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Machine Translated by Google

‫‪Machine Translated by Google‬‬

‫ﺑﺎﻋ ﻲ ﻫﺮﻣ ﻲ ﻓ ﻲ اﻟﺠﻤﺠﻤ ﺔ‪.‬‬

‫ﺗﺠﻮﻳﻒ ر‬

‫ﻟﻪ ﻗﻤ ﺔ وﻗﺎﻋﺪة و ‪4‬ﺟﺪران‪.‬‬

‫ﺘﻮاﺻﻞ ﻣﻊ اﻟﺪﻣﺎغ واﻟﺠﻴﻮ ب اﻷﻧﻔﻴ ﺔ‬

‫ﻳ‬
‫واﻟﺤﻔﺮة اﻟﺠﻨﺎﺣﻴ ﺔ‪.‬‬
‫‪Machine Translated by Google‬‬

‫‪ AL ± 24‬ﻣﻠﻢ‬

‫ﺑﻴﻦ اﻟﻘﺮص واﻟﻨﻘﺮة‪.‬‬‫اﻟﻘﻄ ﺐ اﻷﻣﺎﻣ ﻲ‪ :‬ﻣﺮﻛﺰ اﻟﻘﺮﻧﻴ ﺔ ‪ ،‬اﻟﻘﻄ ﺐ اﻟﺨﻠﻔ ﻲ‪:‬‬

‫ﺘﺠﻮﻳﻒ اﻟﺰﺟﺎﺟ ﻲ اﻟﺨﻠﻔ ﻲ‪.‬‬

‫ﺘﺠﻮﻳﻒ اﻷﻣﺎﻣ ﻲ ‪(AC ، PC) ،‬اﻟ‬
‫اﻟ‬
‫‪Machine Translated by Google‬‬

‫ﺒ ﺔ ‪ ،‬اﻟﺤﻮف‪.‬‬
‫‪1.‬ﻟﻴﻔ ﻲ ﺧﺎرﺟ ﻲ‪ :‬اﻟﻘﺮﻧﻴ ﺔ ‪ ،‬اﻟﺼﻠ‬
‫ﺒﻴ ﺔ‪.‬‬
‫‪2.‬اﻷوﻋﻴ ﺔ اﻟﺪﻣﻮﻳ ﺔ اﻟﻮﺳﻄﻰ‪ :‬اﻟﻌﻨ‬
‫ﺒﻜﻴ ﺔ اﻟﻌﻴﻦ‪.‬‬
‫ﺒﻴ ﺔ اﻟﺪاﺧﻠﻴ ﺔ‪ :‬ﺷ‬
‫‪3.‬اﻟﻌﺼ‬
Machine Translated by Google
Machine Translated by Google
Machine Translated by Google
Machine Translated by Google

.‫ﻧﻈﺎم إﻓﺮازي‬
.‫ﻧﻈﺎم اﻟﺼﺮف اﻟﺼﺤ ﻲ‬
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫اﻷﻣﺎﻣ ﻲ ‪1/6‬ﻣﻦ اﻟﻐﻼف اﻟﺨﺎرﺟ ﻲ‪.‬‬

‫اﻟﺤﻤﺎﻳ ﺔ‪.‬‬

‫ﺋﻴ ﺴ ﻲ ‪42‬د‪.‬‬
‫وﺳﻂ اﻻﻧﻜ ﺴﺎر اﻟﺮ‬ ‫ﺷﻔﺎف‪.‬‬
Machine Translated by Google
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﺘﺮ ﻣﻦ اﻟﻌﻴﻦ ‪= 60‬دي‬

‫ﺘﺮﻛﻴﺰ ﻋﻨﺪ ‪1‬ﻣ‬
‫ﺘﻮازﻳ ﺔ إﱃ اﻟ‬
‫ﺘ ﻲﺗﺠﻠ ﺐ أﺷﻌ ﺔ ﻣ‬
‫ﺘﺮ‪ :‬اﻟﻘﻮة اﻟ‬
‫ﺑ‬‫ﻗﻮة اﻟﺪﻳﻮ‬
‫ﺑﺪون ﻏﻄﺎء‪(.‬‬‫‪(42‬دي ﻟﻠﻘﺮﻧﻴ ﺔ ‪+ 18‬دي ﻟﻠﻌﺪﺳ ﺔ‬
Machine Translated by Google
Machine Translated by Google
Machine Translated by Google
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﺒﺼﺮ ﻋﻴﻮ ب ﻓ ﻲ اﻟﻤﺠﺎل‬

‫ﺿﻌﻒ اﻟ‬
‫ﻋﻮاﻣﺎ ت‬ ‫ازدواج اﻟﺮؤﻳ ﺔ‬ ‫ﺑ ﺴﻴﺎس‬
‫أو‬

‫اﺣﻤﺮار‬ ‫إﻓﺮازا ت‬ ‫أﻟﻢ ر ﻫﺎ ب اﻟﻀﻮء‬

‫ﺘﻮء اﻟﻜﺮة اﻷرﺿﻴ ﺔ‬
‫ﺳﻘ ﻲ اﻟﻌﻴﻦ ﻧ‬
‫ﺑﻴﻀﺎض اﻟﺪم‬
‫اﻟﺤﻮل ا‬
‫‪Machine Translated by Google‬‬

‫ﺘﻬﺎ ب ‪ ،‬اﻟﺮﻣﻮ ش‪.‬‬

‫‪1.‬اﻟﺠﻔﻮن‪ :‬اﻟﻮﺿﻌﻴ ﺔ ‪ ،‬اﻻﻟ‬
‫ﺒﺎر اﻟﻐﺪة ‪ ،‬ﻗ ﺴﺮ‪.‬‬
‫ﺘ‬‫‪2.‬اﻟﺪﻣﻌﻴ ﺔ‪ :‬اﺧ‬
‫ﺑﺼﻠ ﻲ‪.‬‬‫ﺘﺤﻤ ﺔ‪ :‬ﺟﻔﻨ ﻲ )اﻧﻘﻼ ب اﻟﻐﻄﺎء( ‪،‬‬
‫‪3.‬اﻟﻤﻠ‬
‫‪4.‬اﻟﻘﺮﻧﻴ ﺔ‪ :‬ﺷﻔﺎﻓﻴ ﺔ )ﻣﺮﻛﺰﻳ ﺔ ‪ ،‬ﻣﺤﻴﻄﻴ ﺔ(‪.‬‬
‫ﺘﻮﻳﺎ ت‪.‬‬
‫‪5. AC:‬اﻟﻌﻤﻖ واﻟﻤﺤ‬
‫‪6.‬‬ ‫اﻟﻘﺰﺣﻴ ﺔ‪ :‬اﻟﻠﻮن واﻟﻨﻤﻂ‪.‬‬
‫ﺗﺠﺎه‪.‬‬
‫ﺘﻠﻤﻴﺬ‪ :‬اﻟﺤﺠﻢ واﻟﺸﻜﻞ واﻻ‬
‫‪7.‬اﻟ‬
‫‪8.‬اﻟﻌﺪﺳ ﺔ‪ :‬اﻟﻮﺿﻮح واﻟﻤﻮﻗﻒ‪.‬‬
‫‪9. IOP 10. VA: 6/6… .. ، 6/60 ، 5/60 ،… CF 60،40،30،10 ، HM ، PL ،‬‬
‫ﺘﻮازن‪.‬‬
‫اﻹﺳﻘﺎط ‪ ،‬ﻻ ‪PL 11.‬اﻟﺤﺮﻛ ﺔ ‪ ،‬اﻟ‬

‫‪12.‬ﻗﺎع‪.‬‬
Machine Translated by Google
Machine Translated by Google

‫ﻗﻴﺎس‬ ‫اﻟﻄﺮﻳﻘ ﺔ اﻟﺮﻗﻤﻴ ﺔ‬

:‫ﺒﺎدﺋ ﺔ‬
‫اﻟﻤ ﺴﺎﻓ ﺔ اﻟ‬
Schiotz
Machine Translated by Google

‫ ﺟﻮﻟﺪﻣﺎن‬:‫ﺒﻴﻘ ﻲ‬
‫ﺘﻄ‬‫ﺗﺮ اﻟ‬
‫ﺘﻮ‬‫ﻗﻴﺎس اﻟ‬
Machine Translated by Google

‫ﺑﻴﻦ‬
‫ﺗﻮﻧﻮ‬
Machine Translated by Google

‫ﺒﺎﺷﺮ‬
‫ﻣﻨﻈﺎر اﻟﻌﻴﻦ اﻟﻤ‬
Machine Translated by Google

‫ﻣﻨﻈﺎر اﻟﻌﻴﻦ ﻏﻴﺮ‬

‫ﺒﺎﺷﺮ‬‫اﻟﻤ‬
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﺘﺸﺮﻳﺢ اﻷﺳﺎﺳ ﻲ‬
‫ﻣﻘﺪﻣ ﺔ وﻋﻠﻢ اﻟ‬

‫ﻣﺤﺮوس ﺷﺎ ﻫﻴﻦ‪MD. ،‬‬

Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﻳﺸﻤﻞﺗﺸﺮﻳﺢ اﻟﻌﻴﻦ ﻣﺎﻳﻠ ﻲ‪:‬‬

‫‪• 1-‬ﻛﺮة اﻟﻌﻴﻦ‬

‫‪• 2-‬اﻟﻤﺪار‬

‫‪• 3-‬ﻣﻠﺤﻘﺎ ت اﻟﻌﻴﻦ‬

‫ﺒﺼﺮي‬
‫‪• 4-‬اﻟﻤ ﺴﺎر اﻟ‬
 ‫اﻟﻤﺪار اﻟﻌﻈﻤ ﻲ‬
‫‪Machine Translated by Google‬‬

‫ﺘﻮي ﻛﻞ ﻣﻨﻬﻤﺎ‬
‫ﺑﺎﻋﻴ ﺔ اﻷﺿﻼع ﻓ ﻲ اﻟﺠﻤﺠﻤ ﺔ •ﻳﺤ‬
‫ﺛﻨﺎن ﻣﻦﺗﺠﺎوﻳﻒ ﻫﺮﻣﻴ ﺔ ر‬
‫•ا‬
‫ﻋﲆ‪:‬‬

‫ﻗﻤ ﺔ ‪-----‬ﺧﻠﻔ ﻲ‬
‫اﻟﻘﺎﻋﺪة ‪------‬ﻣﻦ اﻷﻣﺎم‬
‫ﺑﻌ ﺔ ﺟﺪران‬
‫أر‬

‫ﺒﺼﺮﻳ ﺔ‬
‫ﺒ ﺔ اﻟ‬
‫ﺜﻘ‬‫ﺘﻮاﺻﻞ ﻣﻊ اﻟﺪﻣﺎغ ﻣﻦ ﺧﻼل اﻟ‬
‫•اﻟ‬
‫و ‪SOF‬‬

‫ﺘﻮي ﻋﲆ ﻛﺮة اﻟﻌﻴﻦ ‪ ،‬و ‪EOM ،‬واﻟﻐﺪة اﻟﺪﻣﻌﻴ ﺔ ‪ ،‬واﻟﻜﻴ ﺲ اﻟﺪﻣﻌ ﻲ‬

‫•ﻳﺤ‬
‫واﻟﺪ ﻫﻮن اﻟﻤﺪارﻳ ﺔ‪.‬‬
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﺑﺼﺮي‬‫ﻣﻠﺤﻖ‬

