白内障超声乳化吸除术后泪膜的变化及影响因素

山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (4): 133-.

白内障超声乳化吸除术后泪膜的变化及影响因素

陈红梅1，卓建2

1.山东大学齐鲁医院眼科, 济南 250012； 2.济南市第二人民医院眼科，济南 250001

收稿日期:2010-10-15 出版日期:2011-04-10 发布日期:2011-04-10
通讯作者: 卓建（1979- ），男，医师，硕士，主要从事白内障的基础与临床研究。
作者简介:陈红梅（1970- ），女，硕士研究生，主要从事眼科疾病的防治与护理研究。

Changes and influencing factors of the tear film after phacoemulsification

CHEN Hong-mei1， ZHUO Jian2

1. Department of Ophthalmology, Qilu Hospital of Shandong University, Jinan 250012, China；
2. Department of Ophthalmology, The Second People′s Hospital of Jinan, Jinan 250001, China

Received:2010-10-15 Online:2011-04-10 Published:2011-04-10

摘要/Abstract

摘要：

目的探讨白内障超声乳化联合人工晶体植入术后泪膜的变化及影响因素。方法选择老年性白内障患者60例(70只眼)，均行白内障超声乳化吸除联合人工晶体植入,观察分析术前，术后1d、1周、2周、1个月的主观干燥异物感,通过角膜荧光素试验(FSC)、基础泪液分泌试验(SIT) 、泪膜破裂时间(BUT)测定泪膜功能，检测角膜知觉情况。结果与术前相比,术后1d、1周、2周术眼干燥异物感、角膜荧光素染色、SIT 程度明显增加，BUT变短,比较差异均有统计学意义(P<0.05) ；术后1个月时干燥异物感、角膜荧光素染色、SIT及BUT程度恢复至术前水平,与术前比较差异无统计学意义(P>0.05)；术后1个月角膜知觉恢复至术前水平。结论白内障超声乳化联合人工晶体植入术可在短期内影响患者泪膜功能,导致部分患者发生干眼症；泪膜稳定性与角膜知觉呈正相关性。

关键词: 白内障超声乳化术；泪膜；角膜知觉

Abstract:

Objective To study changes and influencing factors of the tear film after phacoemulsification combined with intraocular lens implantation. Methods Sixty patients (70 eyes) with age-related cataract who underwent phacoemulsification combined with intraocular lens implantation were selected, and the chief complaint of dry eye syndrome, Schirmer I test (SIT), tear breakup time(BUT)， corneal fluorescein staining（FSC）and corneal sensitivity values were analyzed before and 1 day,1 week,2 weeks and 1 month after operation. Results Compared with the data before operation, the complaint, SIT, BUT and FSC scores had statistically significant differences 1 day,1 week and 2 weeks after operation(P<0.05), while there was no statistically significant difference 1 month after operation(P>0.05) . Corneal sensitivity returned to the preoperative level at 1 month postoperatively. Conclusion Phacoemulsification combined with intraocular lens implantation significantly affects the tear film function in the short term, and some patients may have dry-eye syndrome after surgery. Tear film stability has a significantly positive relationship with corneal sensitivity.

Key words: Phacoemulsification； Tear film； Corneal sensitivity

中图分类号:

R772.2

陈红梅1，卓建2. 白内障超声乳化吸除术后泪膜的变化及影响因素[J]. 山东大学学报(医学版), 2011, 49(4): 133-.

CHEN Hong-mei1， ZHUO Jian2. Changes and influencing factors of the tear film after phacoemulsification[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(4): 133-.

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