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lucrare conjunctivita

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    CUPRINS

    CAP.IANATOMIA ANALIZATORULUI VIZUALpag2-15

    CAP.IICONJUNCTIVITA-NOTIUNI GENERALE.pag16-36

    CAP.III

    NOTIUNI DE NURSINGpag37- !

    CAP.IVPREZENTAREA CAZURILOR CLINICE.pag "-5"-#a$ #%&' '(.1-#a$ #%&' '(.2-#a$ #%&' '(.3

    CONCLUZIIpag6)

    *I*ILOGRA+IE.pag 61

    1

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    CAPITOLUL I

    ANATOMIA ANALIZATORUL VIZUAL

    ANATOMIA ANALIZATORULUI VIZUAL

    A'a%&$a, ( % /&$ a% 0 ' & ,0 %,& '#,& 'a% # p%04 ( a, &' 3 1.Subsistemul periferic 8 0 (0#0p,&09 ( a, &' g% % # %a( & a'040%0 a#0 , &a2.Subsistemul de transmitere a & ag&'&& /&$ a%0-'. p, &'#( #& a, pa(,&a% %a '&/0% % #:&a 0& p,-(a &a,&&%0 p,.Subsistemul de integrare a & ag&'&& /&$ a%0-a(&a # (,a%a 9#a p (&%0 1791!91" *( a'.

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    G% % # %a( 0 ,0 ( a,& '0 ap( ap0 0(a &, a,a &' pa(,0a a',0(& a(a a ( &( &,0& 0 ,0 % &'a&',0 &'ap & & &' a a(a &'a ',( & a#0 ' 'g:& 0 23g

    g% % & # %a(.PLEO PE; ( a,& '& # % - 0 (a' a 0 #a(0 &'#:& a',0(& ( ( &,a & p( ,0

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    (0$& ,0',- #:& % #ap % ,a( a% &'0(/a, 0 & (0 &' & pa, % #0(/a% & # ',( %

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    ARTERELE p%0 ap0% ( ', (a (& a%0 a(,0(0& ,a% & VENELE 0 /a( a &' /0'0%0 ,a% ,0 p (a%0 p0( &a%0 & LIM+ATICELE 0 &' (0ap,a #a,(0 ga'g%& '&& p(0a ( %a(& & pa( ,& &0'& &a( pa

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    C ILE L CRI" LE

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    N. (cul(m(t(r c(mun III asigura iner)atia m. e*trinseci+drept intern+drept superi(r

    +drept inferi(r+(blic mic

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    N. tr('lear I, asigura iner)atia+(blicului mare

    N. abducens ,I asigura iner)atia+drept e*tern

    CON-UNC!I,- ,&(09 # a a9 ,(a% #&, a(0 #0 #ap, 0 ,0 a,a p ,0(& a(a a p%0 ap0% ( (a (a'g0 ,(0#a' p0 pa(,0a a',0(& a(a a g% % & # %a( & ,ap0,0a$a a,a a',0(&

    #%0( ,&&.

    T p g(a # '< '#,&/a p(0$&',a 3 p (,& '&

    ? CONJUNCTIVA PALPE*RALA SAU TARSALA

    ? CONJUNCTIVA +UNDULUI DE SAC

    ? CONJUNCTIVA *UL*ARA

    R(l- 0 p( ,0#,&0 & apa(a(0 - 0 (0,&'0(0 & ,a &%&,a,0 a &% % & %a#(& a%

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    0,a % 0 a#0 0 %a '&/0% % (&& ap a 0 & %a#(& &% ( INERVATIA &'0(/a,&a 0'$&,&/a 0 a(,0 ga,a9 a &g (a,a 0 '. #&%&a(& #a(0 %a (a'(a (& a%0 ,a% % &/UNC!II1. /UNC!IE OP!IC -# ('00a a &g (a ,(a' &,0(0a9 & $& '0a9 (0 %04&a & (0 (a#,&a2./UNC!I "EC NIC -& p(0 'a # #%0( ,a ( 0a$a , 'a 04,0('a #0a a&

    (0$& ,0',a a g% % & # %a(. M0 (a'a D0 #0 0, 0 #0a a& (0$& ,0',a & 0%a ,a3. /UNC!I $E CRES!ERE SI REP R RE !ISUL R & 0(a &' '#,&0 0 &0#a(0

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    SCLER

    ; , 'a 04,0('a a g% % & # %a( (0p(0$0',a' @5 p , a%0 a%0 E ( a,a &',(- ' ,0 , & ( 9 (9 &'04,0' & &% %a a %,. A(0 # % a(0 a% &

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    "

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    IRISUL: (0p(0$&',a pa(,0a a',0(& a(a a ,(a#, % & /0a%. E ' &a (ag ,&(0 p(0/a$#0',( # ' (& & ' &, p p&%a.E% & pa(,0 # pa(,& 0', % a',0(& ( &' #a 0(a a',0(& a(a &, a,a &',(0 # ('00 & &(& p ,0(& a(a &',(0 &(& #(& ,a%&'C % a(0a &(& % & ,a &%&,a g0'0, 0 0,0( &'a,a 0 #a',&,a,0a 0 p&g 0', p(0$0',.

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    & pa,.CORPUL CILIAR

    -0 ( a, &' p( #0 0%0 #&%&a(0 & #:& % #&%&a(.S0 &',&' 0 0 %a (a a#&'a &(& % & pa'a %a (a 0(a,a. Da#a 0 a#0 0#,& '0 ag&,a%a a #:& % & # (p % #&%&a( a(0 ( a ,(& 'g:&a',0(& a(a p(0 &(& 9 a,a 04,0('a #%0(a%a & 'a p ,0(& a(a &' (ap (, # # (p % /&,(

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    1)

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    VASCULARIZATIE A(,0(0%0 p( /&' &' a(0%0 #0(# a(,0(&a% a% &(& % & #0 &(&ga #:& % #&%&a(0V0'0%0 . #&%&a( ', /0'0 #&%&a(0 a',0(& a(09 0(g %a p%04 % /0' &',(a #%0(a% /0'0%0 # %a(0 a%0 . (0p,&.V0'0%0 p( #0 0% ( #&%&a(0 0' &(0a 0 /0'0 #&%&a(0 p ,0(& a(0 a< 'g &'

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    COROI$- ,ap0,0a$a #%0(a 0 %a pap&%a '. . pa'a %a (a 0(a,a.

    E ga, /a # %a(&$a,a & &',0' p&g 0',a,a.E ( a,a &' a& %,0 ,(a, (&

    1. Stratul supracoroidian a %a &'a #a a%#a, &, &',(- ' ,0 , # '< '#,&/ ( p&g 0',a,2. Stratul intermediar ( a, &' a(,0(0 & /0'0. A(,0(0%0 ', &, a,0 p0 ' p%a' a& p( ' p( /&' &' a(,0(0%0 #&%&a(0 # (,0 p ,0(& a(0. V0'0%0 ', &, a,0 p0( &a% pa,( ,( '#:& (& a(& ' &,0 /0'0 / (, a 0 #a(0 p0( (0a$a #%0(a &'ap &a 0# a, ( %/a( a &' /0'a ,a% a.

    3. Stratul corio capilar 0 ( a, &' #ap&%a(0 a& ' 0( a 0 &' $ 'a a# %a(a. N0(/&& p( /&' &' '0(/&& #&%&a(& #a(0 &' a< (&,a,0 p( /&' gg% ,a% =#&%&a(&(a (& &(0#, &' 'a$a% =#&%&a(&& % 'g&>

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    CRIS! LINUL

    - 0 %0',&%a '/04a9 ap%a,&$a,a a',0(& (. +a,a a',0(& a(a & #0a p ,0(& a(a 0 &0# a, (. C(& ,a%&' % 0 0',&' , &' p $&,&a a p(&',(- ' & ,0 0 & (0 #a(0 a%&ga 0', % p0' ( a $ ' %a % & Z&''. A#0a ,a 0 &',&' 0 &',(0 a,a &',0('a a # (p

    & 0# a, ( % #(& ,a%&' % &.

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    a%0.+a,a p ,0(& a(a /&'0 &' (ap (, # :&a% & a a',0(& a(a a # (p % & /&,( .

    CORPUL ,I!ROS

    V&,( % 0 ' g0% ,(a' pa(0',9 '0 g0' #a(0 # ',&'0 ""F apa. E ' ,0 , # '< '#,&/

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    a/a # %a(.V&,( % 0 %0a$a p0 ,( #, (&%0 #0 %& &,0a$a #a/&,a,0a /&,(0a'a a,a p

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    RE!IN-, 'a '0(/ a a9 0 &' 0(a %a '&/0% % (0& 0(a,a 0 # (p % #&%&a(.