‫•ﺟﻔﻦ اﻟﻌﻴﻦ‬

‫ﺘﺤﻤ ﺔ‬
‫•اﻟﻤﻠ‬

‫•اﻟﺠﻬﺎز اﻟﺪﻣﻌ ﻲ‬

‫•ﻋﻀﻼ ت ﺧﺎرج اﻟﻌﻴﻦ‬

‫‪Machine Translated by Google‬‬

‫ﺟﻔﻦ اﻟﻌﻴﻦ‬
‫ﺘﺤﺮﻛ ﺔ‬
‫•ﻃﻴﺎ ت ﺟﻠﺪي ﻣﺨﺎﻃ ﻲ ﻣ‬

‫•ﻣﺼﺮة اﻟﻌﻴﻦ‬
‫‪Machine Translated by Google‬‬

‫ﺘﺤﻤ ﺔ‬
‫اﻟﻤﻠ‬ ‫•اﻟﻐﺸﺎء اﻟﻤﺨﺎﻃ ﻲ اﻟﺬيﻳﻐﻄ ﻲ ﺟﻔﻦ اﻟﻌﻴﻦ وﺟﺰء ﻣﻨﻬﺎ‬
‫ﺒ ﺔ‪.‬‬
‫اﻟﺼﻠ‬

‫ﺘﺸﺤﻴﻢ ﺣﺮﻛ ﺔ اﻟﻐﻄﺎء ﻋﲆ اﻟﻜﺮة اﻷرﺿﻴ ﺔ‬

‫ﺑ‬‫•ﻗﻢ‬

‫•وﻇﻴﻔ ﺔ اﻟﺤﻤﺎﻳ ﺔ‬

‫ﺒﺎﻧ ﻲ‪.‬‬
‫ﺑﺼﻠ ﻲ ‪ ،‬وﺟﻔﻨ ﻲ ‪ ،‬وﺳ‬
‫ﺛ ﺔ أﺟﺰاء ‪-‬‬
‫ﺛﻼ‬‫•‬
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‫‪Machine Translated by Google‬‬

‫اﻟﺠﻬﺎز اﻟﺪﻣﻌ ﻲ‬

‫•اﻟﺠﺰء اﻹﻓﺮازي‬
‫ﺋﻴ ﺴﻴ ﺔ‬
‫اﻟﻐﺪة اﻟﺪﻣﻌﻴ ﺔ اﻟﺮ‬
‫اﻟﻐﺪد اﻟﻤﻠﺤﻘ ﺔ‬

‫•ﺟﺰء اﻟﺼﺮف‬
‫اﻟﻨﻘﺎط‬
‫ﻛﺎﻧﺎﻟﻴﻜﻮﻟﻮس‬
‫ﻛﻴ ﺲ اﻟﺪﻣﻊ‬

‫ﺑﻄ ﺔ اﻟﻮﻃﻨﻴ ﺔ ﻟﻠﺪﻳﻤﻘﺮاﻃﻴ ﺔ )‪(NLD‬‬

‫اﻟﺮا‬
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‫‪Machine Translated by Google‬‬

‫ﻋﻀﻼ ت اﻟﻌﻴﻦ اﻟﺨﺎرﺟﻴ ﺔ‬

‫•ﺳ ﺖ ﻋﻀﻼ ت‬

‫ﺘﺎن‬
‫ﺘﺎن ﻣﺎﺋﻠ‬
‫ﺛﻨ‬‫ﺘﻘﻴﻤ ﺔ وا‬
‫ﺑﻌ ﺔ ﻣ ﺴ‬
‫•أر‬

‫ﺘﻠﻔ ﺔ‬
‫ﺗﺠﺎ ﻫﺎ ت ﻣﺨ‬
‫•ﻣ ﺴﺆول ﻋﻦ ﺣﺮﻛ ﺔ اﻟﻌﻴﻦ ﻓ ﻲ ا‬
Machine Translated by Google
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﻛﺮة اﻟﻌﻴﻦ‬
‫ﺑﻄﻮل ﻣﺤﻮري ﺣﻮاﻟ ﻲ ‪24‬ﻣﻢ‬‫•أﺳﻔﻴﺮ‬

‫ﺒﻴﻦ‬
‫•ﻟﻬﺎ ﻗﻄ‬

‫ال‬
‫ﻷﻣﺎﻣ ﻲ ‪-----‬ﻣﺮﻛﺰ اﻟﻘﺮﻧﻴ ﺔ‬

‫ﺒﺼﺮي واﻟﻨﻘﺮة‬
‫ﺑﻴﻦ اﻟﻘﺮص اﻟ‬
‫اﻟﺨﻠﻔ ﻲ ‪---‬‬

‫ﺒﻘﺎ ت‬
‫ﺛﻼ ث ﻃ‬
‫•‬

‫ﺘﻮﻳﺎ ت‬
‫•ﻣﺤ‬
‫‪Machine Translated by Google‬‬

‫•اﻟﻐﻼف اﻟﻠﻴﻔ ﻲ اﻟﺨﺎرﺟ ﻲ‬

‫اﻟﻘﺮﻧﻴ ﺔ ‪-‬ﺷﻔﺎﻓ ﺔ ‪ ،‬واﻗﻴ ﺔ ‪ ،‬اﻧﻜ ﺴﺎرﻳ ﺔ‬

‫ﺒﺮوزا‬
‫ﺒﻴﻀﺎء ‪ ،‬ﻟﺪﻳﻬﺎ ﺻﻔﻴﺤ ﺔ ﻛﺮﻳ‬ ‫ﺒ ﺔ ‪-‬اﻟ‬
‫اﻟﺼﻠ‬

‫•ﻣﻌﻄﻒ اﻷوﻋﻴ ﺔ اﻟﺪﻣﻮﻳ ﺔ اﻷوﺳﻂ‬

‫ﻗﺰﺣﻴ ﺔ‬

‫ﺑﻲ‬
‫اﻟﺠ ﺴﻢ اﻟﻬﺪ‬
‫اﻟﻤﺸﻴﻤﻴ ﺔ‬

‫ﺒﻲ‬
‫•اﻟﻤﻌﻄﻒ اﻟﺪاﺧﻠ ﻲ اﻟﻌﺼ‬

‫ﺒﻜﻴ ﺔ اﻟﻌﻴﻦ‬
‫ﺷ‬
Machine Translated by Google
Machine Translated by Google

‫ﺒﺼﺮي‬
‫اﻟﻤ ﺴﺎر اﻟ‬
‫‪Machine Translated by Google‬‬

‫آﻟﻴﺎ ت ﺣﻤﺎﻳ ﺔ اﻟﻌﻴﻦ‬

‫•اﻟﻤﺪار‬

‫ﻫﻴﻜﻞ ﻋﻈﻤ ﻲ‬

‫ﺑﺼﻠ ﺔﺳﻴﺌ ﺔ ﻣﻦ اﻟﺪ ﻫﻮن‬‫ﺘﺮو‬

‫رﻳ‬

‫•اﻟﺠﻔﻦ‬
‫اﻹﻏﻼق اﻻﻧﻌﻜﺎﺳ ﻲ‬ ‫ﺛﻨﺎء اﻟﻨﻮم‬
‫اﻹﻏﻼق أ‬

‫ﺑﺎﻟﺪﻣﻮع‬‫ﺘﺰﻟﻴﻖ‬
‫اﻟ‬

‫ﺟﻠﺪة‬
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‫•ﻓﻴﻠﻢ اﻟﻤ ﺴﻴﻞ ﻟﻠﺪﻣﻮع‬

‫ﺘﻘﺮح‬
‫ﻳﻤﻨﻊ اﻟﺠﻔﺎف واﻟ‬

‫ﺑﺎ ت‬
‫وﻇﻴﻔ ﺔ ﻣﻀﺎدة ﻟﻠﻤﻴﻜﺮو‬

‫•اﻟﻘﺮﻧﻴ ﺔ‬

‫إﻣﺪاد اﻟﻌﺼ ﺐ‬

‫اﻣﺾ ﻣﻨﻌﻜ ﺲ‬

‫ﺷﻔﺎء‬
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‫اﻷﻋﺮاض‬
‫ﺑﺼﺮﻳ ﺔ‪:‬‬‫•ﺷﻜﻮى‬
‫ﺿﻌﻒ اﻟﺮؤﻳ ﺔ‬

‫ﻋﻴ ﺐ اﻟﻤﺠﺎل‬

‫)‪Opsiasis (metamorphopsia ، micropsia ، macropsia‬‬

‫ﺑﺼﺮﻳ ﺔ‬‫ﻫﻠﻮﺳ ﺔ‬

‫ﺷﻔﻊ‬
‫ﻣﻮﺳﻜﺎ‬

‫•أﻟﻢ‬

‫•ر ﻫﺎ ب اﻟﻀﻮء •‬
‫إﻓﺮازا ت •اﺣﻤﺮار‬
‫اﻟﻌﻴﻦ •دﻣﻮع اﻟﻌﻴﻦ‬
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• ‫ﺷﻜ ًﺮا ﻟﻚ‬

‫‪Machine Translated by Google‬‬

‫ﻋﻴﻦ‬
‫ﺻﺪﻣ ﺔ‬

‫ﻣﺤﺮرا وﻣﺮوﻳﺎ‬

‫ﺑﻮاﺳﻄ ﺔ‬

‫ﺒﺪاﻟﻤﻨﺠ ﻲ‬
‫ﻣﺤﻤﺪ ﻋ‬

‫ﻣﺪرس ﻃ ﺐ وﺟﺮاﺣ ﺔ اﻟﻌﻴﻮن‬

‫ﺟﺎﻣﻌ ﺔ اﻟﻔﻴﻮم‬
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‫ﺻﺪﻣ ﺔ‬

‫ﺒﺪ اﻟﺤﻤﻴﺪ ‪MD، FRCO‬‬

‫ﺻﻔﺎء ﻋ‬
‫ﻣﺪرس ﻃ ﺐ وﺟﺮاﺣ ﺔ اﻟﻌﻴﻮن‬
‫ﺟﺎﻣﻌ ﺔ اﻟﻔﻴﻮم‬
‫‪Machine Translated by Google‬‬

‫ﺒﻠﺪان اﻟﻨﺎﻣﻴ ﺔ‪• .‬ﻳﻤﻜﻦ أنﻳﺸﻤﻞ أي ﺟﺰء‬

‫•رﺿﺢ اﻟﻌﻴﻦ ﺷﺎﺋﻊ ﺟﺪا ‪ ،‬ﻻﺳﻴﻤﺎ ﻓ ﻲ اﻟ‬
‫ﺒﺼﺮﻳ ﺔ‪• .‬‬
‫ﺑﻤﺎ ﻓ ﻲ ذﻟﻚ اﻟﺠﻔﻮن واﻟﻜﺮة اﻷرﺿﻴ ﺔ واﻟﻤ ﺴﺎرا ت اﻟ‬‫ﻣﻦ ﻧﻈﺎم اﻟﻌﻴﻦ ‪،‬‬

‫ﻳﺠ ﺐ أنﻳﺨﻀﻊ ﺟﻤﻴﻊ اﻟﻤﺮﺿﻰ اﻟﺬﻳﻦ ﻟﺪﻳﻬﻢﺗﺎرﻳﺦ ﻣﻦ اﻟﺼﺪﻣ ﺔ ﻟﻔﺤﺺ ﻛﺎﻣﻞ‬

‫ﻟﻠﻌﻴﻦ‪.‬‬
Machine Translated by Google

‫ورم دﻣﻮي ﺣﻮل اﻟﺤﺠﺎج‬

‫‪Machine Translated by Google‬‬

‫ﺑ ﺔ ﻏﻴﺮ اﻟﺤﺎدة‬
‫ﺜﺮ ﺷﻴﻮﻋً ﺎ ﻟﻺﺻﺎ‬
‫ﺘﻴﺠ ﺔ اﻷﻛ‬
‫•اﻟﻮرم اﻟﺪﻣﻮي )اﻟﻌﻴﻦ اﻟ ﺴﻮداء( ﻫﻮ اﻟﻨ‬
‫ﺑﺎﻟﺠﻔﻦ‪.‬‬

