裂隙灯检查法

History Laterality Age Duration Diurnal variation Previous ocular disease Pain
Clinical evaluation
Slit lamp examination
Epithelium Stroma Endothelium and Descemet’s membrane
Primarily stromal, diffuse, progressive, irreversible
Primarily stromal, focal or diffuse, acute or chronic Primarily epithelial, microcystic, central or diffuse, acute Stromal, surrounding defect, acute
Transillumination of the iris
Vital dyes
Fluorescein
Fluorescein and rose bengal
Seidal test
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
Retroillumination(iris)
Lattice dystrophy Corneal foreign bodies Meesmann's dystrophy Fingerprint, map, dot dystrophy Cornea farinata Descemet's folds Keratic precipitates Thygeson's superficial punctate keratitis Corneal infiltrates Early edema Filaments Microcysts Fuchs' dystrophy Corneal scars
角膜溃疡
定义： 分类
感染性 非感染性
角膜溃疡
角膜水肿
Causes of corneal edema
Biblioteka BaiduClassificati Etiologies on
Characteristics
Primary CHED, Fuchs' dystrophy
endothelial , ICE, PPMD
裂隙灯检查法
Direct illumination
Diffuse illumination
宽裂隙照明
光学区域照明（窄裂隙）
Edema Stromal opacities Marginal dystrophy Kayser-Fleisher ring Fuchs' dystrophy Corneal pannus Epithelial defect Corneal infiltrates Furrow dystrophy Lens opacities Dellen Microcysts Bullae Ectatic changes Anterior chamber depth Tear film deficiency Corneal thinning
Retroillumination(fundus)
Lattice dystrophy Pseudoexfoliation Keratic precipitates Corneal scars Meesmann's dystrophy Map, dot, fingerprint dystrophy Lens vacuoles Cataract Corneal rejection lines
failure
Secondary Acute or chronic trauma,
endothelial chemical, inflammatory,
failure
hypoxia
Normal
Elevated intraocular
endothelium pressure
Epithelial Epithelial defect failure
镜面反射光
内皮观察
Indrect illumination
Proximal illumination
Sclerotic scatter
Corneal foreign bodies Corneal edema Keratic precipitates Verticillata Interstitial keratitis Granular dystrophy Radial keratotomy scars Hydrops