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    C0% %0%0 # a , 'a 09 ap( 4& a,&/ 13) &%@(0,&'a9 ', a& ' 0( a 0 %a p0(& 0(&&' pa,a ga% 0'a &%&p 0 # &' /00a #0',(a%& .P&g 0', % , 0' & &% 0 ,0( p a , 'a a &g (a /0 0(0a %a % &'a %a a9/0 0(0a ' #, ('a.La '&/0% % ,(a, % & &p %a(& & a% ,(a, % & '0 ( '&% ( %,&p %a(& &' (0,&'a 0 a'& 0 ,# '/0(g0',a.La '&/0% % /00& #0',(a%& ' 0 a'& 0 ,a# '/0(g0',a.U' '0 ( ' %,&p %& p(0 'a # '0 ( '&& &p %a(& #a(0 # '/0(g %a a#0 ,a & # #0% %0%0 , (0#0p, a(0 %a '0 ( ' % &p %a( ( 0a$a '&,a,0 '#,& 'a%a.A# &,a,0a/&$ a%a 0p&' 0 0

    '&,a,&% ( '#,& 'a%0 a p(a #a( (a a#,& '0a$a % &'a

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    . E4& ,a (0p(0$0',a(0 & 0,(a a a#0 , (a p0 p(a a,a (0,&'0&9 # ' (&%0 &&'# '#0',(a,0 %a '&/0% % a# %0& % ,0a =pa,a ga% 0'a> 90%0 a &g (a /0 0(0a & ('a9 # %P0 a (a #0 '0 &' 0pa(,a 0 a# %a p(0 p0(& 0(&0 ' a( % #0% %0% ( # # ' (& #(0 ,0 ' a( % #0% %0% ( # a , 'a 0 a& 04& ,a' #a',&,a,0a a4& a a /0 0(&& ' #,ap(0#&a$a & 0(0',0 0 a% 9'0g( 9#0' &La '&/0% % (0,&'0& &' pa(,0a #0',(a%a; pap&%a '0(/ % & p, #a(0 # (0 p ' 0 % # % &a#0 , &a9% # % & 0 &',(a(0 & &0 &(0 a a(,0(0& & /0'0& #0',(a%0 a

    T( '#:& (&%0 /a # %a(0 #0',(a%0 %a 0 0(g0',a &' pap&%a 0 &/& &' (a (&temporale= p & &' > &na!ale = p & &' > p0',( a a &g (a /a # %a(&$a,&a (0,&'0& &' , ,a%& 0&.

    T0 p (a% 0 pap&%a 0 a %a a# %a % ,0a9 $ 'a 0 a# &,a,0 /&$ a%a a4& a

    NER,UL OP!ICD.p. ./. a% (ap (, (&% ( p0 #a(0 %0 a(0 ,(a&0#, % '. p, a , & pa(,&, &' 0

    1" Portiunea intra#ul#ara a #ap % '0(/ % & p, ,(a a,0 0 (a'0%0 # %a(0 &&'g ,0a$a % a' ( a ' & # ' # a$a %a &',(a(0 & /a( % &' pap&%a %a '&/0% % %aCap % '0(/ % p, 0 ,(a' pa(0', & a%#a, &0 ,0 %a ' % 0 #:& & # % p, a$ 'a #0',(a%a pap&%a p(0$&',a a(a 0p(0 & '0 0' &,a 04#a/a,&0 &$& % ga0 0(g0',a a /a 0% ( #0',(a%0 a%0 (0,&'0&.$"Portiunea intraor#itara

    - 0 &',&' 0 0 %a a(g&'0a ( &,a(a a #a'a% % & p, pa'a %a g% %%"Portiunea intracanaliculara -# (0 p ' 0 ,(a&0#, % & &',(a a% #a'a% % & p,. D0-a % 'g % a#0 , & #a'a% '

    0 p0(0,0%0 a#a' % # a( a(,0(0& ,a% #a(0 &% &' ,0 ,0. N. . a(0 &' a#0a(ap (, (& ,(a' 0 # #0% %0%0 0, & a%0 & &' % 0' & a%&"Portiunea intracraniana

    0 &',&' 0 0 %a (& & % #(a'&a' a% #a'a% % & p, pa'a %a 'g:& % a',0( -%a,0p,.

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    SEGMENTUL DE CONDUCERE S0g 0', % 0 # ' #0(0 a% #:& % & 0 ,0 (0p(0$0',a, p(&' #a%0a p,a. A#0a ,a &'#0

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    A#0 ,0a # ' ,&, &0 #a&%0 (0 %040% ( p, 0 (&0',a(09a ap,a(0 & a# a(0. S0g 0', % #0',(a%' 0 ,0 % #a%&$a, &' % && ##&p&,a%& a& 0 & 0(0% ( #0(0 (aa%,a a #&$ (&& #a%#a(&'09 ' 0 0 a %a a(&a p,a p(& a(a.I' < ( % a#0 ,0&a

    0a #&a,&a /&$ a%a #a(0 0,0( &'a (0a%&$a(0a ' ,& '&& 0 pa,& '0#0 a(a &' &(0# ' a ,0(0 & a &g (a 0 (&a /&$ a%a

    15

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    C PI!OLUL IICON-UNC!I,I!

    Definitie: # '< '#,&/&,a (0p(0$&',a a 0#,a(0a &' %a a, (&0 a 0 (a'0& # '< '#,&/0&9 #0 a# p0&',0('a a p%0 p0% ( & a,a a',0(& a(a a #:&% ( & 0 ,0 0#%a' a,a 0 (0a#,&0 a%0(g& A#0a ,a 0 &',a p%a a, '#& #a' #:& % /&'0 &' # ',a#, # ' a%0(g0' & (0a#,& '0a$a 0%& 0(a(0a 0 :& ,a &'a. & ,a &'a 0,0( &'a &%a,a(0a /a 0% ( a'g &'0 a%0 # ' ', (a p '$a, (&%,0(& a(a a ga$ 0& & p ,(&/a a#0% & a',&g0'H a#0a ,a 0 a(0#09 a', (p&& &',0,&p0#& &,a,0 p0',( p0#&a ( &a'a #a(0 a g0'0(a, &' 0#,&a.

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    ,& %0a$a p( #,&a &',0' a 0 &',0( 0( '. A%,& a#, (& #a(0 a#,& 'a$a &' 0' %&' 0#,&&% ( /&(a%0 0'$& 0%0 8 ' #%0a$a & :&a% ( '& a$aH a#0 ,0 0'$& 0 &':& a90'$& a #0 a< ,a %a &'/a$&a /&(a%a.

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    C '< '#,&/&,0%0 p( 0 0 ag0',& &(&,a',& E4& ,a %,&, &'0 0 ,a',0 #a(0 p ,&' %a a,&& a%0 0 (a'0& # '< '#,&/a%0 8 ,a',0 0 (&g&'0 /0g0(a%a9 ,a',0

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    p( #0 0#:0%0 # ('00'0.- I(&,a(0a p( a 0 a' &,0 ,a',0 #:& a &0#,0 ,(a&'0 p a,0 p(# '< '#,&/&,a. D0 &9 pa%a, % /&g ( & # (a,a(0a #:&% ( &'%a, (a a#, ( %# '< '#,&/&,a9 &a( ( 0a,a & &(&,a,&a / ( & pa(0a &' #a,0/a $&%0.

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    Pato'ene!a

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    21

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    S, &&%0 0 ( # p&0 0%0#,( 'a a (0%0/a, p(0$0',a a 0' /&( (&% ( 0 (a'0& # '< '#,&/a%09 %a pa#&0',&& #a(0 0(0a 0 0(a, # '< '#,&/&,a. D0 a 0

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    %,(a/& %0,09 a' &,& a#, (& : ( 'a%& a %&%0 &' ,&,0 0

    I' #00a #0 p(&/0 ,0 # '< '#,&/&,a p( a 0 :0(p0 /&( (&9 a#0a ,a 0 p a,0 a'& 0a ( 0 & ,&'#,0 8 # '< '#,&/&,a :0(p0,a 0 p(& &' 0#,&09 a

    # '< '#,&/&,a :0(p0,a (0# (0',a.

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    0,0( &'a 8 0 (a & a(&'g&,a = a(&'g -# '< '#,&/&,a> . I' 0#,a(0a ga$ 0& a'0 0 ,0 p#0% a& (0#/0', 0 0( ,&p (&%0 !9 3 a 7.