‫ﺒﺎردة ﻣﻔﻴﺪة‪ .‬ﻓ ﻲ ﺣﺎﻻ ت‬

‫اﻟﻨﺰف‬
‫ﻳﻬﺪف‬
‫اﻟﻜﻤﺎدات‪ :‬ت اﻟ‬
‫اﻟﻌﻼﻣﺎ و‬
‫ﺗﻜﻮنﻧﻔ ﺴﻪ‬
‫ﺗﻠﻘﺎء•‬
‫ﺘﺤﻤ ﺔ‬
‫أن‬
‫ﻳﻤﻜﻦﻣﻦ‬
‫اﻟﻤﻠ‬
‫ﺳﻴﺤﻞﺖﻫﺬا‬
‫ﻳﺾ‪.‬‬
‫اﻟﻤﺮﺔﺗﺤ‬
‫ﺘﺤﻤ‬
‫اﻟﻤﻠﺔ ﻲ‪:‬‬
‫اﻟﻌﻼﺟ‬
‫إﱃ‪ ،‬راﺣ‬
‫ﺑﻴﺮت‬
‫اﻟﻜﺪﻣﺎ‬
‫اﻟﻌﻼج‬
‫ﺘﺪ‬‫•اﻟ‬
‫ﺒﻌﺎد ﻛ ﺴﺮ ﻗﺎﻋﺪة اﻟﺠﻤﺠﻤ ﺔ ‪.‬‬
‫ﺘ‬‫ﺜﻨﺎﺋ ﻲ ‪،‬ﻳﺠ ﺐ اﺳ‬
‫ﺘﻮرط اﻟ‬
‫اﻟ‬
Machine Translated by Google
Machine Translated by Google

‫اﻻﻧﻔﺠﺎر اﻟﻤﺪاري‬
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﺘﻴﺠ ﺔ اﻟﺰﻳﺎدة اﻟﻤﻔﺎﺟﺌ ﺔ ﻓ ﻲ اﻟﻀﻐﻂ‬ ‫ﺘﻔﺠﺮ ﻓ ﻲ اﻷرﺿﻴ ﺔ اﻟﻤﺪارﻳ ﺔ ﻋﺎدة ﻣﺎﻳﻜﻮن ﻧ‬

‫•اﻟﻜ ﺴﺮ اﻟﻤ‬
‫ﺘﻨ ﺲ‪• .‬اﻟﻌﻼﻣﺎ ت‪:‬‬ ‫ﺒﻀ ﺔ اﻟﻴﺪ أو ﻛﺮة اﻟ‬
‫ﺜﻞ ﻗ‬‫ﺗﺞ ﻋﻦ ﺟ ﺴﻢ اﺻﻄﺪام ‪ ،‬ﻣ‬ ‫اﻟﻤﺪاري اﻟﻨﺎ‬
‫‪) Enophthalmos‬ﻏﺮق ﻛﺮة اﻟﻌﻴﻦ ﻓ ﻲ اﻟﻤﺪار( ﻣﻀﺎﻋﻔ ﺔ اﻟﺮؤﻳ ﺔ )اﻟﺮؤﻳ ﺔ اﻟﻤﺰدوﺟ ﺔ( ‪،‬‬
‫ﺘﺼﻮﻳﺮ اﻟﻤﻘﻄﻌ ﻲ اﻟﻤﺤﻮﺳ ﺐ ﻓ ﻲﺗﻘﻴﻴﻢ‬
‫ﺗﺨﺪﻳﺮ اﻟﻌﺼ ﺐﺗﺤ ﺖ اﻟﺤﺠﺎج‪ .‬ﻳ ﺴﺎﻋﺪ اﻟ‬
‫اﻟﻜ ﺴﺮ‪• .‬اﻹدارة‪ :‬اﻹﺻﻼح اﻟﺠﺮاﺣ ﻲ ﻣﻄﻠﻮ ب ﻓ ﻲ اﻟﻐﺎﻟ ﺐ‪.‬‬
Machine Translated by Google
Machine Translated by Google
Machine Translated by Google

‫ﺗﻤﺰق اﻟﻐﻄﺎء‬
‫‪Machine Translated by Google‬‬

‫ﺘﺄﻛﺪ ﻣﻦﺳﻼﻣ ﺔ اﻟﺠﻬﺎز اﻟﺪﻣﻌ ﻲ‪.‬ﻳﻤﻜﻦ أن‬ ‫ﺑﺪﻗ ﺔ ﻟﻠ‬‫ﺘﻜﺸﺎفﺗﻤﺰﻗﺎ ت اﻟﻐﻄﺎء‬ ‫•ﻳﺠ ﺐ اﺳ‬
‫ﺘﻌﺮض‪• .‬اﻹدارة‪:‬‬‫ﺘﻼل اﻟﻘﺮﻧﻴ ﺔ ﻋﻨﺪ اﻟ‬ ‫ﺑﺎﻋ‬‫ﺑﺔ‬
‫ﺒ ﺐ إﻏﻼق اﻟﺠﻔﻦ ﻏﻴﺮ اﻟ ﺴﻠﻴﻢ ﻓ ﻲ اﻹﺻﺎ‬
‫ﺘﺴ‬ ‫ﻳ‬
‫ﺒﺎﺷﺮ ﻛﻠﻤﺎ أﻣﻜﻦ ذﻟﻚ ‪ ،‬ﻣﻦ‬ ‫ﻳﺠ ﺐ إﺻﻼح اﻟﺠﺮوح اﻟﻄﻔﻴﻔ ﺔ ﻋﻦ ﻃﺮﻳﻖ اﻹﻏﻼق اﻷﻓﻘ ﻲ اﻟﻤ‬
‫ﺒﻴ ﺖ اﻟﺪﻗﻴﻖ ﻟﻬﻮاﻣ ﺶ اﻟﺠﻔﻦ‬ ‫ﺜ‬
‫ﺘ‬‫ﺘﺠﻤﻴﻠﻴ ﺔ‪.‬ﻳﻌﺪ اﻟ‬ ‫ﺘﺎﺋﺞ اﻟﻮﻇﻴﻔﻴ ﺔ واﻟ‬
‫أﺟﻞ أرﺷﻔ ﺔ أﻓﻀﻞ اﻟﻨ‬
‫ﺒﻴﺮ إﱃ ﺟﺮاﺣ ﺔ رأ ب اﻟﻌﻴﻦ‪.‬ﻳﺠ ﺐ إﺻﻼح‬ ‫ﺘﺎج ﻓﻘﺪان اﻷﻧ ﺴﺠ ﺔ اﻟﻜ‬ ‫ﺑﺎﻟﻎ اﻷ ﻫﻤﻴ ﺔ‪.‬ﻳﺤ‬ ‫أﻣ ًﺮا‬
‫ﺒﻴﻌ ﻲ‪.‬‬‫ﺘﺸﻘﻘ ﺔ ﻟﻠﺤﻔﺎظ ﻋﲆﺗﺼﺮﻳﻒ اﻟﺪﻣﻮع اﻟﻄ‬ ‫اﻟﻘﻨﻮا ت اﻟﺪﻣﻌﻴ ﺔ اﻟﻤ‬
Machine Translated by Google
Machine Translated by Google

‫ﺘﺤﻤ ﺔ‬
‫ﻧﺰﻳﻒﺗﺤ ﺖ اﻟﻤﻠ‬
‫‪Machine Translated by Google‬‬

‫ﺑﺸﺪة‪.‬‬ ‫ﺘﺤﻤ ﺔ ‪ ،‬وﻋﺎدة ﻣﺎﻳﻜﻮن أﺣﺎدي اﻟﺠﺎﻧ ﺐ ‪ ،‬ﻣﻮﺿﻌ ﻲ وﻣﺤﺪود‬ ‫• ﻫﺬا دمﺗﺤ ﺖ اﻟﻤﻠ‬
‫ﺘﻬﺎ ب أو أﻟﻢ أو إﻓﺮازا ت ‪ ،‬ﻛﻤﺎ أن‬
‫ﺋﻴ ﺔ‪• .‬ﻻﻳﻮﺟﺪ اﻟ‬
‫ﺒ ﺔ اﻷﺳﺎﺳﻴ ﺔ ﻏﻴﺮ ﻣﺮ‬‫ﺒﺎ ﻣﺎﺗﻜﻮن اﻟﺼﻠ‬
‫ﻏﺎﻟ ً‬
‫ﺑﺎ ت ﻃﻔﻴﻔ ﺔ ‪،‬‬‫ﺑﺈﺻﺎ‬ ‫ﺒﺎط‬ ‫ﺗ‬‫ﺑﻌﺾ اﻷﺣﻴﺎن ‪،‬ﻳﻤﻜﻦ أنﻳﻜﻮن ﻫﻨﺎك ار‬ ‫ﺘﻐﻴﺮ‪ .‬ﻓ ﻲ‬ ‫ﺒﺼﺮ ﻟﻢﺗ‬
‫ﺣﺪة اﻟ‬
‫ﺘﺨﺪام اﻟﻌﻮاﻣﻞ اﻟﻤﻀﺎدة ﻟﻠﺼﻔﺎﺋﺢ‬ ‫ﺜﺮ ﺷﻴﻮﻋً ﺎ ﻣﻊ اﺳ‬‫ﺑﻤﺎ ﻓ ﻲ ذﻟﻚ ﻓﺮك اﻟﻌﻴﻦ ‪ ،‬و ﻫﻮ أﻛ‬
‫ﺑﻴﺮ اﻟﻌﻼﺟ ﻲ‪ :‬ﻫﺬا ﻃﻤﺄﻧ ﺔ ﻓ ﻲ اﻟﻐﺎﻟ ﺐ ‪ ،‬وﻟﻜﻦﻳﻤﻜﻦ‬‫ﺘﺪ‬ ‫ﺜﺮ‪• .‬اﻟ‬‫ﺘﺨ‬‫اﻟﺪﻣﻮﻳ ﺔ وﻣﻀﺎدا ت اﻟ‬
‫ﺘﺠﻠﻂ ‪.‬‬
‫اﻹﺷﺎرة إﱃ ﻓﺤﺺ ﺿﻐﻂ اﻟﺪم واﻟ‬
Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﺘﺤﻤ ﺔ‬
‫اﻟﺤﺮوق اﻟﻜﻴﻤﻴﺎﺋﻴ ﺔ ﻟﻠﻘﺮﻧﻴ ﺔ واﻟﻤﻠ‬

‫•ﺧﻔﻴﻒ‬
Machine Translated by Google

‫ﺘﺪل‬
‫ﻣﻌ‬
Machine Translated by Google

‫ﺷﺪﻳﺪ‬
‫‪Machine Translated by Google‬‬

‫ﺘﻜﻮن‬
‫ﺗ‬‫ﺋ ﺔ ﻟﻠﻌﻴﻦ ‪ ،‬و‬
‫ﺑﺸﻜﻞ أﻋﻤﻖ ﻣﻦ اﻷﺣﻤﺎض‪ .‬ﻫﺬه ﺣﺎﻟ ﺔ ﻃﺎر‬‫ﺘﺮاق اﻟﻬﻴﺎﻛﻞ اﻟﻌﻴﻨﻴ ﺔ‬
‫ﺒﻴﻴﺾ ‪ ،‬اﻷﺳﻤﻨ ﺖ(ﺗﻤﻴﻞ إﱃ اﺧ‬
‫ﺘ‬‫•اﻟﻘﻠﻮﻳﺎ ت )اﻟ‬
‫ﺒﺎ ب اﻟﻘﺮﻧﻴ ﺔ وﻧﻘﺺﺗﺮوﻳ ﺔ اﻟﺤﻮﻓ ﻲ وﻓﻘﺪان اﻟﻨ ﺴﻴﺞ‬
‫ﺘﺨﺪﻳﺮ اﻟﻤﻮﺿﻌ ﻲ‪.‬ﺗﺸﻤﻞ اﻟﻌﻼﻣﺎ ت ﺿ‬
‫اﻹدارة اﻷوﻟﻴ ﺔ ﻣﻦ ري ﻏﺰﻳﺮ ﻟﻠﻌﻴﻦﺗﺤ ﺖ اﻟ‬
‫اﻟﻈﻬﺎري‪.‬‬

