patologia aparatului lacrimal
TRANSCRIPT
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PatologiaPatologia APARATULUI APARATULUI
LACRIMALLACRIMAL
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AnatomieAnatomie
Glandele lacrimaleGlandele lacrimale– principalaprincipala– accesoriiaccesorii
Caile lacrimaleCaile lacrimale
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Dacrioadenita• apare la 25% din pacientii cu IOID
• de reg. afecteaza pacienti sanatosi – nu necesita trat.
• edem al partii lat. a pl. sup.
• usoara deplasare in jos si medial a GO
• roseata si sensibilitate a lobulului pap. al gl. lacrimale
• discomfort la niv. gl. lacrimale
• reducerea secr. lacrimale
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Dacrioadenita Ac.Dacrioadenita Ac.
Exogena (Exogena (S. aureusS. aureus)) EndogenaEndogena
inf. generale (oreion, rujeola, scarlatina, gripa, febra inf. generale (oreion, rujeola, scarlatina, gripa, febra tifoida)tifoida)
inf.loco-regionale (conjunctivite supraac., inf. palp., celulita inf.loco-regionale (conjunctivite supraac., inf. palp., celulita orbitara, sinuzita frontala)orbitara, sinuzita frontala)
– CLINIC:CLINIC: tumefierea, edematierea si congestionarea reg. ext. a pl. tumefierea, edematierea si congestionarea reg. ext. a pl.
sup.,sup.,
pseudoptoza, durere, chemozis, secr. conj.pseudoptoza, durere, chemozis, secr. conj.
– TRATAMENT:TRATAMENT: comprese calde, incizie, drenajcomprese calde, incizie, drenaj AB, chimioter.,AI, antalgiceAB, chimioter.,AI, antalgice
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Dacrioadenita cr.Dacrioadenita cr.
in boli generale (in boli generale (sifilis, TBC, sarcoidoza, leucemie, sifilis, TBC, sarcoidoza, leucemie, lepra, limfom malignlepra, limfom malign))
CLINIC:CLINIC: tumefierea reg. palp. supero-ext. fara semne inflam. ac.tumefierea reg. palp. supero-ext. fara semne inflam. ac. format. indurata, mobila, bine delimitataformat. indurata, mobila, bine delimitata
TRATAMENT:TRATAMENT: al bolii de bazaal bolii de baza AIS sist.AIS sist. Radioterapie antiinflamatorieRadioterapie antiinflamatorie ablatia chirurgicala a glandeiablatia chirurgicala a glandei
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Dacriocistita acuta
• AB sist. si comprese calde• DCR ”la rece”
secundara obstr. ductului nazo-lacrimal
Tratament
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Dacriocistita Ac.
Dacriocistita cr.
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Dacriocelul congenital
• masaj
• sondare
Tratament
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Dacriocistorinostomia