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    a%0 p%0 apa &' 0(& a(a> p a,0 & 0 0 a,&a,aH 0 (a'a # '< '#,&/a%a a(0 # % (a, '< '#,&/a ,a( a%a & #0a a ' (&% ( 0 a# p a,0 #apa,a # % (a,&0 a( '&09 p(0$

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    E,AMENE PARACLINICE

    -E4a 0' % # & ( # p %.- C %, (& &' p( % pa, % g- E-amenului micro#iolo'ic al secretiei oculare. poate identi(ica cau!a con/uncti+itei. ast(elincat in(ectiile oculare +irale sau #acteriene. inclusi+ #olile cu transmitere se-uala 01TS2. pot

    (i tratate corespun!ator

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    *IA3NOSTIC POZITIV: D&ag' , % 0 p '0 &' ( a 04a 0' % & #%&' a'a '0$0& & a ,0 ,0% ( 0 %a (a, - &ag' , % & p $&,&/ 0 # '< '#,&/&,a9 0 p( #0 0a$a %a (0a%&$a(0a 04a 0'0% ( % #a%/ ( a 0 p(0 04a 0' % # #:& % %& 0(9 04a 0' % # & ( # p %9 04a &'a(0a 0#(0,&&%#:&a( & p &a # a 0& # '< '#,&/a%0. E4a &'a(0a # '< '#,&/0% ( ,a( a%0 0 a#0 # a< , ( %(a (a'g0(0a p%0 ap0% ( # a< , ( % 0g0,0% (H , , # a< , ( % 0, 0& &g&,a%09 p a,0 &04 % a(a9 p(&' 0 #:& 0(0a a',0& pa%p0 (a%0.E4a &'a(0a a,0',a a 0g 0', % & a',0(& ( a% g% %&' ( a,&& 0 p(0 p & &%a p(0$0',a %a a#0 , '&/0% a # (p&% ( ,(a&'& a 0 p(0 p(0$0',a pa, % g. L &'a, % %a,0(a% 0 ,0 ,&% 0 a(0#0 p0( &,0 & 0(0',&0(0a &',(0 # '< '#,&/a pa, % gaH &a( 04a 0' % # & ( # p % a#&%&,0a$a 0/& 0',&0(0a & a(&% (# '< '#,&/0&9 p(0# & & 0(0',&0(0a &',(0 & a(&%0 pap&%a(0 a % %a(0.D0

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    # %a( &',0' H #a',&,a,0a 0 0#(0,&0 %a#(& a%a & # '< '#,&/a%a 0 ,0 (0 aH a 0' pa,&a 0 ,0 a0#(0,&&% ( # '< '#,&/a%0 0/& 0',&a$a ' ' a( #(0 # , 0 0 $&' &%0.

    - &ag' , % & p $&,&/ 0 # '< '#,&/&,a /&(a%a9 pa#&0', % ,(0 &0 p ' & (#%&' 8 #a(0 a # ' #a %a ap(0#&0(0a , , ( ( 0 '0% ( & & p, 0% ( g0 ,&

    ,a &%&(0a &ag' , % & 0 #0(,&, &'0 0 ,0 '0/ &0 0 (0a%&$a(0a 04a 0'0% ( /&, a,0 a#0a ,a9 p & &%0 (0$ %,a,0 '0ga,&/0 a%0 04a 0'0% ( /&( % g 0 %a (a, p(0$0',a '0& 0,& % g&& /&(a%0. A%0g0(0a 0, 0% ( 0 %a (a, ( p0',( & 0',& a

    /&(a%9 0 /a a#0 '#,&0 0 &' a,&&%0 0 % & #%&'&a' 8 #a(0 0 ,0 (&0 p & &%0 0,& % g&&.

    2!

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    E4& ,a a& %,0 0, 0 #a(0 p , & ,&%&$a,0 p0',( & 0',& a(0a ag0',&%- &' # %a(& a%0 p( 0% ( pa, % g %a a'& a%0%0 0 %a (a, (. - (0a%&$a(0a & 04a &'a(0a ( ,& (&% ( &' 0#(0,&a # '< '#,&/a%a- # %,&/a(0a /&( % & p0 #0% %0%0 0 (& ' % & 0 ga&'a & & 0',& a(0a 0 0#, - & 0',& a(0a pa(, %0% ( /&(a%0 # a< , ( % ( # p&0& 0%0#,( ' p(0# ( # pa a 0%0 0',0% ( /&(a%0 8 p0',( # ' &( a(0a /&' 0#a(&&. - p '0(0a &' 0/& 0',a a a', (p&% ( p0#& &9 &',0,&$a,& 0 #a,(0 (ga'& #a (a p &'/a$&a /&(a%a 8 0, 0 & ' % g & '0%0#,( (0$a9 & ' % (0 #0',a. I' #00a #0 p(&/0 ,0 & ' % (0 #0',a9 a#0a ,0 p0( &,0 0/& 0',&0(0a ag0',&% ( /&(a%&9a', (p& ' #% 'a%&. T0 ,0%0 0( % g 8 p0( &, 0/& 0',&0(0a a', (p&% ( p0#& &9 #a(0 apa( % #a%

    a'g &'a9 #a ( a(0 a &'/a$&0& /&(a%0. I' & ' &,9 #a',&,a,0a 0 a', (p& &' &',0(' #(0 ,0 0 #a,0/a (& &' p(& 0%0 21 0 $&%0 0 %a 0 , % &' 0#,&0& 8 0%0 p0',( ,a &%&(0a 0,& % g&0& /&(a%0 a # '< '#,&/&,0&. P(0%0/a(0a 0 a'g0 '0#0 aa', (p&% (9 ,(0 &0 a# ,a &'a&',0a &'&,&0(&& ' & ,(a,a 0', # a',&/&(a%0. A', (p'&/0% # %a(9 p , & 0/& 0',&a,& ,&%&$a' 0, 0%0 0 &4a(0 a # p%0 0', %'0 ,(a%&$a(0 a (0a#,&a 0 :0 ag% ,&'a(0. Da#a 0 ,0 / ( a 0 p(0 p(& a &' 0#,&0 = ' & ' p(& a( 8 p(& % # ',a'#, # ' a' &, ,&p 0 ag0', /&(a%>9 a', (p&& / ( apa(0

    #&(# %a,&0 pa #0% %, 21 0 $&%0 E4a 0'0%0 :0 a, % g 0 %a (a, ( p , p '0 &' 0/& 0',a p(0$0',a ' & a' &, g(a a'0 &0 = #a 0a(a ' a( % & 0 0(&,( #&,0 & #a 0(0a #a',&,a,&& 0 :0 g% &'a (0a#,&&%0 a'0 p , & a# pa'&a,0 0 #(0 ,0(0a a(#a',a a ' a( % & 0 %0 # #

    a'g0%0 p0(& 0(H '#,&0 0 0,& % g&a &' 0#,&0& /&(a%09 (0a#,&a 0(&,( #&,a(a /a(&a$a #a & g(a/&,a,0H &' '0%0 %& &' 0#, # ',ag& a 0 =( 0 %a9 (

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    TRATAMENT

    T(a,a 0', % # (0#, a% # '< '#,&/&,0& 0p&' 0 &' p(& % (a' 0 0,& % g&a a#0 ,0&a.U,&%&$a(0a pa, (&% ( # %a(0 0 ,0 ,(a,a 0', % #0% a& (0#/0', % &, '< '#,&/&,0% (9 0 a#00a 0 ,0 a(,0 & p (,a', #a ap%a(0a a#0 , &a a 0 a#a #

    %&ga, (&0 #&,&(0a # a,0',&0 a p( p0#, % & 0 a% &'a&',0a ap%a(&& ,(a,a0/&,a,a a,&'g0(0a &(0#,a a # '< '#,&/0& # p (a, ( % (0#&p&0', % & p0',( # ',a &'a(0a a#0 , &a # ag0', % &' 0#,& = a#,0(&0 a /&( >. D pa ap%a(0a