‫ﺒﻴﻌﻴ ﺔ‪.‬‬
‫ﺘﻰﻳﻈﻞ درﺟ ﺔ ﺣﻤﻮﺿ ﺔ اﻟﻌﻴﻦ ﻃ‬
‫ﺑﻤﺤﻠﻮل ﻣﻠﺤ ﻲ ﻋﺎدي ﺣ‬‫•اﻹدارة‪ :‬ﺣﺎﻟ ﺔ ﻃﻮارئ اﻟﻌﻴﻦ اﻟﺤﺎدة‪ .‬ري ﻓﻮري ‪ ،‬ﻣﻄﻮل وﻏﺰﻳﺮ‬

‫ﺘﻴﺮوﻳﺪا ت اﻟﻤﻮﺿﻌﻴ ﺔ واﻟﻤﻀﺎدا ت اﻟﺤﻴﻮﻳ ﺔ واﻟﻤﺰﻟﻘﺎ ت‪ .‬ﻗﺪﺗﺸﻤﻞ اﻹدارة اﻟﻼﺣﻘ ﺔﺗﻄﻌﻴﻢ اﻟﺨﻼﻳﺎ اﻟﺠﺬﻋﻴ ﺔ‬
‫ﺘﻢ إﻋﻄﺎء اﻟ ﺴ‬
‫ﻳ‬
‫ﺑﺔ‬
‫اﻟﺤﻮﻓﻴ ﺔ ﻟﻔﻘﺪان اﻟﺨﻼﻳﺎ اﻟﺠﺬﻋﻴ ﺔ اﻟﺤﻮﻓﻴ ﺔ ‪ ،‬وﻟﻜﻦ ﻗﺪﺗﻜﻮن ﺟﺮاﺣ ﺔ رأ ب اﻟﻘﺮﻧﻴ ﺔ أو ﺟﺮاﺣ ﺔ اﻟﻘﺮﻧﻴ ﺔ )اﻟﻘﺮﻧﻴ ﺔ اﻻﺻﻄﻨﺎﻋﻴ ﺔ( ﻣﻄﻠﻮ‬
‫ﺜﻴﻒ‪.‬‬
‫ﺘﻨﺪ ب اﻟﻘﺮﻧﻴ ﺔ اﻟﻜ‬
‫ﻟ‬

‫•‬
Machine Translated by Google

‫ﺟ ﺴﻢ ﻏﺮﻳ ﺐﺳﻄﺤ ﻲ‬

‫•اﻟﻘﺮﻧﻴ ﺔ‬
Machine Translated by Google

‫ﺒﺼﻠﻴ ﺔ‬
‫ﺘﺤﻤ ﺔ اﻟ‬
‫اﻟﻤﻠ‬
‫‪Machine Translated by Google‬‬

‫ﺒﻴ ﺔ‪ .‬إذا ﻛﺎن اﻟﺠ ﺴﻢ‬

‫ﺘﺤﻤ ﺔ اﻟﺼﻠﻴ‬
‫•اﻟﻌﻼﻣﺎ ت‪ :‬ﺟ ﺴﻢ ﻏﺮﻳ ﺐ ﻋﲆﺳﻄﺢ اﻟﻘﺮﻧﻴ ﺔ أو اﻟﻤﻠ‬
‫ﺘﻤﻞ‪.‬‬
‫ﺑﺈﺧﺮاج اﻟﺠﻔﻮن ﻟﻔﻀﺢ ﺟ ﺴﻢ ﻏﺮﻳ ﺐﺗﺤ ﺖ ﻋﻈﻤ ﻲ ﻣﺤ‬‫ﺋ ﻲ ‪ ،‬ﻓﻘﻢ‬
‫اﻟﻐﺮﻳ ﺐ ﻏﻴﺮ ﻣﺮ‬
‫ﺑﻌﺪ إزاﻟ ﺔ اﻟﺠ ﺴﻢ اﻟﻐﺮﻳ ﺐ‪.‬‬‫اﻟﻌﻼج‪ :‬اﻟﻤﻀﺎدا ت اﻟﺤﻴﻮﻳ ﺔ اﻟﻤﻮﺿﻌﻴ ﺔ‬
Machine Translated by Google

‫ﺧﺪ ش اﻟﻘﺮﻧﻴ ﺔ‬
‫‪Machine Translated by Google‬‬

‫ﺑﻌﺪ اﻟﻌﻴﻦ‬‫ﺘﻢ ﻛﺸﻂ ﻇﻬﺎرة اﻟﻘﺮﻧﻴ ﺔ وﻓﻘﺪ ﻫﺎ‬ ‫•ﻳ‬

‫ﺻﺪﻣ ﺔ‪.‬‬

‫ﺗﻠﻄﻴﺦ اﻟﻔﻠﻮرﻳ ﺴﻴﻦ‬

‫•اﻷﻋﺮاض‪ :‬أﻟﻢ ‪،‬ﺗﻤﺰق ‪،‬ﺗﺸﻮ ش اﻟﺮؤﻳ ﺔ‪• .‬اﻟﻌﻼﻣﺎ ت‪ :‬ﻋﻴﻦ ﺣﻤﺮاء وﻣﺎﺋﻴ ﺔ‪• .‬‬
‫ﺘ ﻲ ﻓﻘﺪ ت ﻇﻬﺎرة اﻟﻘﺮﻧﻴ ﺔ‪.‬‬
‫ﻓ ﻲ اﻟﻤﻨﻄﻘ ﺔ اﻟ‬

‫•اﻹدارة‪ :‬اﻟﻤﻀﺎدا ت اﻟﺤﻴﻮﻳ ﺔ اﻟﻤﻮﺿﻌﻴ ﺔ وﺿﻤﺎدة اﻟﻌﻴﻦ‬

‫ﺗﺨﻔﻴﻒ اﻷﻋﺮاض‪.‬‬
‫•‬
‫‪Machine Translated by Google‬‬

‫ﺛﻘ ﺐ اﻟﻜﺮة اﻷرﺿﻴ ﺔ اﻟﻌﻴﻦ‬

‫ﺒﺔ‬
‫ﺗﻤﺰق اﻟﺼﻠ‬
‫•‬
Machine Translated by Google

‫ﺗﻤﺰق اﻟﻘﺮﻧﻴ ﺔ‬
‫‪Machine Translated by Google‬‬

‫ﺛﻘ ﺐ ﻓ ﻲ اﻟﻌﻴﻦ‪• .‬اﻟﻌﻼﻣﺎ ت‪ :‬ﻋﻴﻦ رﺧﻮة ‪ ،‬ﻗﺰﺣﻴ ﺔ‬‫ﺘﺞ ﻫﺬا ﻋﻦ ﺻﺪﻣ ﺔ ﺣﺎدة ﺣﺎدة وﺻﺪﻣ ﺔ‬
‫•ﻳﻨ‬
‫ﺑﺎﻃﻦ اﻟﻤﻘﻠ ﺔ(‪.‬‬‫ﺘﻬﺎ ب‬
‫ﺑ ﺔ ﻋﺮﺿ ﺔ ﻟﻠﻌﺪوى )اﻟ‬
‫ﺜﻘﻮ‬
‫ﺘﻈﻤ ﺔ‪.‬ﺗﻜﻮن اﻟﻌﻴﻦ اﻟﻤ‬
‫ﺑﺎرزة ‪ ،‬ﺣﺪﻗ ﺔ ﻏﻴﺮ ﻣﻨ‬

‫ﺘ ﻲﺗﺤﺪ ث ﻓ ﻲ‬
‫ﺒﻴﻌﻴ ﺔ اﻟ‬
‫ﺒﻴ ﺔ ﻓ ﻲ اﻟﻌﻴﻦ اﻟﻄ‬
‫ﺘﻬﺎ ب اﻟﻌﻨ‬
‫ﺜﺎوي )اﻟ‬
‫ﺒ‬‫ﺗﺸﻤﻞ اﻟﻤﻀﺎﻋﻔﺎ ت اﻟﺮﻣﺪ اﻟ ﺴﻤ‬
‫•‬
‫ﺑﻴ ﺔ(‬
‫ﺜﻘﺎ‬
‫ﺑ ﺔ اﻻﻧ‬
‫ﺑﻌﺪ اﻹﺻﺎ‬‫ﺘﺄﺧﺮ‬
‫وﻗ ﺖ ﻣ‬

‫•اﻹدارة‪ :‬اﻹﺻﻼح اﻟﺠﺮاﺣ ﻲ اﻷوﻟ ﻲ‪.‬‬

‫•‬
Machine Translated by Google

‫ﻫﺎﻳﻔﻴﻤﺎ‬
‫•ﺧﻔﻴﻒ‬
Machine Translated by Google

‫ﺷﺪﻳﺪ‬
‫‪Machine Translated by Google‬‬

‫ﺑﻌﺪ ﺻﺪﻣ ﺔ ﺣﺎدة ﻟﻠﻌﻴﻦ ‪• .‬اﻷﻋﺮاض‪ :‬اﺣﻤﺮار اﻟﻌﻴﻦ وﻓﻘﺪان ﺣﺎد ﻓ ﻲ‬‫•دم ﻓ ﻲ اﻟﺤﺠﺮة اﻷﻣﺎﻣﻴ ﺔ‬
‫ﺘﺎﻟﻴ ﺔ‬
‫اﻟﺮؤﻳ ﺔ اﻟ‬

‫ﺻﺪﻣ ﺔ‪.‬‬

‫ﺋ ﻲ ﻓ ﻲ اﻟﺤﺠﺮة اﻷﻣﺎﻣﻴ ﺔ واﻟﻘﺮﻧﻴ ﺔ‬

‫•اﻟﻌﻼﻣﺎ ت‪ :‬دم ﻣﺮ‬
‫ﺗﻔﻊ ﺿﻐﻂ اﻟﻌﻴﻦ‪.‬‬
‫ﻗﺪﺗﻜﻮن ﻣﻠﻄﺨ ﺔ أﻳﻀﺎ‪ .‬ﻗﺪﺗﻜﻮن اﻟﻌﻴﻦ ﻣﺆﻟﻤ ﺔ ﻟﻠﻐﺎﻳ ﺔ إذا ار‬

‫ﺘﻘﻠﻴﻞ ﺧﻄﺮ ﻋﻮدة اﻟﻨﺰﻳﻒ‪• .‬ﻳﻠﺰم إﺟﺮاءﺗﻘﻴﻴﻢ‬

‫ﺑﻴﻦ اﻟﻤﻮﺿﻌ ﻲ ﻟ‬
‫ﺗﺮو‬
‫•اﻹدارة‪ :‬اﻟﺮاﺣ ﺔ ﻓ ﻲ اﻟﻔﺮا ش واﻷ‬
‫ﺗﻔﺎع ﺿﻐﻂ اﻟﻌﻴﻦ أو ري اﻟﻐﺮﻓ ﺔ‬
‫ﺘﻄﻠ ﺐ اﻷﻣﺮ ﻣﻌﺎﻟﺠ ﺔ ار‬
‫ﺒﻴ ﺐ اﻟﻌﻴﻮن ‪ ،‬ﺣﻴ ﺚ ﻗﺪﻳ‬
‫ﺒﻞ ﻃ‬
‫ﻋﺎﺟﻞ ﻣﻦ ﻗ‬
‫اﻷﻣﺎﻣﻴ ﺔ‪.‬‬
Machine Translated by Google

