n NSAIDs drops: decrease recurrence rate and exposure to corticosteroid n Treatment of complications ①secondary glaucoma: ocular hypotensive agents; peripheral iridectomy; filtration operation ②complicated cataract: phaco+IOL To dilate the pupil, to prevent posterior synechia of the iris, to inhibit inflammatory reaction, to reduce tissue destruction