    'g:& % # %a( 0 &a' = 0a p(a a# % & %a#(& a%>9 0 &'#:& p%0 ap0%0 &&'#:& & p0',( 1-2 &' ,09 p0',( a a/ (&$a a ( ,&a % #a%a a 0 a 0', % &. D0 &' a,0 3- ap%a,&& % #a%0 &' &0#a(0 $& p0',( p0(& a a 0 5-7 $&%09 &' p( % & ,&%&$a,. T(0 &0 a 0 (0,&'a #a (0#&p&0', % # % ,&0 ,a% a 0 ,0 % &, 0 &' ,(0 &0 ,&%&$a, &' # '9 0 a 0 0'0a a#0 ,a ' a& p a,0 & (0 ,&%&$a, # a%=,0( 0' % 0 /a%a &%&,a,0 a% a#0 , &a 0 ,0 0 ap( 4& a,&/ 3) 0 $&%0 pa p(& a ,&- # %&(0 =pa, (&> # a',& 0p, a',&:& ,a &' a',& & , a a',&&' %a a,- &g&0'a # (0 p '$a, a(0 a #:&% ( 0 ,0 #0% a& ' % #( p0',( a 0/&,a # ',(a#,a(0a# '< '#,&/&,0.T(a,a 0', % % #a%

    A% # '< '#,&/&,0% ( # ' , Q' &' ,&%a(0a Q' #:& a & 0(&,0 0 a( 0 p , (& =p( ,a(g % 1F9 % a,&a$ % 5 1)F a a',& & , Q' '0%0

    # '< '#,&/&,0>. Ap%a(0a p , (&% ( Q' #:& 0 a#0 # p&p0, 0 ,% p0 #a&0( ' - Q' ap 3) 0 &' ,09 Q'/0%&, Q' ,& '. P0( a'a #a(0 ap% p , (&%0

    &'& # ap & p ' Q'a&',0 0 &0#a(0 0 &' . Este (oarte important ca pacientii dia'nosticati cu con/uncti+ita sa urme!e tratamentul

    complet recomandat de medicul o(talmolo' si sa nu l intrerupa c4iar daca simptomele s au

    ameliorat. pentru a e+ita ast(el aparitia recidi+elor La # p&%- p , (&%0 %0 /a ap%a a a9 # p&% % a##0p, ' a& ( a'0/(a &' pa(,0a

    a'0 Q' #a(0 a(0 Q'#(0 0(0. * %'a/ % /a a #ap % p0 pa,0 &a( #0% #0 ap% p , (&%0 /a Q' 0p (,a # 0g

    & a( , , ( % 0 %a &'a , 'g p%0 ap0%09 &a( # p&p0,a &' , /0(,a% Q' 'a (0ap, /a p (a 3 p , (& 0 0 a 0', p0 # '< '#,&/ 9 a/ ' g(

    ' %0 , a('0 p0 ,0 # ('00 =&' p0#&a% '0%0 0 a 0',0 # 0 ,0 '&,(a, % 0 a(g&',>.

    3)

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    C '< '#,&/&,a a#,0(&a'a9 &'#% &/ *TS9 0 ,(a,0a$a &' & ' &, # a',& & , 0 pa, (& # %a(0 =# %&(>9 'g 0',0 a pa ,&%0. Pa, (&%0 # %a(0 & 'g

    ap%a,0 %a '&/0% % # '< '#,&/0& 0 3- (& p0 $& p0',( p0(& a a 0 5-7 $&%0.a',& & , 0 a &'& ,(0a$a 0 a 0 0'0a p0',( a& %,0 $&%0 =5-7 $&%0>. S# '< '#,&/&,0& 0 a 0%& (0a$a a & pa( pa ap( 4& a,&/ apa, a'a 0 %a &,(a,a 0', % & # (0#,. E ,0 a(,0 & p (,a', #a pa#&0',&& &ag' ,a,& # # '< '#,&

    ( 0$0 ,(a,a 0', % # p%0, (0# a' a, 0 0 % ,a% % g & a ' -% &',(0( pa #:&& p, 0%0 -a a 0%& (a,9 p0',( a 0/&,a a , 0% apa(&,&a (0#& &/0% (.

    C '< '#,&/&,a /&(a%a 0 ,0 'a &',(0 #0%0 a& (0#/0',0 &' 0#,&& # %a(0 & 0 ,0 0,0( &'a,a 0 /&( (&%0 g(&pa%0 & pa(ag(&pa%0 = 0$ '&0(a>. C '< '#,&/&,a /&(

    &',(0 p(& 0%0 a'& 0 ,a(& a%0 (a#0%&% ( 0$ '&0(0 # '0 & %a 0% #a & a#0a ,a , %& &,a',a = & pa(0 a(a ap%a(0a ' & ,(a,a 0', 0,& % g>9 pa ' &',0(/a% 0%a 0 ,.

    C '< '#,&/&,a a%0(ga apa(0 #0% a& (0#/0', %a p0( a'0%0 # a, p&0 =,0(0' a%0(g,(a,0a$a 0 & # 0 a,&0 p0#& a a',&a%0(ga. E ,0 a(,0 & p (,a',a &a%0(g0' % & #a(0 p( #0 # '< '#,&/&,a p0',( a 0 p ,0a (0a%&$a a , 0% p( &%a4&a ' & 0 # '< '#,&/&,a a%0(ga.

    C '< '#,&/&,a 0,0( &'a,a 0 &(&,a',& = ,a',0 p( /0'&,0 &' 0 & % &'# '< (a, (9 ##a $a &(&,a,&a &$a a #:& a a # a 0& # '< '#,&/a%0>. I' #a$ % a#0# '< '#,&/&,a 0 ,0 a(,0 & p (,a',a &' 0pa(,a,(0a #a, a& (ap& a a &(&,a', % &9 p(&' % #a%a # apa. I' #a$ % # '< '#,&/&,0% ( 0,0( &'a,0 0 ,a',0 a#& 0 a a%#a%&'0 0 ,0 & p (,a', # ' %, % 0 a% 0 p0#&a%&,a,0.

    T(a,a 0', % %&% ( # '< '#,&/a%0 0 0,& % g&0 /&(a%a9 a(0 (0p, # p & p&0 a(& ( a(&& 0 ' & 0%0 0',0 /&(a%0 &' 0#,a',09 & &' a(0a (0a#,&&% ( & '0 =0%a(ga'& % ga$ 0&>9 pa ,(a(0a a (0 ,a &%&(0a a# &,a,&& /&$ a%09 p(0/0'&(0a (0#&& p(0/0'&(0a p(a&' 0#,&&% ( # a%,& ag0',& pa, g0'& ( &0'& 8 a#,0(&& a

    P0 %a'ga ,0(ap&a 0 a 0', a a #a(0 p a,0 & ,&%&$a,a p0',( ,(a,a(0a &' 0#,&&%# '< '#,&/a%09 a& 04& ,a & ( a, a(0%0 &

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    ( a(0 # 0%& &'a(0a #0% %0% ( %0$a,0 #a(0 a &'#a(#a, (a /&(a%a 0 '& a,&/a#0% %0% ( &' %a a, (&& a( & p(0 &a (0a#,&&% ( & ' % g % #a%0.

    T0(ap&a 0 a 0', a a p a,0 & ,&%&$a,a a,a, % #a%9 #a, & # a &'& ,(a(0

    C0a a& /0#:0 0, a = 0, a &$ -#:& a> 0 ,(a,a 0', a 0(a, # '< '#,&/&,0p0( &a%0 0 ,0 #a ,0(&$a(0a #:& a. P(a#, ,&%&$a' &

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    - 0$ 4& (& &'a =IDU>9 0 &0',a a p(a /&( % & :0(p0, 8 &':& a a#, (&& 0&',0(/&' &' (0p%a(0a a#0 , & /&( 8 &' '0 0(&(0 a#0 , #:& & ,0(ap ' 0 ,& p ,(&/a /&( (&% ( ARN9 #& a( & p ,(&/a /&( (&% ( AND =:0(p0, a&' ,&%a,&&%0 # # %&( #0 # ',&'0 a#0 , a',&/&(a% 0 (0# a' a a & ,&%&$a,0 a( &

    p0( &a%0H 0 (0# a' a p(0#a ,&0 &' ,&%&$a(0a a#0 , & 0 a 0',9 0 a(0#0 p%a apa(&,&a (0a#,&&% ( a /0( 0 8 (0a#,&& 0 :&p0( 0'$& &%&$a(0 a (0a#,&& , 4

    - 04 4& &'a =IDC> 8 0 a &'& ,(0a$a % #a%9 ( a 0 # %&(H 0 ,0 ,&%&$&' 0#,&&%0 /&(a%0 # %a(0 #a(0 0,0( &'a ( a 0 0(a,&,a p( ' a9 & a(0 0 0#,

    %a 0 a,a 0 0 a 0', % p(0$0',a, a& .