‫ﺘﻤﺎم ﻋﺪﺳ ﺔ اﻟﻌﻴﻦ‬

‫إﻋ‬
‫‪Machine Translated by Google‬‬

‫ﺒﺐ‬
‫ﺘﺴ‬‫ﺑ ﺔ اﻟﻌﺪﺳ ﺔ‪ .‬ﻗﺪﻳ‬
‫ﺒﺎﺷﺮ ﻹﺻﺎ‬
‫ﺘﺮاق اﻟﻤ‬
‫ﺘﻴﺠ ﺔ اﻻﺧ‬
‫ﺘﺎم ﻋﺪﺳ ﺔ اﻟﻌﻴﻦ ﻧ‬
‫•ﻗﺪﻳﻨﺸﺄ إﻋ‬
‫ﺒ ﺴﻮﻟ ﺔ اﻟﻌﺪﺳ ﺔ اﻷﻣﺎﻣﻴ ﺔ‬
‫ﺒﻐ ﺔ ﻗﺰﺣﻴ ﺔ اﻟﻌﻴﻦ ﻋﲆ ﻛ‬
‫ﺑﺼﻤ ﺔ ﻟﺼ‬‫ﺗﺠﺎج ﻓ ﻲ ﻇﻬﻮر‬
‫اﻻر‬
‫وﺷﻔﺎﻓﻴ ﺔ ﻗﺸﺮﻳ ﺔ ﻋﲆ ﺷﻜﻞ وردة‪.‬‬

‫ﺘﺨﺮاج اﻟ ﺴﺎد وزرع اﻟﻌﺪﺳ ﺔ داﺧﻞ ﻣﻘﻠ ﺔ اﻟﻌﻴﻦ‬

‫•اﻹدارة‪ :‬اﺳ‬
Machine Translated by Google

‫ﺷﻜ ﺮًا ﻟﻚ‬

‫‪Machine Translated by Google‬‬

‫اﻟﺤﻤﻴﺪ‬
‫‪FRCO‬‬‫ﺒﺪ‬
‫ﺻﻔﺎء‬
‫‪MSC‬‬ ‫‪،‬ﻋ‬
‫ﻣﺪرس ﻣ ﺴﺎﻋﺪ ﻃ ﺐ وﺟﺮاﺣ ﺔ اﻟﻌﻴﻮن‬
‫ﺟﺎﻣﻌ ﺔ اﻟﻔﻴﻮم‬
‫‪Machine Translated by Google‬‬

‫ﺑ َﺮدة‬

‫ﺘﻼ ت ﻓ ﻲ اﻟﺠﻔﻮن‪.‬‬
‫ﺒ ﺐﺗﻜ‬
‫ﺒﻮﻣﻴﺎنﻳ ﺴ‬
‫ﺘﻬﺎ ب ﻏﺪد اﻟﻤﻴ‬
‫•اﻟ‬

‫•اﻟﻌﻼﻣﺎ ت‪:‬ﺗﻮرم اﻟﺠﻔﻦ واﺣﻤﺮار وأﻟﻢ‪• .‬اﻹدارة‪ :‬ﻣﻀﺎدا ت ﺣﻴﻮﻳ ﺔ ﻣﻮﺿﻌﻴ ﺔ‬

‫ﺗﻴﺎ ً ‪ ،‬وإزاﻟ ﺔ ﺟﺮاﺣﻴ ﺔ إذا ﻟﺰم اﻷﻣﺮ‪.‬‬

‫ﻣﺤﺪودة ذا‬
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Machine Translated by Google
‫‪Machine Translated by Google‬‬

‫ﺑﺎء اﻟﻤﻨﻄﻘﻴ ﺔ(‬

‫ﻧﻄﺎﻗ ﻲ ﻋﻴﻨ ﻲ )اﻟﻘﻮ‬

‫ﺑ ﺲ اﻟﻨﻄﺎﻗ ﻲ‪.‬‬
‫ﺗﺠ ﺔ ﻋﻦ ﻋﺪوى اﻟﻬﺮ‬
‫•ﺣﺎﻟ ﺔ ﻣﺆﻟﻤ ﺔ ﻧﺎ‬

‫ﺛﺮ اﻻﻧﻘ ﺴﺎم اﻷول )اﻟﻌﺼ ﺐ اﻟﻌﻴﻨ ﻲ( ﻟﻠﻌﺼ ﺐ‬

‫ﺘﺄ‬
‫•اﻟﻌﻼﻣﺎ ت‪ :‬ﻋﻨﺪﻣﺎﻳ‬
‫ﺜﻮر‬
‫ﺒ‬‫ﺒﻪ اﻟ‬
‫ﺘﻮاﺋﻢ( ‪،‬ﺗﻈﻬﺮ آﻓﺎ ت ﺷﺪﻳﺪة اﻷﻟﻢﺗﺸ‬
‫ﺛ ﻲ اﻟ‬
‫ﺛﻼ‬‫اﻟﻘﺤﻔ ﻲ اﻟﺨﺎﻣ ﺲ )‬
‫ﺒﻴ ﺔ‪.‬‬
‫ﺘﻬ ﺐ اﻟﻘﺮﻧﻴ ﺔ واﻟﻌﻨ‬
‫ﺑﻌﺾ اﻷﺣﻴﺎن ‪،‬ﻳﻤﻜﻦ أنﺗﻠ‬‫ﻋﲆ اﻟﻮﺟﻪ‪ .‬ﻓ ﻲ‬

‫•اﻹدارة‪ :‬اﻷدوﻳ ﺔ اﻟﻤﻀﺎدة ﻟﻠﻔﻴﺮوﺳﺎ ت واﻟﻤ ﺴﻜﻨﺎ ت ‪.‬‬

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‫‪Machine Translated by Google‬‬

‫ﺘﻬﺎ ب ﻛﻴ ﺲ اﻟﺪﻣﻊ‬
‫اﻟ‬

‫ﺛﺎﻧﻮﻳ ﺔ‬‫•ﻋﺪوى اﻟﻜﻴ ﺲ اﻟﺪﻣﻌ ﻲ ‪-‬ﻋﺎدة‬

‫ﻻﻧ ﺴﺪاد اﻟﻘﻨﺎة اﻟﺪﻣﻌﻴ ﺔ‪.‬‬

‫ﺘﻬﺎ ب‬
‫ﺘﺮاﻓﻖ ﻣﻊ اﻟ‬
‫ّﻴ ﺔ‪ .‬ﻗﺪﺗ‬
‫ﺗﺮ ﻓ ﻲ اﻟﻘﻨﺎة اﻹﻧ ﺴ‬
‫ﺘﻮ‬‫ﺘﻔﺎخ رﻗﻴﻖ ‪ ،‬أﺣﻤﺮ ‪ ،‬ﻣ‬
‫•اﻟﻌﻼﻣﺎ ت‪ :‬اﻧ‬
‫ﺒﻖ‪.‬‬
‫اﻟﻨ ﺴﻴﺞ اﻟﺨﻠﻮي اﻟﻤ ﺴ‬

‫ﺑﻌﺾ‬‫•اﻹدارة‪ :‬ﻛﻤﺎدا ت داﻓﺌ ﺔ أوﻟﻴ ﺔ وﻣﻀﺎدا ت ﺣﻴﻮﻳ ﺔﺗﺆﺧﺬ ﻋﻦ ﻃﺮﻳﻖ اﻟﻔﻢ‪ .‬ﻓ ﻲ‬
‫ﺘﺼﺮﻳﻒ وإزاﻟ ﺔ اﻟﻜﻴ ﺲ اﻟﺪﻣﻌ ﻲ ﺿﺮورﻳًﺎ‪.‬‬
‫اﻷﺣﻴﺎن ‪،‬ﻳﻜﻮن اﻟ‬
‫ﻳﻤﻜﻦ‬ ‫ﻳﻜﻮن‬
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‫‪Machine Translated by Google‬‬

‫ﺘﻬﺎ ب اﻟﻨ ﺴﻴﺞ اﻟﺨﻠﻮي اﻟﻤﺪاري‬

‫اﻟ‬

‫• ﻫﺬه ﻋﺪوىﺗﻬﺪد اﻟﺤﻴﺎةﺗﺼﻴ ﺐ اﻷﻧ ﺴﺠ ﺔ اﻟﺮﺧﻮة ﺧﻠﻒ اﻟﺤﺎﺟﺰ اﻟﻤﺪاري‪.‬‬

‫•‬
‫ﺑﻌﺪ اﻟﺤﺎﺟﺰ‪.‬‬‫ﺒﻞ أو‬
‫ﺘﻬﺎ ب اﻟﻨ ﺴﻴﺞ اﻟﺨﻠﻮي ﻗ‬
‫ﺜﺮ ﺷﻴﻮﻋً ﺎ ﻋﻨﺪ اﻷﻃﻔﺎل‪ .‬ﻗﺪﻳﻌﺎﻧ ﻲ اﻟﻤﺮﺿﻰ ﻣﻦ اﻟ‬
‫و ﻫﻮ أﻛ‬
‫ﺑﺤﺎﻓ ﺔ اﻟﻤﺪار‪.‬‬‫ﺑﻂ ﺟﻔﻦ اﻟﺮﺳﻎ‬
‫اﻟﺤﺎﺟﺰ ﻫﻮ اﻟﻨ ﺴﻴﺞ اﻟﻠﻴﻔ ﻲ اﻟﺬيﻳﺮ‬

‫•‬
‫ﺜﺮ ﺷﻴﻮﻋً ﺎ‬
‫ﺒ ﺐ اﻷﻛ‬
‫ﺑﻌﺪ اﻟﺤﺎﺟﺰ‪• .‬اﻟ ﺴ‬‫ﺒﺢ ﻋﻤﻴﻘ ﺔ وﺧﻄﻴﺮة‬
‫ﺒﺮ اﻟﺤﺎﺟﺰ ‪ ،‬ﻓﺈﻧﻬﺎﺗﺼ‬
‫إذا ﻣﺮ ت اﻟﻌﺪوى ﻋ‬
‫ﺘﻬﺎ ب اﻟﺠﻴﻮ ب وﻟﻜﻦﻳﻤﻜﻦ أنﻳﻨﺸﺄ أ ً‬
‫ﻳﻀﺎ ﻣﻦ ﺧﺮاج اﻷﺳﻨﺎن‬ ‫ﺘﻬﺎ ب اﻟﻨ ﺴﻴﺞ اﻟﺨﻠﻮي اﻟﻤﺪاري ﻫﻮ اﻟ‬
‫ﻻﻟ‬
‫ﺘﺠﻮﻳﻒ اﻟﺸﺪﻗ ﻲ أو اﻷﻧﻒ‪• .‬اﻟﻤﺮﺿﻰ اﻟﺬﻳﻦﻳﻌﺎﻧﻮن ﻣﻦ ﺿﻌﻒ‬
‫ﺑﺎ ت اﻟﻔﻄﺮﻳ ﺔ ﻓ ﻲ اﻟ‬
‫ﺘﻬﺎ‬
‫ﺘﻰ ﻣﻦ اﻻﻟ‬
‫وﺣ‬
‫ﺒ ﺔ اﻟ ﺴﻜﺮ ﻓ ﻲ اﻟﺪم‬
‫اﻟﻤﻨﺎﻋ ﺔ ﻣﻊ ﻧ ﺴ‬

