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PATOLOGIA PLEOAPELOR

PATOLOGIA PLEOAPELOR. 1.HERPES ZOSTER OFTALMIC unilateral. Simpt: - durere in terit. de distributie a primei ram a nv. V Semne : - eruptie veziculoasa - vezicule pustule cruste cicatr. pigmentata. Complicatii – keratite Tratm – sistemic : Acyclovir 1g/zi

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PATOLOGIA PLEOAPELOR

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  1. PATOLOGIA PLEOAPELOR

  2. 1.HERPES ZOSTER OFTALMICunilateral • Simpt: - durere in terit. de distributie a primei ram a nv. V • Semne : - eruptie veziculoasa - vezicule pustule cruste cicatr. pigmentata

  3. Complicatii – keratite • Tratm – sistemic : Acyclovir 1g/zi - topic : - Acyclovir 2x/zi - midriatic - AINS - Indocolir

  4. SUPURATII ALE PLEOAPELOR • Etiol: - dupa traumatism - Strept. Pyogenes - Staph. aureus • Cl : - Simpt : durere - Semne : - edem palp.+ eritem - localizate / difuze • Tratm. – sistemic : Penicilina - chirurgical : incizie + drenaj

  5. INFECTII ALE GL. DE LA NIV. PLEOAPELORACUTE • Orjelet extern = inflam. acuta stafilococica a gl.Zeiss • Cl: - durere - edem inflam. - punct galben la niv. tumefactiei • Evol : - rezolvare spontana eliminare de puroi - salazion - celulita orbit. • Tratm : - comprese calde - epilarea cilului de la niv. folicului afectat - local: AB ung. 3x/day

  6. 2. Orjelet intern • = abces mic la niv. gl. Meibomius • Cl : - durere - tumefactia gl.tarsale • Tratm : - local ung. AB - chirurgical

  7. CRONICE Salazion • = inflam. cronica granulativa a gl . Meibomius • Cl: - tumoreta mica local.la niv tars. • Tratm : - chirurgical – incizie

  8. INFECTII ALE MARG. LIBERE A PLEOAPELORBLEFARITE = inflam. marg. libere a pl.+conjunctivita - Staphylococ aureu - Forme: 1. Blefarita eritematoasa : - hiperemia marginii libere a pl. 2. Blefarita seboreica : - scuame galbui, uscate sau secr. galbui

  9. 3. Blefarita ulcerativa - microabcese la radacina cililor - ulceratii - absenta cililor • Complic: - orjelet extern - conjunctivite - keratite marginale • Evol : - remisii / exacerbari • Tratm : - igiena pl. - masaj – ung (AB+steroids)

  10. DEVIATII PALPEBRALE • Ectropion = eversarea marg. libere a pl. spre exterior - pl.inf • Cl : asimp, lacrimare , iritatia pl. • Tipuri : 1.congenital 2. dobindit - senil • Tratm : chirurgical - paralitic: paral.VII tarsorafie - mecanic - cicatricial

  11. Entropion =inversarea marg libere a pl.spre G.O. ulceratii ale corneei • Cl: - iritatie oculara • Types : 1. congenital 2. dobindit - senil - cicatricial - spastic • Tratm: chirurgical

  12. BLEFAROSPASM = inchiderea involuntara a pleoapelor • Etiol • Cl : - clipit frecvent -fotofobie • Semne: contractia involuntara a m. orbicularis oculi • Tratm: - toxina botulinica inj. – m. orbiculari - chirurgical – excizia m. orbiculari de la niv. pl. sup

  13. PTOZA • Def=poz. anormala a pl. sup : caderea mai mult sau mai putin accentuata a pl. sup . disfunctia m ridicator al pl. sup • Tipuri : - congenitala – unilat. - dobindita –senila - miogena – miastenia gravis - neurogena –paralizia III - traumatica - mecanica–tum. pl. • Tratm : chirurgical

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