    - a 0' $&'-a(a &' $& a =ARA-A> 8 0 a &'& ,(a$a ( a 0 p a a =, p 04 p(0pa(a, 0 # ' & ,0',a 0 & %& a>9 ,&% a& a%0 &' ,0(ap&a 0(a, # '< '#,&/&,0%&' 0#,&a # /&( % :0(p0,.

    - ,(& % (,& & &'a =T+T> 8 0 p(0$&',a ( a 0 # %&(9 ,&%&$a,a &' ,0(ap# '< '#,&/a%0 :0(p0,H a(0 0 &0',a a(,0 #(0 # ,a9 /&' 0#a(0a ,&'a' - 0 &' a$&%0 0 ,(a,a 0',H 0 a 0 0'0a p0( &,0 ,&'0(0a 0 '0 (0$ %,a,0 ,0(ap0 , &' #a$&' ,&,0 0 %#0(a,&&.

    - a#% /&( % 8 a &'& ,(a, ( a 0 p a a9 0 ,0 a(,0 0 &0', & p ,(&/a:0(p0,.

    - &'a#(&'a 8 0 a &'& ,(0a$a ( a 0 % ,&0 ap a a9 0 &0',a &' #a$ (&%/&(a%a a 0(a, # '< '#,&/&,aH p0( &,0 'a 0p&,0%&$a(0 &' a4& 1 $&%0 0 ,(a,a

    - &',0( 0( ' % = ,a',a #a(0 0 ,0 &',0,&$a,a &' 'a, (a% 0 #a,(0 (ga'& 9 #a (0a#

    a,a '0& &'/a$&& /&(a%0 8 a(0 '#,&0 a',&/&(a%a a( & & ' %a, a(0> H &',0(,a',a p( ,0a #0 p a,0 , pa %,&p%a(0a pa(, %0% ( /&(a%0H #0a a& &',0

    0 &',0( 0( ' 0 0 a a(a %a '&/0% % %0 # #&,0% (9 &' a p(a#, , a,0 #0% %0 &',0,&$a a#0 , p0p,& H9 9 &' #, (&& 0 &',0( 0( ' (0p(0$&',a 0 a 0',0 #a(0 p

    p( #,&a &',0('a 0 &',0( 0( 'H &',0( 0( ' % p a,0 & a &'& ,(a, & &(0#,9 %a '&/0%

    M& (&a,%0 = 0 a 0',0 #a(0 p( / a#a &%a,a(0a p p&%0&>9 p , & ,&%&&' 0#,&&% ( /&(a%0 # '< '#,&/a%0 8 a,( p&'a9 :0 a,( p&'a9 # p %a &'a a a (0'a%&

    33

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    A#0 ,0 pa, (& p , a 0%& (a & p, 0%0 '0p%a# ,0 #a $a,0 0 # '< '#,&/&,0%0 0,0&(&,a',& = a'#a(& 09 , (& 09 0'$a,&0 0 # (p ,(a&' &',(a # %a(>. E ,0 a(,0 & p(0,&' , #a ' , a,0 pa, (&%0 # %a(0 ', &' a,0 &' # '< '#,&/&,09 '0%0 # %&(0 p ,a' #:&a( &'(a ,a,&& & p, a, % g&a & p , 0,0( &'a # p%a,&&. D0 a 0 0'0a & p (,a',a % &(0a # (0#,a a (0#&p&0',0% ( # # %&(0 #a(0 # ',&' a',& & , p0# ',a &'a(0a (0#&p&0', % & #a(0 p a,0 #a $a (0&' 0#,&a # %a(a

    P( &%a4&a # '< '#,&/&,0& %a # p&%

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    (& p0 $&- &g&0'a # (0 p '$a, a(0 a % #( (&% ( p0( 'a%09 p(0# %0'

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    ,0(g0 & 0#(0 &&%0 # %a(0 a' ( a%0 = # a 09 p ( %0',09 & (&' a 0> # ' ,a p ',0(&%

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    p%0 ap0> a a%,0 p( 0 0 Q'g(& 0' &'0 & &g&0' (&g ( a a %0',&%0% ( 0 # ',a#, p( ,0

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    C PI!OLUL III

    NO!IUNI $E NURSIN#

    NO IUNI PRI,IN$ "E$IC "EN!ELE /OLOSI!E NO/! L"OLO#IE I "O$UL LOR $E U!ILI4 RE

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    M0 a 0',0%0 #a(0 0 ap% % #a% p a(, 0' &(0a 0 # %&(0. E4& , # %

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    Q' #a(0 0 ,0 &'#% 0 a 0', % a#,&/. P 0$&%0 ,(0 &0 &0 p0( 0#, g0'09 p0',(

    # '< '#,&/a & # ('00a.C(lire seciS ', p(0pa(a,0 &' p (09 ,a' 0%0 a#,&/0 &&' &0 &'#% 0 Q',(- p ( &

    #:&a( 0%0 ,(a' ( a,0 Q' p ( .C(lire ga5(aseS ', #0%0 Q' #a(0 ,a' a a#,&/ 0 ,0 (0 %a pa(, %0 a(,0 &'09 #a(0 0 p %

    %a# a'0 p0#&a%0 0 ,&p p(a .C %&(0%0 0 a &'& ,(0a$ ( 0 &' ,&%a &&9 a,&'g0(0 & p %/0(&$ (&.

    Instila6iileCa Q' ( a%, a'0/( 0 -#:&( (ga% Q' #a(0 0 /&'0 Q' # ',a#, &(0

    pa#&0', %9 #0% #0 0 0#, 0a$ ,(0 &0 0 p0%0 Q'a&',0 a(,0 &'0 p0 &'&.O#:& %9 a& a%0 #0% %'a/9 0 ,0 a(,0 0' & &%9 a , 0% Q'# , a'0/(0%0 0 a

    0 0#, 0a$ a p(a % & Q' ,& p % &' ,&%a &0& / ( & # ,0 # 0 0 &, &'0 0. +Q'a&',0 0 Q',(0 &' a(0 %a ,0 p0(a, (a # (p % &. P0',( a#0a ,a9 0 /a &'0 Q' ' # ,0/a &'

    P ( , a(0%0 ,(0 &0 ,0(&%&$a,0 Q'a&',0 0 ,&%&$a(0. P ( , ( % 0 &'0 /%:& % ' /&' Q' # ',a#, # a p p 0 #a #& # a , % & 0 ,% &' #a(

    37

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    p ( , ( %9 a#0a ,a p0',( a ' 04p '0 #:& % %a &' 0#,a(0. P ( , ( % ' ,(0 &0 a,&a g% % # %a(.

    ' ,& p % &' ,&%a &0&9 % 'g #:& % %'a/ % & a 0$ # p(0 ,0(&% p0',( a ,0(g0 # 0%0 04#0 % 0 %:& #a(0 0 p(0%&'g0 p0 (a$.

    ' ,& p #0 a#0 &' ,&%a &a9 %'a/ % , 9 &0 p0 #a '9 # #ap % ( a, p0 pa pa,. S0 #0(0 %'a/ % & p(&/0a # p(0 ( ',0 ap &9 # 'a , 'ga9 & 0 Q' 0p (,0a$ = < > p%0 apa &' 0(& a( &9 # 'a (0ap, 9 0 p ( p(&' p(0 a(0a a( a p p& 0# ,0/a p , (& Q' ap( p&0(0a 'g:& % & 04,0(' a% p%0 ap0&9 p0 # '< '#,&/a a#0 ,0&a. *Q'#:& 0 ap & p%0 apa a(,0 % ' 9 p0',( a ' 0 0/a# a %:& % &',( . C ,& ' %9

    (a$ p% % 0 %:& . * %'a/ % /a a#0 ap &9 # p%0 ap0%0 Q'#:& 09 & # (& a% p0',( a a< ,a ( p ' &(0a # %&( % & ap%a,.

    tingerileC %&(0%0 & 0 ap% p(&' 0, a a,&'g0(&&. S0 % 0 ,0 pa, % 0 ,%

    p0 #a(0 0 &a p &' &' 'g 0', % (0 p0#,&/ & 0 ap% p0 # '< '#,&/a p%0 ap0& &' 0(&C %&(0%0 0#&9 #a(0 0 p(0$&', ( 0 p ( 9 0 ap% p(&' 0, a p ( (

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    Substan6e antiseptice N&,(a, % 0 a(g&',9 % &0 0 1F9 Q' # '< '#,&/0%0 a# ,0. N 0 ap%

    0a(a a 0 (& p0 $&. D p ap%a(09 0 a#0 p % , ( a #:& % &9 #0(# ( 1@5))) a # 0( &$& % g. S0 a& % 0 # & a%,0 ( (& 0 a(g

    #a , Ag(&( % 15F9 P( ,a(g % 1-2F9 p0',( ,(a,a 0', % # '< '#,&/0% ( #a,a(a%0. U,&a#0 , (a ' ,(0 &0 &0 %& &,a, 9 & p(0g'0a$ # '< '#,&/a & Q''0g(0 #.