‫ﻣﺸﺎﻛﻞ‪.‬‬
‫‪Machine Translated by Google‬‬

‫ﺒﺼﺮ ‪• .‬اﻟﻌﻼﻣﺎ ت‪ :‬وذﻣ ﺔ ﻣﻦ ﺟﺎﻧ ﺐ‬

‫•اﻷﻋﺮاض‪ :‬اﻟﺤﻤﻰ واﻷﻟﻢ وﺿﻌﻒ اﻟ‬
‫واﺣﺪ ‪ ،‬ﻣﺆﻟﻤ ﺔ ‪ ،‬داﻓﺌ ﺔ وﺣﻤﺮاء ﺣﻮل ﺟﻔﻦ اﻟﻌﻴﻦ ‪ ،‬ﺟﺤﻮظ ‪ ،‬ﺷﻠﻞ ﻣﺆﻟﻢ ﻟﻠﻌﻴﻦ‬
‫ﺘﺼﻮﻳﺮ اﻟﻤﻘﻄﻌ ﻲ اﻟﻤﺤﻮﺳ ﺐ‬
‫ُﻈﻬﺮ اﻟ‬
‫ﺒﺼﺮي ‪.‬ﻳ‬
‫ﺘﻼل وﻇﻴﻔ ﻲ ﻓ ﻲ اﻟﻌﺼ ﺐ اﻟ‬
‫واﺧ‬
‫ﺑﺎﻟﻤﻀﺎدا ت اﻟﺤﻴﻮﻳ ﺔ‬‫ﺒﻮل واﻟﻌﻼج‬
‫أﻧ ﺴﺠ ﺔ ﺣﻮل اﻟﻌﻴﻦﺳﻤﻴﻜ ﺔ‪• .‬اﻹدارة‪ :‬اﻟﻘ‬
‫ﻋﻦ ﻃﺮﻳﻖ اﻟﻮرﻳﺪ‪.‬‬
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‫‪Machine Translated by Google‬‬

‫ﺘﺤﻤ ﺔ‬
‫ﺘﻬﺎ ب اﻟﻤﻠ‬
‫اﻟ‬
‫ﺑﻴﺎض اﻟﻌﻴﻦ واﻟ ﺴﻄﺢ اﻟﺪاﺧﻠ ﻲ ﻟﻠﺠﻔﻮن(‬‫ﺘﺤﻤ ﺔ ) ﻏﺸﺎء ﻣﺨﺎﻃ ﻲﻳﻐﻄ ﻲ‬
‫ﺘﻬﺎ ب اﻟﻤﻠ‬
‫اﻟ‬

‫ﺛﻮﻣ ﻲ •اﻷﻋﺮاض‪ :‬اﺣﻤﺮار اﻟﻌﻴﻨﻴﻦ اﻟﻠﺰﺟ ﺔ ‪،‬‬

‫ﺘﺤﻤ ﺔ اﻟﺠﺮ‬
‫ﺘﻬﺎ ب اﻟﻤﻠ‬
‫اﻟ‬
‫ﺛﻨﺎﺋ ﻲ‪• .‬اﻟﻌﻼﻣﺎ ت‪ :‬اﺣﻤﺮار اﻟﻌﻴﻮن ﻣﻊ إﻓﺮازا ت ﻗﻴﺤﻴ ﺔ‪ .‬ﻻﻳﻮﺟﺪﺗﻮرط ﻓ ﻲ‬‫ﺑﺸﻜﻞ‬‫ﻋﺎدة‬
‫اﻟﻘﺮﻧﻴ ﺔ أو اﻟﻐﺮﻓ ﺔ اﻷﻣﺎﻣﻴ ﺔ‪.‬‬

‫ﺑﺸﻜﻞ ﻣﻨﻬﺠ ﻲ‪.‬‬‫ﺟﻴﺪ‬

‫•اﻹدارة‪ :‬اﻟﻨﻈﺎﻓ ﺔ اﻟﻌﺎدﻳ ﺔ ‪ ،‬اﻟﻤﻮﺿﻌﻴ ﺔ‬
‫ﺑﺎﻧﺪا‬‫ﺑﺪون‬‫اﻟﻤﻀﺎدا ت اﻟﺤﻴﻮﻳ ﺔ ﻟﻤﺪة ‪5‬أﻳﺎم ‪،‬‬
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‫ﺘﺤﻤ ﺔ اﻟﻔﻴﺮوﺳ ﻲ ‪ .‬ﻣﻌﺪي ﺟﺪا‪• .‬اﻷﻋﺮاض‪ :‬إﺣ ﺴﺎس‬

‫ﺘﻬﺎ ب اﻟﻤﻠ‬
‫اﻟ‬
‫ﺘﻴﺮﻳ ﺔ(‪.‬‬
‫ﺒﻜ‬‫ﺘﻠﻒ ﻋﻦ اﻹﻓﺮازا ت اﻟﻘﻴﺤﻴ ﺔ ﻓ ﻲ ﺣﺎﻻ ت اﻟﻌﺪوى اﻟ‬
‫ﺗﺨ‬‫ﺑﺎﻟﺤﺮﻗﺎن واﻹﻓﺮازا ت اﻟﻤﺎﺋﻴ ﺔ )‬

‫ﺘﻼل اﻟﻌﻘﺪ‬
‫ﺒﺎ ﻣﺎﻳﻜﻮن اﻋ‬‫ﺘﺸﺎرﺳﺮﻳﻊ إﱃ اﻷﺧﺮى ‪ ،‬ﻏﺎﻟ ً‬ ‫ﺑﺸﻜﻞ ﻛﻼﺳﻴﻜ ﻲ ﻓ ﻲ ﻋﻴﻦ واﺣﺪة ﻣﻊ اﻧ‬ ‫ﺒﺪأ‬‫ﻳ‬
‫ﺘﺤﻤ ﺔ وﺧﺎﺻ ﺔ ﻓ ﻲ اﻟﺠﻔﻮن‪• .‬‬ ‫ﺘﻔﺎخ اﻟﻤﻠ‬
‫ﺒﻞ اﻷذﻧ ﻲ‪• .‬اﻟﻌﻼﻣﺎ ت‪ :‬اﺣﻤﺮار اﻟﻌﻴﻦ وﻣﺎﺋ ﻲ‪ .‬اﻧ‬
‫اﻟﻠﻤﻔﻴ ﺔ ﻗ‬
‫ﺘﺸﺤﻴﻢ‬ ‫ﺒﺎردة وﻣﻮاد اﻟ‬
‫ﺘﺤﻞ ﻣﻦﺗﻠﻘﺎء ﻧﻔ ﺴﻬﺎ واﻟﻌﻼج اﻟﻬﺎدف إﱃ اﻟﺮاﺣ ﺔ‪ .‬اﻟﻜﻤﺎدا ت اﻟ‬ ‫اﻹدارة‪:‬ﺳ‬
‫ﺑﻴﻊ‪.‬‬
‫ﺘﻐﺮق اﻟﻘﺮار أﺳﺎ‬ ‫ﺑﺪون ﻣﻮاد ﺣﺎﻓﻈ ﺔ(‪ .‬ﻗﻄﺮا ت اﻟﻤﻀﺎدا ت اﻟﺤﻴﻮﻳ ﺔ إذا ﻟﺰم اﻷﻣﺮ‪ .‬ﻗﺪﻳ ﺴ‬
‫اﻟﻌﺎدﻳ ﺔ )‬
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‫‪Machine Translated by Google‬‬

‫ﺘﺤ ﺴ ﺴ ﻲ •اﻷﻋﺮاض‪ :‬ﺣﻜ ﺔ‬

‫ﺘﺤﻤ ﺔ اﻟ‬
‫ﺘﻬﺎ ب اﻟﻤﻠ‬
‫اﻟ‬
‫ﺗﻘﺮح ‪.‬‬
‫ﻓ ﻲ اﻟﻌﻴﻦ )‪(++‬واﺣﻤﺮار و‬

‫ﺘﺤﻤ ﺔ‬
‫ﺗﻔﺎع ﺿﺌﻴﻞ ﻋﲆ اﻟﻤﻠ‬
‫•اﻟﻌﻼﻣﺎ ت‪:‬ﺗﻮرم اﻟﺠﻔﻦ و‪ .‬اﻟﺤﻠﻴﻤﺎ ت ) ار‬
‫اﻟﺠﻔﻨﻴ ﺔ(‪.‬‬
‫اﻟﻤﻮﺿﻌﻴ ﺔ ‪،‬‬
‫ﺒﺔ‬
‫ﺒ‬‫ﺘﺎﻣﻴﻦ اﻟﻤ ﺴ‬
‫إزاﻟ ﺔﺴاﻟﻤﻮاد‬
‫اﻹدارة‪:‬اﻟﻬﻴ‬
‫ﻣﻀﺎدا ت‬
‫ﺜﺎل‬ ‫ﻳﻤﺎ‪• .‬‬
‫ﺒﻴﻞ اﻟﻤ‬
‫ﻋﲆﺳ‬ ‫ذﻟﻚ ‪،‬‬
‫أﻣﻜﻦواﻷﻛﺰ‬
‫ﺒﻲ‬‫ﺗ‬‫ﺘﺄ‬
‫ﺜﻤﺎ‬
‫ﺑﻮ اﻟ‬
‫ﺳﻴ ﺔاﻟﺮﺣﻴ‬
‫ﺴﺎﻣﻦ‬
‫ﻳﺦ‬‫ﻟﻠﺤ‬
‫ﺗﺎر‬
‫ﺒﺎردة‪.‬‬
‫اﻟﻜﻤﺎدا ت اﻟ‬
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‫ﺘﻬﺎ ب اﻟﻘﺮﻧﻴ ﺔ‬
‫اﻟ‬

‫ﺘﻴﺮﻳﺎ واﻟﻔﻄﺮﻳﺎ ت واﻟﻄﻔﻴﻠﻴﺎ ت‬

‫ﺒﻜ‬‫ﺜﻞ اﻟﻔﻴﺮوﺳﺎ ت واﻟ‬
‫ﺘﻠﻔ ﺔ ﻣ‬
‫ﺘﻬﺎ ب اﻟﻘﺮﻧﻴ ﺔ ﻣﻦ ﻋﻮاﻣﻞ ﻣﺨ‬
‫•اﻟ‬
‫ﺒﺎ ﻓ ﻲ اﻟﻌﺪﺳﺎ ت اﻟﻼﺻﻘ ﺔ‬
‫ﺒﺎ(‪• .‬اﻷﻋﺮاض‪ :‬ﻗﺮﺣ ﺔ واﺣﻤﺮار اﻟﻌﻴﻦ وﻏﺎﻟ ً‬
‫)اﻟﺸﻮﻛﻤﻴ‬

‫ﺘﺎﻟﻴ ﺔ‪.‬‬
‫ﺗﺪﻳﻬﺎ أو اﻟﺼﺪﻣ ﺔ اﻟ‬
‫ﻣﺮ‬
‫ﺒﻴﻀﺎء ﻋﲆ اﻟﻘﺮﻧﻴ ﺔ ﻣﺤﻴﻄﻴ ﺔ أو‬
‫•اﻟﻌﻼﻣﺎ ت‪ :‬ﻗﺪﺗﻜﻮن اﻟﻤﻨﻄﻘ ﺔ اﻟ‬
‫وﺳﻂ‪.‬‬

