CAJ | 학술논문

目的: 探讨大切口无缝线白内障囊外摘除术(SLIMCE)后泪膜情况.方法:行SLIMCE术眼68例,分别于术前及术后7,14,30,60,90d行症状、泪膜破裂时间(BUT)、基础泪液分泌试验(SⅠt)、角膜荧光素染色(FL)检测.运用结膜印迹细胞学及显微图象分析系统对SLIMCE术区结膜杯状细胞进行记数分析.结果: 90d内术眼不适患者较术前增加(5 - 27,23,19,16,13; 2-16,14,8,6,3),术后14d内SⅠt增加(10.1±4.5;15.0±4.7, 13.8±5.7),30d内BUT缩短(10.3±2.2; 5.5±2.3, 7.0±2.4, 7.9±2.2),FL增高(0-17,9,5; 0-8, 3,1),与术前相比有统计学差异(P<0.05).结论: SLIMCE术后会影响泪膜稳定性.
목적: 탐토대절구무봉선백내장낭외적제술(SLIMCE)후루막정황.방법:행SLIMCE술안68례,분별우술전급술후7,14,30,60,90d행증상、루막파렬시간(BUT)、기출루액분비시험(SⅠt)、각막형광소염색(FL)검측.운용결막인적세포학급현미도상분석계통대SLIMCE술구결막배상세포진행기수분석.결과: 90d내술안불괄환자교술전증가(5 - 27,23,19,16,13; 2-16,14,8,6,3),술후14d내SⅠt증가(10.1±4.5;15.0±4.7, 13.8±5.7),30d내BUT축단(10.3±2.2; 5.5±2.3, 7.0±2.4, 7.9±2.2),FL증고(0-17,9,5; 0-8, 3,1),여술전상비유통계학차이(P<0.05).결론: SLIMCE술후회영향루막은정성.
AIM: To investigate the alterations of tear film after sutureless large incision manual cataract extraction (SLIMCE). METHODS: Sixty-eight SLIMCE operation eyes were studied with slit-limp microscope, break- up time (BUT), SchirmmerⅠtest (SⅠt),and fluorescence(FL) to observe the alterations of tear film at different time points in postoperation. Impression cytology and microphoto-analyses technique were also applied to observe the goblet cells at different time points postoperation(7,14,30,60,90 days). RESULTS: Subjective complaint of dry eye within 90 days after the operations were significantly increased compare with preoperations(5-27,23,19,16,13; 2-16,14,8,6,3). The schirmmer Ⅰ test were greatly increased in 14 days postoperation(10.1±4.5;15.0±4.7,13.8±5.7),the mean scores of fluorescence increased (0-17,9,5;0-8,3,1) and the mean break-up time decreased in 30 days post-operation(10.3±2.2;5.5±2.3,7.0±2.4,7.9±2.2) (P<0.05). CONCLUSION: SLIMCE operation have effect on the stability of tear film.