    Substan6e astringente

    A%a ' % = % a, % 0 p ,a & & a% &'& > 0 % 0 ,0 Q' %S % a, % 0 $&'# % F.A#& % ,a' 0 p(0pa( Q' g%(&'a 3F.R0$ (#&'a 1F.Substan6e )as(c(nstricti)e 7i )as(dilatat(areA (0'a%&'a 1F9 & p% a a 0 ,0#a, # ' / #a&'a9 p(0% 'g0 ,0 a# & '0a a'0 ,0

    a a#0 , &a &' ( .

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    D& '&'a9 % &0 0 1-5F9 a Q' p a 2F9 a(0 'a a# & '0 a'a%g0$&,& %0a$ p( #0 0%0 0 #a,(&$a(0 a p% g&% ( # ('00'0. T(0 &0 ap%a, 0 a(0#0 p( #09 Q' a#0% 0',9 0'$a &0 0 a( ( 9 :&p ,0( &0 & 0 0 # '< '#,&

    C'imi(terapice 7i antibi(ticeS % a,&a$ % %9 Q' % &0 ap a 0 5F. S0 (0# a' ' a& Q' % && (0#P0'&%&'a9 &$ %/a, Q' 0( &$& % g 0 % 0 ,0 ' a& Q' % &0

    A#0 ,0 ,a' 0 ', a(,0 ,&%0 Q' ,(a,a(0a %0$& '&% ( # '< '# & /a%0 & a &'& ,( ' - 0 'a- p , (& &' ( Q' ( .

    Substan6ele care dilat8 7i mic7(rea58 pupila"idiaticele (0 # &a 0,( % p p&%a( p(&' # ',(a# &a #:& % & (a &a( a%

    S ', % &,0 p0',( a 0 040# ,a9 # a& %, (&' 9 04a 0' % ' % & 0a, '#& # ' p p&%a ,(0 &0 p ,(a, 0 #:& p0',( ,(a,a(0a %&% ( # ('00&9 (p&% ( #&%&a(&. S0 % 0 # a& a%0 p(0pa(a,0%0 0 ,&p +0'&%0 (&'a =N0 &'01)F.

    Da# 9 Q' a a(a &%a, (&& p p&%0&9 0 ( (0 ,0 0 &' & pa(a%&a# a &0&9 0 % 0 # pa(a%&$a',0 a%0 #:& % & #&%&a( - % a, 0# a,( p&' 2F.

    "i(ticele (0a$ &a 0,( % p p&%0&9 p(&' # ',(a# &a #:& % & #&&(& % &. D0 &9 0 ap% P&' #a(p&'a 1F9 a%&%a, % 0 0$0(&' )925

    &$& ,&g'&' .neste5icele

    P0',( p0(a &&%0 0 # (, (a, ', ,&%&$a,0 a'0 ,0$%0 ,&p 0 ,&p %a a% T0,(a#%&'0&. Pa', #a&'0& )95-1F. P0',( a 0 &'0 a'0 ,0$&& 0 (a, 0 % 0 # &'

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    E$UC !I PEN!RU S N ! !E 9PEN!RU PRE,ENIRE :OLILOR OCUL RE

    1." SURI $E PRE,ENIRE PRI" Ra.Educatia populatiei pentu ingrijirea ochiului

    - pa%a(0a # apa # (a,a $&%'- ' 0 #0 a'a ( a(a %a #:&- ' 0 &' 0pa(,0a$a # (p&& ,(a&'& # %a(& 0 #a,(0 p0( a'0 '0#a%& a,0- a#a # (p&& ,(a&'& ', & 0 / ( &' 0pa(,a p(&' pa%a(0a # apa &' a ' 0',a a( '#

    a'a p(0 #:&- % &(0a &0#,0% ( &' &/& a%0 p0',( &g&0'a 0,0&- ' 0 / ( (0#a #:&& 0 a(0#0 0 p( # & ,(a a,& 0 a%0 # '< '#,&/0& & # ('0- # ',( % % p(0'a,a% a% g(a/& 0& p0',( p(0/0'&(0a # '< '#,&/&,0& g ' # # a # p&%

    b.Igiena vederii:

    - ( a 0 % &'a ,(0 &0 a /&'a &' pa(,0a ,a'ga &' ,& p % #(& % & 9 #&,&, % &- & ,a',a &',(0 #(& -#&,&, ,(0 &0 a &0 0 25-3) #- #a' 0 ,0 a(0 p ,0(' a $apa a ,(a% #&, a(0 0 / ( p (,a #:0%a(& (&&- % &'a a(,& &a%a /a & #a%&$a,a p0 :a(,&a 0 #(& -#&,&,

    - p0( a'0%0 #a(0 040# ,a a#,&/&,a,& &ga% a 09 0 &'&,09 #0 '0#0 &,a # '#0',(a(0a /0a#0 pa $09 &' ,& p &' ,& p9 p(&/&' %a & ,a',a

    - p0( a'0%0 #a(0 % #(0a$a %a (a / ( p (,a #:0%a(& 0 p( ,0#,&0- /&$& 'a(0a p0#,a# %0% ( 0 ,0%0/&$& '0 ' 0 /a a#0 &' #a 0(a &', '0# a 0 &a( p0',( p(&/&, /a & 0 2-5 9 0#(a' % ,0%0/&$ ( % & &&' a 0$a, %a &'a%,& 0a #:&- 0 (0# a' a a%& 0',a,&0 # p%0,a # (0 p0#,a(0a '0#0 a( % & $&%' 0 p( ,0&'09C9A9*

    - 04a 0' % p0(& a% /0 0(&& p0',( pa#&0',&& # %& g0'0(a%0- &' ( a(0a #a,(0 ,a% % g a p0( a'0% ( # #0 a%00 (0p0,a,a

    2." SURI $E PRE,ENIRE SECUN$ Ra.In cazul in infectiilor ochiului

    - &' ( a(0a pa#&0', % & #a,(0 0 % ,a% % g p0',( a ,(a,a # (0#, a#0 ,0 &' 0#,&- 0 #a(0a pa#&0', % & a 0/&,0 ,(a' &,0(0a &' 0#,&&% ( & %a #:& % a'a, a %

    b.In cazul deficientelor de vedere

    - 0 #a(0a pa#&0',&% ( #a(0 '0#0 &,a # (0#,a(0a /a 0(&& # #:0%a(& a-& p a(,0 p(0 #(&p,&&% ( 0 a%0

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    - p0',( # p&&9 #:0%a(&& 9/ ( a/0a (a 0 # % (a,0 & 0 /a a/0a g(&

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    - pa#&0', % a- & pa ,(0$0 a# &,a,0a /&$ a%a &',a#,a - a 0 p(0/&'a apa(&,&a # p%a,&&% ( - pa#&0', % a- & (0#ap0,0 /0 0(0a - pa#&0', % a &0 0(&, 0 (& # % a##& 0',0% ( & # p%a,&&% ( - a a& a a# &,a,0a /&$ a%a &' %& &,0%0 /a( ,0& - a 0 p(0/&'a # p%a,&&%0 &'/a%& &,a',0 - %0$& '&%0 a 0 /&' 0#0 a(a # p%a,&&

    U'0 (& &0#,&/ % ' p a,0 & ( %a, (0 p0#,a' a#0 ,0 (0g %& . I' a#0 , #a$ /a & ( %a, &' ,0( &'& 0 &',0(/0',&& 040# ,a,0 0 a & ,0',a.E4. - A &g (a(0a # ' (, % & &$

    - P(0/0'&(0a # p%a,&&% ( &' 0#,& a 0

    O &0#,&/0%0 p , & - p0 ,0( 0' # (, =OTS > (0 9 $&%0- p0 ,0( 0' 0 & = OTS > ap,a a'a- p0 ,0( 0' % 'g = OTL > ap,a a'& 9 % '&

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    - ,a% # pH - , ' 0,( H - & ( # pH - ,a 0%0 p0',( & , #( a,H - % pa ( ',a%a. - 0(&'g&9 ,a/&,a (0'a%a9

    - ,( a #:&( (ga%a 0 pa' a,O+TALMOSCOP

    Ma,0(&a%0 - # p(0 0 ,0(&%09 ,a p a'09 0 0

    - % ,&& a',& 0p,

    - % ,&& ,a%

    - ,( a p0( $&&

    - % ,&& p0( $a &%0

    - 0 a 0',0

    - #a 0(a # (a

    - % ,&& a'0 ,0$

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    - 04p%a,&0

    - a &g (a(0a # ' (, % & p &:

    - ,&'0(0a # ' & ,a a', % &

    P(0ga,&(0a &$a - p $&,&0 a 0#/a,a

    - a &g (a(0a &g&0'0& % #a%0 - #(0a(0a #a p % & p0(a, ( - & ,a(0a a%& 0',a,&0& - a &'& ,(a(0a ' & (0g& p0#&a%

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    IN#RI-IRE P CIEN!ULUI CU CON-UNC!I,I!CULE#ERE $ !ELOR%CIRC"#S$%&$E DE %P%RI$IE ' cauze H-apa &' 0#,a,a =p,. apa(. C '< '#,&/&,0% (>H-,(a a,& 0 # %a(0.