‫•اﻹدارة‪ :‬إﺣﺎﻟ ﺔ ﻋﺎﺟﻠ ﺔ )ﻧﻔ ﺲ اﻟﻴﻮم( إﱃ‬

‫ﺒﻴ ﺐ ﻋﻴﻮن ﻟﻌﻼج ﻛﺸﻂ اﻟﻘﺮﻧﻴ ﺔ واﻟﻤﻀﺎدا ت اﻟﺤﻴﻮﻳ ﺔ اﻟﻤﻮﺿﻌﻴ ﺔ ‪ /‬اﻟﻤﻀﺎدة ﻟﻠﻔﻴﺮوﺳﺎ ت ‪/‬‬
‫ﻃ‬
‫اﻟﻤﻀﺎدة ﻟﻠﻔﻄﺮﻳﺎ ت‪.‬‬
‫ﺑﺸﻜﻞ ﺧﺎص‬‫ﺗﺮﻗﻴﻊ اﻟﻘﺮﻧﻴ ﺔ(‬
‫•ﻗﺪﺗﻜﻮن ﻫﻨﺎك ﺣﺎﺟ ﺔ إﱃ رأ ب اﻟﻘﺮﻧﻴ ﺔ )‬
‫ﺒ ﺔ‪.‬‬
‫ﺜﻘ‬‫ﻋﻨﺪﻣﺎﺗﻜﻮن اﻟﻘﺮﻧﻴ ﺔ ﻣ‬
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‫ﺘﻬﺎ ب اﻟﻘﺮﻧﻴ ﺔ اﻟﻔﻴﺮوﺳ ﻲ‬

‫اﻟ‬
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‫ﺛﻮﻣ ﻲ‬
‫ﺘﻬﺎ ب اﻟﻘﺮﻧﻴ ﺔ اﻟﺠﺮ‬
‫اﻟ‬
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‫ﺘﻬﺎ ب اﻟﻘﺮﻧﻴ ﺔ اﻟﻔﻄﺮي‬

‫اﻟ‬
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‫ﺘﻬﺎ ب اﻟﻘﺮﻧﻴ ﺔ اﻟﻄﻔﻴﻠ ﻲ‬

‫اﻟ‬
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‫ﺘﻬﺎ ب اﻟﻘﺰﺣﻴ ﺔ‬
‫اﻟ‬

‫ﺒ ﻲ )اﻟﻘﺰﺣﻴ ﺔ ‪،‬‬
‫ﺒﻴﻞ اﻟﻌﻨ‬
‫ﺘﻬﺎ ب أي ﺟﺰء ﻣﻦ اﻟ ﺴ‬
‫•اﻟ‬
‫ﺑ ﻲ واﻟﻤﺸﻴﻤﻴ ﺔ(‪.‬‬
‫اﻟﺠ ﺴﻢ اﻟﻬﺪ‬
‫ﺛﺮ‪• .‬‬
‫ﺘﺄ‬
‫ﺛﺮ اﻟﺮؤﻳ ﺔ وﻗﺪ ﻻﺗ‬
‫ﺘﺄ‬
‫ﺗﻘﺮﺣﻬﺎ ‪ ،‬ﻗﺪﺗ‬
‫•اﻷﻋﺮاض‪ :‬ر ﻫﺎ ب اﻟﻀﻮء ‪ ،‬اﺣﻤﺮار اﻟﻌﻴﻦ و‬
‫ﺑ ﻲ ﺣﻮل اﻟﻘﺰﺣﻴ ﺔ ‪،‬‬
‫اﻟﻌﻼﻣﺎ ت‪ :‬اﺣﻤﺮار اﻟﻌﻴﻦ ﻣﻊ اﻟﺤﻘﻦ اﻟﻬﺪ‬

‫ﺘﻮ ﻫﺞ‪• .‬اﻹدارة‪ :‬إﺣﺎﻟ ﺔ ﻋﺎﺟﻠ ﺔ )ﻧﻔ ﺲ‬

‫ﺗﻈﻬﺮ اﻟﻐﺮﻓ ﺔ اﻷﻣﺎﻣﻴ ﺔ •ﻏﺎﺋﻤ ﺔ ﻣﻦ اﻟﺨﻼﻳﺎ واﻟ‬
‫اﻟﻴﻮم( إﱃ‬

‫ﺘﻴﺮوﻳﺪ وﻋﻼج‬
‫ﺑﺎﻟ ﺴ‬‫ﺜﻒ‬
‫ﺘﻮﺳﻴﻊ ﺣﺪﻗ ﺔ اﻟﻌﻴﻦ واﻟﻌﻼج اﻟﻤﻜ‬
‫ﺒﻴ ﺐ ﻋﻴﻮن ﻟ‬
‫ﻃ‬
‫ﺒﺎ ت اﻟﻤﺮﺿﻴ ﺔ‪.‬‬
‫ﺒ‬‫اﻟﻤ ﺴ‬
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‫زرق اﻧ ﺴﺪاد اﻟﺰاوﻳ ﺔ اﻟﺤﺎد‬

‫ﺘﺼﺮﻳﻒ اﻟﻤﺎﺋ ﻲ‪• .‬اﻷﻋﺮاض‪:‬‬ ‫ﺘ ﻲﺗﻤﻨﻊ اﻟ‬ ‫ﺒ ﺐ زاوﻳ ﺔ اﻟﻐﺮﻓ ﺔ اﻷﻣﺎﻣﻴ ﺔ اﻟﻤﻐﻠﻘ ﺔ اﻟ‬
‫ﺑﺴ‬ ‫ﺗﺤﺪ ث زﻳﺎدة ﻣﻔﺎﺟﺌ ﺔ ﻓ ﻲ ﺿﻐﻂ اﻟﻌﻴﻦ‬
‫•‬
‫ﺒﺎﻗﺎ ت اﻵﺳﻴﻮﻳ ﺔ‪• .‬‬
‫ﺜﺮ ﺷﻴﻮﻋً ﺎ ﻓ ﻲ اﻟ ﺴ‬ ‫ﺜﻴﺎن واﻟﻘ ﻲء‪• .‬اﻟﻌﻼﻣﺎ ت‪ :‬أﻛ‬ ‫اﻟﻌﻴﻦ اﻟﻤﺆﻟﻤ ﺔ ﻣﻊ أﻋﺮاض ﺟﻬﺎزﻳ ﺔﺗﺸﻤﻞ اﻟﺼﺪاع واﻟﻐ‬
‫ﺑ ﻲ‪• .‬اﻟﻐﺮﻓ ﺔ اﻷﻣﺎﻣﻴ ﺔ ﺿﺤﻠ ﺔ ﻣﻊ‬
‫ﺒﺎ‬
‫ﺑ ﺔ ﻋﻨﺪ اﻟﺠ ﺲ‪ .‬ﻋﺎدة ﻣﺎﻳﻜﻮن ﻟﻠﻘﺮﻧﻴ ﺔ ﻣﻈﻬﺮ ﺿ‬
‫ﺑﺼﻼ‬‫ﺗﺸﻌﺮ‬‫اﻟﻌﻴﻦ ﺣﻤﺮاء ‪ ،‬ﻣﺆﻟﻤ ﺔ ﺟﺪا و‬
‫ﺘﻈﻤ ﺔ‪.‬‬
‫ﺘﻮﺳﻌ ﺔ ﻏﻴﺮ ﻣﻨ‬ ‫ﺒﻪ ﻣ‬ ‫ﺣﺪﻗ ﺔ ﺷ‬

‫ﺒﻄﺎ ت اﻟﻤﺎﺋﻴ ﺔ وﺣﺎﺻﺮا ت‬

‫ﺜ‬‫ﺑﻴﻦ ﻣﻮﺿﻌ ﻲ ‪ ،‬ﻗﺪﺗ ﺴﺎﻋﺪ اﻟﻤ‬
‫ﺒﻴ ﺐ اﻟﻌﻴﻮن‪ .‬ﺑﻴﻠﻮﻛﺎر‬
‫اﻹدارة‪ :‬إﺣﺎﻟ ﺔ ﻋﺎﺟﻠ ﺔ )ﻓ ﻲ ﻧﻔ ﺲ اﻟﻴﻮم( ﻟﻄ‬
‫ﺘﺎ ﻋﲆ ﺧﻔﺾ ﺿﻐﻂ اﻟﻌﻴﻦ‪.‬‬
‫ﺑﻴ‬
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‫ﺑﺎﻃﻦ اﻟﻤﻘﻠ ﺔ‬‫ﺘﻬﺎ ب‬

‫اﻟ‬
‫ﺑﻌﺪ اﻟﺼﺪﻣ ﺔ أو داﺧﻞ اﻟﻌﻴﻦ‬‫ﺜﺮ ﺷﻴﻮﻋً ﺎ‬
‫•اﻷﻛ‬
‫ﺒﺼﺮ‪• .‬اﻟﻌﻼﻣﺎ ت‪:‬ﺗﻮرم اﻟﺠﻔﻦ ‪،‬‬
‫ﺟﺮاﺣ ﺔ‪• .‬اﻷﻋﺮاض‪ :‬أﻟﻢ ﻓ ﻲ اﻟﻌﻴﻦ ﻣﻊ ﻓﻘﺪان اﻟ‬
‫إﻓﺮازا ت ‪ ،‬اﺣﻤﺮار اﻟﻌﻴﻦ ‪ ،‬ﻗﺼﻮر ﻓ ﻲ اﻟﺮؤﻳ ﺔ ‪ ،‬ﺿﻌﻒ ﻓ ﻲ اﻟﺮؤﻳ ﺔ‪.‬‬

‫ﺒﻴ ﺐ اﻟﻌﻴﻮنﻷﺧﺬ اﻟﻌﻴﻨﺎ ت اﻟﺰﺟﺎﺟﻴ ﺔ واﻟﻤﻀﺎدا ت‬‫•اﻹدارة‪ :‬اﻹﺣﺎﻟ ﺔ اﻟﻌﺎﺟﻠ ﺔ إﱃ ﻃ‬

‫ﺘﺸﺮ‬
‫ﺘﺌﺼﺎل اﻟﺰﺟﺎﺟﻴ ﺔ‪• .‬اﻟﻤﻀﺎﻋﻔﺎ ت ‪:‬ﻳﻤﻜﻦ أنﺗﻨ‬ ‫اﻟﺤﻴﻮﻳ ﺔ داﺧﻞ اﻟﺠ ﺴﻢ اﻟﺰﺟﺎﺟ ﻲ واﺳ‬
‫ﺒﺎ ً‬
‫ﺒ‬‫ﺘﺸﺎره ﻓ ﻲ اﻟﻤﺪار ﻣ ﺴ‬‫ﺘﻬﺎ ب اﻟﺤﻮض اﻟﻨﺎﺟﻢ ﻋﻦ اﻧ‬‫ﺒ ﺔ اﻟ‬
‫ﺒ‬‫اﻟﻌﺪوى ﻓ ﻲ اﻟﺨﺎرج ﻣ ﺴ‬
‫ﺘﻬﺎ ب اﻟﻨ ﺴﻴﺞ اﻟﺨﻠﻮي اﻟﻤﺪاري‪.‬‬
‫اﻟ‬
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‫ﺷﻠﻞﺐ اﻟ ﺴﺎ‬
‫ﺑﻊ‬ ‫اﻟﻌﺼ‬

‫ﺒﺎ ب‪:‬‬
‫ﺘﻰﺗﻌﺮض اﻟﻘﺮﻧﻴ ﺔ ‪• .‬اﻷﺳ‬ ‫ﺋﻴ ﺴﻴ ﺔ ﻟﻠﻌﻴﻦ ﻫ ﻲ ﻓﺸﻞ إﻏﻼق اﻟﻌﻴﻦ ﺣ‬ ‫•اﻟﻤﺸﻜﻠ ﺔ اﻟﺮ‬
‫ﺒ ﺐ )ﺷﻠﻞ اﻟﻮﺟﻪ اﻟﻨﺼﻔ ﻲ( أو ﻧﺎﺟﻤ ﺔ ﻋﻦ ﺻﺪﻣ ﺔ أو ورم أو ﻋﺪوى‬
‫ﻗﺪﺗﻜﻮن ﻣﺠﻬﻮﻟ ﺔ اﻟ ﺴ‬
‫ﺘﻬﺎ ب‬
‫أو اﻟ‬