    (#%&I)ES$%RI DE DEPE&DE&$% ' se!ene si si!pto!e :

    (In *+E)%RI$E ( # 'g0 ,&a a(g&'&& #&%&a(0 a p%0 ap0% (9 a( (a9 p( (&, a% p%0 ap- I& IRIDOCIC+I$ - (0(0 # %a(a & p0(& # %a(a 0 &',0' &,a,0 /a(&a &%a = ( a /& %0',a >H

    - #a 0(0a a# &,a,&& /&$ a%0H - , &0.

    (I& D%CRIOCIS$I$E ( %a#(& a(0 a##0', a,a9 , 0 &0(0a &' %a a, (&0 a a# % & %a#

    # (g0(0 0 p ( & %a p(0 & '0a 'g:& % & &',0(' a% #:& % & & (0(0.(I& OR,E+E$ 8 p( (&, pa%p0 (a%9 (0(0 %a #%&p&(09 0#(0,&0 p ( %0',a #a' &a #0 0a$a.(I& CO&-"&C$I I$E 8 &'( &(0a # '< '#,&/0& 9 0'$a,&0 0 a( (a9 0#(0,&0 # '< '#,&/

    0( a a 9 # a a a p ( %0',a.

    PRO:LE"ELE P CIEN!ULUI

    - (0(0 0 &',0' &,a,0 & 0(&,aH- # (g0(0 0 0#(0,&0 # %a(aH-a'4&0,a,0H-(& # 0 # p%a,&& 8 #a,(& a%0 p%0 ap0& =&' *LE+ARITA>

    - %#0(a,&& =&' CONJUNCTIVITA>-p&0( 0(0a /0 0(&& =&' IRIDOCICLITA>

    - & # (,.

    $I #NOS!IC $E NURSIN#

    5

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    S# (g0(0 0 0#(0,&0 # %a(a &' #a $a ' & p( #0 &' %a a, ( &' 0#,& 9 a p(&' ,0g 0',0 0 0 & ( &.

    D& # (, &' #a $a ' & ,(a a,& # %a(9 a'& 0 ,a, p(&' %a#(& a(0 9 (0(090,#. .

    O:IEC!I,E-pa#&0', % a p(0$&',0 ,a(0 0 &'0 &$H- a 0 p(0/&'a apa(&,&a # p%a,&&% (H-a# &,a,0a /&$ a%a a 0 pa ,(0$0 &',a#,a.

    IN!ER,EN!IIE #a,&a p p %a,&0& p,. p(0/0'&(0a &' 0#,&&% ( %a ( '&/0% a% #:& % &.

    %sistenta 8 ap%a ,(a,a 0', % % #a% (0# a' a,-&' ,&%a,&& # % ,&& & (&a,-ap%a(0 0 # p(0 0 & & a,0 &' % ,&& a',& 0p, #a% ,0 = &' %0 a(&,09 (g- pa%a, (& a%0 a# % & # '< '#,&/a% # % ,&& a',& 0p, = &' # '< '#,&/&,0 >.-p(0ga,0 ,0 &' ,( 0',a( % & a,0(&a%0%0 p,. &'#&$&0 8 (0'a< %a (0# a' a(0a 0 &

    (g0%0, #a' ' a #0 0a$a & &' a#(& #& ,&,a >H

    -ap%a pa' a 0', # %a( 8 0 p(0ga,0 # # p(0 0 ( a 0 p0('&,0 = /a,a a# p0(&,,& ' > # &a 0,( % a& 9 a(0 0#a, ( &,a9 #a(0 0 ap%a p0 g% % # %a( & 0'$& 0 ( p%a ,H-a &'& ,(0a$a ,(a,a 0', % g0'0(a% # a',& & , & a',&&' %a a, a(0H-a &g (a (0pa %a pa,9 (0pa /&$ a% I' #a 0(a # 0 & # (&,a,0H-a &g (a a%& 0',a,&a pa#&0', % & # p%0,a # 04#0p,&a pa#&0', % & # &(& #%a%& 0',a,&0 0 a,a p,. a (0 #0 04 a,&a.

    6

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    P,. 04a &'a(0a ' % & 0 #:& = . .> 0 ,0 '0#0 a( #a p p&%a a &0 &%a,a# p 0 /a & ,&%a 'a9 a pa, (& 0 OMATROPINA 1F a MIDRIUM &'

    # '< '#,&/a% # 3) &'. &'a&',0 0 04a &'a(0.

    >." SUR RE !ENSIUNII IN!R OCUL RES0 0,0( &'a # a< , ( % O+TALMODIAMETRULUI & 0 &a, pa 04a 0' %

    ' % & 0 #:&. Va%. N ( .;1 -2) g.E ,0 &' a, &' G%a # 9 %& #a( & /a # %a(09 D&a 0,9 %& p % 'a(0.

    E; "IN RE CRIS! LINULUI

    S0 p a,0 a#0 a , 0%- % &' &% &'a(0a 'a, (a% a a(,& &a% a &0',a% & 0(/ ' #

    p(&' ,( - % p H- % &' &% &'a(0a # a # % &(&

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    C PI!OLUL I,PRE4EN! RE C 4URI CLINICE

    CAZ NR.1CULEGEREA DE DATEDa,0 0 & 0',&,a,0 N 0 & p(0' 0 N. L.S04 % 0 &'&'Da,a 'a ,0(&& 2". )5. 1"3S,a(0a #&/&%a #a a, (&,aO# pa,&0 p0' & 'a(aR0%&g&0 (, 4aS ( 0 0 ,&'0(0 , % & #0%0 a 0,0 N&/0% 0 &' ,( &(0 , && 0 &&C0,a,0'&0 ( a'aD &%& M .D(-T(-S0/0(&'P0(& a a &',0('a(&& 15.1).2)13 8 23.1).2)13D&ag' , C '< '#,&/&,a p & &% a%0(ga

    A'a '0$aa> A',0#0 0',0 :0(0 -# %a,0(a%0- %'a/a '0aga %& # ',ag& a 0 &' a &%&0 > A',0#0 0',0 p0( 'a%0- 0'a(:a %a 15 a'&- a 'a ,0(&- (0 a,& a(, %a( #( '

    #> C ' &,&& 0 /&a,a & 0 '#a-a(0 # ' &,&& 0 /&a,a 'a-'0 a, a(0-# ' a #a 0a p0 $&-' # ' a a%# %.

    > C p (,a(0a a,a 0 0 &-# p (,a 0', ' ( a%

    -0 ,0 #&a &%a a,a, # p0( 'a% % 0 a% #a, & # #0&%a%,& pa#&0',& &' a%M ,&/0%0 &',0('a(&&

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    * %'a/a 0 p(0$&',a &' a,a 0 15.1).2)13 %a Sp&,a% % J 0,0a'9 a# $a' #a 0(0a /0 0(&a && #:&9 a& a##0', a,a %a #:& % ,a'g9 , &09 (0(0 /& %0',a # :0 (a'&* a%a a#, a%a a 0 ,a, &' ( a # 6 $&%0 #a' %'a/a a 0(/a, #a 0(0 a /0 0(&& %

    ,a'g #a(0 0 a##0', 0a$a ,(0p,a,9( 0a,0 0'$a,&0 0 p( (&,.D&' a#0 ,0 ,&/0 0 ,0 &',0('a,a %a 0#,&a 0 ,a % g&0 a Sp&,a% % & J 0,0a'9 '

    &ag' , % 0 # '< '#,&/&,a. I' %,& % ,& p 0(/a #a 0(0 a /0 0(&& & %a # p(0$&',a %a P %%&'a Sp&,a% % & J 0,0a'9 0 ' 0 0 ,0 ,(& & a p0',( &',0('aO ,a% % g&0.D&ag' ,I' ( a 04a 0' % & &0#,&/ & &0#,&/ ,a% % g %a #a(0 0 # ' ,a,a %

    , &0 9 %a#(& a(09 # 'g0 ,&a g% &% ( 9 :0 (a'&09 # ('00 ,(a' pa(0',a9 #a 0(a a9#(& ,a%& # ,( #, (a & a,a.