‫ﺋﻴ ﺴﻴ ﺔ ‪،‬‬
‫ﺗﻬﺎ وﻟﻜﻦ اﻟﻔﺸﻞ ﻓ ﻲ إﻏﻼق اﻟﺠﻔﻦ ﻫﻮ اﻟﻌﻼﻣ ﺔ اﻟﺮ‬‫ﺘﻠﻒ ﻓ ﻲ ﺷﺪ‬ ‫•اﻟﻌﻼﻣﺎ ت‪:‬ﺗﺨ‬
‫ﺗﺰﻟﻴﻘﻬﺎ‪.‬‬‫ﺑﻊ‪• .‬اﻹدارة‪ :‬ﺿﻤﺎن إﻏﻼق اﻟﻌﻴﻦ و‬ ‫وﻗﺪﺗﻜﻮن ﻋﻼﻣﺎ ت أﺧﺮى ﻟﺸﻠﻞ اﻟﻌﺼ ﺐ اﻟ ﺴﺎ‬

‫ﺘﻄﻠ ﺐ اﻷﻣﺮ إﺟﺮاءا ت ﻟﻠﻤ ﺴﺎﻋﺪة ﻓ ﻲ‬ ‫ﺘﻌﺎﻓﻰ‪ .‬إذا ﻟﻢﻳﻜﻦ اﻷﻣﺮ ﻛﺬﻟﻚ ‪ ،‬ﻓﻘﺪﻳ‬‫ﻗﺪﻳ‬
‫ﺜﻞ رﺳﻢ اﻟﻘﻄﺮان واﻷوزان ﻋﲆ اﻟﻐﻄﺎء اﻟﻌﻠﻮي ‪،‬‬ ‫ﻫﺬا ‪ ،‬ﻣ‬
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‫ﺑﺮ ﻣﺪرس ﻃ ﺐ وﺟﺮاﺣ ﺔ‬

‫إﻋﺪاد‪ :‬د ‪/‬ﺳﻌﻴﺪ ﺻﺎ‬
‫اﻟﻌﻴﻮن ﺟﺎﻣﻌ ﺔ اﻟﻔﻴﻮم‬
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‫‪1-‬ﺳﻜﺮ اﻟ ﺴﺎد‬
‫ﺘﻌﻄﻞ اﻟﺮؤﻳ ﺔﺗﺪرﻳﺠﻴﺎً‪، .‬‬
‫ﺗ‬‫ﺒﺸﺮﻳ ﺔ‪- C / O: .‬‬
‫ﺘﺎﻣ ﺔ ﻟﻠﻌﺪﺳ ﺔ اﻟ‬
‫‪-‬اﻟ ﺴﺎد ﻋ‬
‫ﺒﺎ ب‪ :‬اﻟﺸﻴﺨﻮﺧ ﺔ ‪ ،‬اﻟﺼﺪﻣ ﺔ‬
‫اﻟﺨﻠﻘﻴ ﺔ اﻟﻤﻌﻘﺪة ‪-‬اﻷﺳ‬
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‫ﻫﺪف ﺟﺮاﺣ ﺔ اﻟ ﺴﺎد‪:‬‬

‫ﺗﺤ ﺴﻴﻦ اﻟﺮؤﻳ ﺔ ﻋﻦ ﻃﺮﻳﻖ‬ ‫‪-‬‬
‫ﺘﻤ ﺔ إﻣﺎ ﻋﻦ ﻃﺮﻳﻖ‪:‬‬
‫إزاﻟ ﺔ اﻟﻌﺪﺳ ﺔ اﻟﻤﻌ‬

‫ﺘﺤﻼ ب‬ ‫‪-‬اﺳ‬
‫ﻋﺪﺳ ﺔ اﻟ ﺴﺎد‬
‫ﺒﻜﺮة‬
‫‪-‬رﻋﺎﻳ ﺔ اﻟﻄﻔﻮﻟ ﺔ اﻟﻤ‬
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‫ﺟﺮاﺣ ﺔ اﻟﻈﻔﺮة‬2-
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:‫ﺟﺮاﺣ ﺔ اﻟﺤﻮل‬3-
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‫‪4-‬ﺟﺮاﺣ ﺔ اﻟﺠﻠﻮﻛﻮﻣﺎ‪:‬‬
‫ﺒﺼﺮي‪.‬‬
‫اﻟﻬﺪف ‪ :‬ﻫﻮ ﺧﻔﺾ ﺿﻐﻂ اﻟﻌﻴﻦ ﻟﻤﻨﻊﺗﻠﻒ اﻟﻌﺼ ﺐ اﻟ‬

‫ﺘﺤﻤ ﺔ‪.‬‬
‫ﺑﻘﻠﻢ‪ :‬إﻧﺸﺎء ﻣ ﺴﺎرﺗﺼﺮﻳﻒ ﻟﺤﻮض اﻟﻤﺎء ﻣﻦ اﻟﻌﻴﻦ إﱃ أﺳﻔﻞ اﻟﻤﻠ‬
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‫‪6-‬ﺟﺮاﺣﺎ ت اﻟﺠﺰء اﻟﺨﻠﻔ ﻲ‪:‬‬

‫ﺘﺌﺼﺎل اﻟﺰﺟﺎﺟﻴ ﺔ‬
‫‪1-‬اﺳ‬ ‫ﺒﺔ‬
‫ﺒﻚ اﻟﺼﻠ‬
‫‪2-‬ﻣﺸ‬
‫ﻫﺪف‪:‬‬
‫ﻹدارة‪:‬‬
‫ﺒﻜﻴ ﺔ‬
‫‪-‬اﻧﻔﺼﺎل اﻟﺸ‬
‫‪-‬ﻧﺰﻳﻒ دﻣﻮي‬
‫ﺒﻘﻌ ﻲ‬
‫ﺜﻘ ﺐ اﻟ‬
‫‪-‬اﻟ‬
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‫‪8-‬ﺟﺮاﺣ ﺔ اﻻﻧﻜ ﺴﺎر‬

‫‪1-‬اﻟﻠﻴﺰك‬ ‫‪2- PRK‬‬

‫ﻫﺪف‪:‬‬
‫ﺘﺼﺤﻴﺢ أﺧﻄﺎء اﻻﻧﻜ ﺴﺎر‬
‫ﻟ‬

‫‪-‬ﻗﺼﺮ اﻟﻨﻈﺮ‬
‫‪-‬ﻓﺮط ﻃﻮل اﻟﻨﻈﺮ‬
‫ﺗﻴﺰم‬
‫ﺘﺠﻤﺎ‬
‫‪-‬اﻻﺳ‬
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‫ﻋﻠﻢ اﻷدوﻳ ﺔ اﻟﻌﻴﻨ ﻲ‬

‫ﻣﺮاﺟﻌ ﺔ‬
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‫‪1-‬اﻷدوﻳ ﺔ اﻟﻤﻮﺿﻌﻴ ﺔ ﻟﻠﻌﻴﻦ‬

‫ﻃﺮق اﻹدارا ت‬

‫‪1.‬ﻣﻮﺿﻮﻋ ﻲ‬
‫‪2.‬اﻷﺟﻬﺰة‬

‫‪3-‬اﻟﺤﻘﻦ‬
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‫‪1.‬ﻣﻮﺿﻮﻋ ﻲ‬

‫ﺑ ﺴﻴﻄ ﺔ وﻏﻴﺮ ﺟﺮاﺣﻴ ﺔ‪.‬‬

‫‪1.‬ﻗﻄﺮا ت‬
‫‪2-‬ﻣﺮ ﻫﻢ‬

‫‪.3‬ﺟﻞ‬
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‫اﻷﺟﻬﺰة‬2.

1. Ocusert
‫درع اﻟﻘﺮﻧﻴ ﺔ‬2.

‫ﺘﺮﺷﻴﺢ‬
‫ﺷﺮاﺋﻂ ورق اﻟ‬3.
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‫اﻟﺤﻘﻦ‬3-
‫ﺑﺎﻃﻦ اﻟﻌﻴﻦ‬.‫أ‬

1. intracameral 2. intravitreal
‫ ﺣﻮل اﻟﻌﻴﻦ‬.‫ب‬

‫اﻟﻨﻤﻞ‬2. subtenon
4.peribulbar 5.Retrobulbar

1.Subconj 3.Post subtenon

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‫ﺘﻮﺳﻌ ﺔ‬
‫ﻗﻄﺮا ت ﻣ‬

‫ﺷﻠﻞ ﻋﻀﻠ ﻲ‪:‬‬

‫ﺑﻴﻦ‬
‫ﺗﺮو‬
‫أ‬
‫ﺑﻴﻦ‬
‫ﺗﺮو‬
‫ﻫﻮﻣﺎ‬
‫ﺑﻮﻻﻣﻴﻦ ) ﻫﻴﻮﺳﻴﻦ(‬
‫ﺳﻜﻮ‬
‫ﺘﻮﻻ ت )ﺳﻴﻜﻠﻮﺟﻞ(‬
‫ﺑﻨ‬‫ﺳﻴﻜﻠﻮ‬
‫ﺑﻴﻜﺎﻣﻴﺪ )ﻣﻴﺪرﻳﺎﺳﻴﻞ(‬
‫ﺗﺮو‬
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‫اﻷدوﻳ ﺔ اﻟﺤﺎﻟ ﺔ ﻟﻠﻤﻌﺎﻗﻴﻦ‬

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‫ﻣﻀﺎدا ت اﻟﺤ ﺴﺎﺳﻴ ﺔ‬

‫ﺘﻴﻦ(‬
‫ﺑﺎﺳ‬
‫ﺜﻞ اﻟﻔﻴﻨﻴﺮاﻣﻴﻦ ‪ ،‬ﻟﻴﻔﻮﻛﺎ‬
‫ﺘﺎﻣﻴﻦ )ﻣ‬
‫ﻣﻀﺎدا ت اﻟﻬﻴ ﺴ‬
‫ﺜﻞ ‪naphazoline‬و ‪ phenylepherine‬و‬
‫ﺘﻘﺎن )ﻣ‬
‫ﻣﺰﻳﻼ ت اﻻﺣ‬
‫)‪tetrahydrozaline‬‬
‫ﺜﻞ ﻛﺮوﻣﻮﻟﻴﻦ ‪ ،‬ﻟﻮدوﻛ ﺴﺎﻣﻴﺪ ‪،‬‬
‫ﺒﺪﻳﻨ ﺔ )ﻣ‬
‫ﺘﺎ ت اﻟﺨﻼﻳﺎ اﻟ‬
‫ﺒ‬‫ﺜ‬‫ﻣ‬
‫ﺗﺎدﻳﻦ(‬
‫ﺑﺎ‬
‫ﺑﻴﻤﻴﺮوﻻﺳ ﺖ ‪ ،‬ﻧﻴﺪوﻛﺮوﻣﻴﻞ ‪ ،‬أوﻟﻮ‬
‫ﺘﻮروﻻك(‬
‫ﺜﻞ ﻛﻴ‬
‫ﺘﻴﺮوﺋﻴﺪﻳ ﺔ )ﻣ‬
‫ﺘﻬﺎ ب ﻏﻴﺮ اﻟ ﺴ‬
‫ﻣﻀﺎدا ت اﻻﻟ‬

‫ﺜﻮﻟﻮن ‪ ،‬رﻳﻤﻴﻜ ﺴﻮﻟﻮن ‪ ،‬ﺑﺮﻳﺪﻧﻴﺰوﻟﻮن(‬

‫ﺜﻞ ﻓﻠﻮروﻣﻴ‬
‫اﻟﻤﻨﺸﻄﺎ ت )ﻣ‬
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