    E4a 0' #%&' g0'0(a%- ,0g 0',0 & # a 0 ' ( a% # % (a,0 # 04#0p,&a # a 0& # '< #,&/a%0 #a(0# 'g0 ,& 'a,a & ( &0H- ,0 , # % -a &p %a (0p(0$0',a,H- & ,0 ,0 -a(, %a( &',0g( H- apa(a, (0 p&(a, (9 , (a#0 ' ( a% # ' ( a,9 ' (&,a,0 p % 'a(a ' ( a%a9 ( ( /0$

    p(0$0',H- apa(a, #a( & /a # %a(9 # ap04&a' &' pa,& % V &',0(# ,a% ,a'g 9 $g ,0 #a( &a# &'0 a, ,09 a,&,a,0 #a( &a#a ' ( a%a TA;115@6) g9 AV; 7) @ &'.- apa(a, &g0 ,&/9 a 0' p% & a%09 '0 (0( %a pa%pa(09 a, & p%' ( a%09 ,(a'$&, &',0 ,&'a% p(0$0',H- apa(a, ( -g0'&,a%9 %

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    - TC ;! &'- 04a 0' (&'a D ; 1)1"9 p ;595 a#& 9A.P.G. a 0',9 0p&,0%& p%a,0 (a(0.A'a '0$a a & ,0',0&* %'a/a p(0$&',a ,a(0 g0'0(a%a a%,0(a,a9 (0(& &',0' 09 #a 0(0a /0 0(&& %a a && a##0', a,a %a #:& % ,a'g9 , &09I' p(& 0%0 $&%0 0 %a &',0('a(0 %'a/a 0 ,0 '0%&'& ,&,a9 a/a' PIO #(0 # ,a.* %'a/a /a ,a &',(- ' a% ' # p ,&'a % &'a & /a ,a &' (0pa , ,a% %a pa,9 & 0 /a ap,(a,a 0', 0 (g0',a #a(0 /&$0a$a #a 0(0a TO & &' a#0%a & ,& p p(0ga,&(0a p0',( ,(a,a 0'# (0 p '$a, (.

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    CAZ NR.2CULEGEREA DE DATEDa,0 0 & 0',&,a,0 N 0 & p(0' 0 M.ES04 % 0 &'&'Da,a 'a ,0(&& 2". )7. 1" )S,a(0a #&/&%a #a a, (&,aO# pa,&0 p0' & 'a(aR0%&g&0 (, 4a N&/0% 0 &' ,( &(0 , && 0 &&C0,a,0'&0 ( a'aD &%& M .D(-T(-S0/0(&'P0(& a a &',0('a(&& )5.11.2)13 8 13.11.2)12A'a '0$aa> A',0#0 0',0 :0(0 -# %a,0(a%0- %'a/a '0aga > A',0#0 0',0 p0( 'a%0- 0'a(:a %a 15 a'&

    - a 'a ,0(&- (0 a,& a(, %a( #( '#> C ' &,&& 0 /&a,a & 0 '#a-a(0 # ' &,&& 0 /&a,a 'a-'0 a, a(0-# ' a #a 0a p0 $&-' # ' a a%# %.

    > C p (,a(0a a,a 0 0 &-# p (,a 0', ' ( a%-0 ,0 #&a &%a a,a, # p0( 'a% % 0 a% #a, & # #0&%a%,& pa#&0',& &' a%M ,&/0%0 &',0('a(&&* %'a/a 0 p(0$&',a &' a,a 0 )5.11.2)13 %a Sp&,a% % J 0,0a'9 a# $a' #a 0(0a /0 0(&a && #:&9 0'$a,&0 0 p( (&,9%a#(& a(09p(0$0',a '0& 0#(0,&& a& a##0', a,a %a

    , &09 (0(0 /& %0',a # :0 (a'&0. Pa#&0',a &&' &ag' ,a,a &' ( a #

    G%a #

    52

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    * a%a a#, a%a a 0 ,a, &' ( a # % '& #a' %'a/a a 0(/a, #a 0(0 a /0 0(&& %(.#a(0 0 a##0', 0a$a ,(0p,a,.

    D&' a#0 ,0 ,&/0 0 ,0 &',0('a,a %a 0#,&a 0 ,a % g&0 a Sp&,a% % & J 0,0a'9 '&ag' , % 0 #a,a(a#,aOD. I' %,& % ,& p 0(/a #a 0(0 a /0 0(&& & %a #:&

    p(0$&',a %a P %%&'a Sp&,a% % & J 0,0a'9 0 ' 0 0 ,0 ,(& & a p0',( &',0('aO ,a% % g&0.D&ag' ,I' ( a 04a 0' % & &0#,&/ & &0#,&/ ,a% % g %a #a(0 0 # ' ,a,a %

    , &0 9 %a#(& a(09 # 'g0 ,&a g% &% ( 9 :0 (a'&09 # ('00 ,(a' pa(0',a9 #a 0(a a9#(& ,a%& # ,( #, (a & a,a.

    E4a 0' #%&' g0'0(a%- ,0g 0',0 & # a 0 ' ( a% # % (a,0 # 04#0p,&a # a 0& # '< #,&/a%0 #a(0# 'g0 ,& 'a,a & ( &0H- ,0 , # % -a &p %a (0p(0$0',a,H- & ,0 ,0 -a(, %a( &',0g( H- apa(a, (0 p&(a, (9 , (a#0 ' ( a% # ' ( a,9 ' (&,a,0 p % 'a(a ' ( a%a9 ( ( /0$ p(0$0',H- apa(a, #a( & /a # %a(9 # ap04&a' &' pa,& % V &',0(# ,a% ,a'g 9 $g ,0 #a( &a#

    &'0 a, ,09 a,&,a,0 #a( &a#a ' ( a%a TA;115@6) g9 AV; 7) @ &'.- apa(a, &g0 ,&/9 a 0' p% & a%09 '0 (0( %a pa%pa(09 a, & p%' ( a%09 ,(a'$&, &',0 ,&'a% p(0$0',H- apa(a, ( -g0'&,a%9 %

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    CONCLU4II% # '< '#,&/&,a (0p(0$&',a a 0#,a(0a &' %a a, (&0 a 0 (a'0& # '< '#,&/0&9 #0 a# p0(a a,a & p%0 p0% ( & a,a a',0(& a(a a #:&% ( & 0 ,0 0#%a' a,a 0 (0a#,&0 a%0(ga.% (0p(0$&',a #0a a& (0#/a0',a #a $a 0 # ' %, ,a% % g- p0( a'a # # '< '#,&/&,a p a,0 & # ',ag& a a ,& p 0 7 pa'a %a 1 $&%0 pa # p(& 0%0 0 '0 & & p, 0-a,a, # '< '#,&/&,a /&(a%a #a, & #0a a#,0(&a%a ', (0#/0',0 %a # p&& & ', a(,0 #-&' a(,0 %,0 &, a,&& # '< '#,&/&,0%0 /&(a%0 0 a, (0a$a &' 0#,&0& # a 0' /&( -a 0' /&( (&%0 p , pa,( ' 0 &' (ga'& p(&' &',0( 0 & % a&'&% ( ( a(0&',0( 0 & % pa, (&% ( 0 a%&/a a0( %&$a,09 p(&' &',0( 0 & % pa, (&% (

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    6)

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    *IL*LIOGRA+IE

    ANATOMIA SI +IZIOLOGIA OMULUI I.C VOICULESCU

    O+TALMOLOGIE PRACTICA S.*UIUCL.JOLO*CACEASTAI

    O+TAMOLOGIE +ODOR POP. D. POPA

    C IRURGIE PENTRU CADRE MEDII M.MI AILESCU

    TE NICA INGRIJIRII *OLNAVULUI MOZES


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