中国眼耳鼻喉科杂志
中國眼耳鼻喉科雜誌
중국안이비후과잡지
CHINESE JOURNAL OF OPHTHALMOLOGY AND OTOLARYNGOLOGY
2009年
4期
225-227
,共3页
白内障超声乳化术%泪膜%干眼病
白內障超聲乳化術%淚膜%榦眼病
백내장초성유화술%루막%간안병
Phacoemulsification%Tear film%Dry eye
目的 探讨白内障超声乳化联合人工晶状体植入术对泪膜功能的影响.方法 随机抽取2007年1月至2008年1月行白内障超声乳化联合人工晶状体植入术的患者75例(75眼),术前、术后1 d、1周、2周及1个月行干眼症状评分、角膜荧光素染色、泪膜破裂时间(breaking-up time,BUT)和基础泪液分泌实验(Schier-met test,STT)检查.利用统计学软件SPSS 16.0进行数据分析.结果 与术前相比,术后1 d、1周及2周的BUT明显缩短,干眼症状评分及角膜荧光素染色等级明显增高,差异有统计学意义(P<0.05),而SIT仅在术后1 d差异有统计学意义.术后1个月上述指标恢复至术前水平,与术前比较差异无统计学意义(P>0.05).结论 白内障超声乳化联合人工晶状体植入术后短期内影响患者的泪膜功能,1个月后基本恢复正常.
目的 探討白內障超聲乳化聯閤人工晶狀體植入術對淚膜功能的影響.方法 隨機抽取2007年1月至2008年1月行白內障超聲乳化聯閤人工晶狀體植入術的患者75例(75眼),術前、術後1 d、1週、2週及1箇月行榦眼癥狀評分、角膜熒光素染色、淚膜破裂時間(breaking-up time,BUT)和基礎淚液分泌實驗(Schier-met test,STT)檢查.利用統計學軟件SPSS 16.0進行數據分析.結果 與術前相比,術後1 d、1週及2週的BUT明顯縮短,榦眼癥狀評分及角膜熒光素染色等級明顯增高,差異有統計學意義(P<0.05),而SIT僅在術後1 d差異有統計學意義.術後1箇月上述指標恢複至術前水平,與術前比較差異無統計學意義(P>0.05).結論 白內障超聲乳化聯閤人工晶狀體植入術後短期內影響患者的淚膜功能,1箇月後基本恢複正常.
목적 탐토백내장초성유화연합인공정상체식입술대루막공능적영향.방법 수궤추취2007년1월지2008년1월행백내장초성유화연합인공정상체식입술적환자75례(75안),술전、술후1 d、1주、2주급1개월행간안증상평분、각막형광소염색、루막파렬시간(breaking-up time,BUT)화기출루액분비실험(Schier-met test,STT)검사.이용통계학연건SPSS 16.0진행수거분석.결과 여술전상비,술후1 d、1주급2주적BUT명현축단,간안증상평분급각막형광소염색등급명현증고,차이유통계학의의(P<0.05),이SIT부재술후1 d차이유통계학의의.술후1개월상술지표회복지술전수평,여술전비교차이무통계학의의(P>0.05).결론 백내장초성유화연합인공정상체식입술후단기내영향환자적루막공능,1개월후기본회복정상.
Objective To investigate the tear film changes after phacoemulsification combined with intraocular lens implantation. Methods Seventy-five patients (75 eyes) with cataract who had undergone phacoemulsification com-bined with intraocular lens implantation from Jan 2007 to Jan 2008 were concluded in the study. Subjective scores for dry-hesS,COrneal fluorescein staining,tear break-up time and Schiermer test values were measured preoperatively and 1 day and 7,14,30 days postoperatively. Data were analyzed by SPSS 16.0. Results At 1 day and 7,14 days postoperatively, the mean tear break-up time all reduced greatly, but the grades of subjective score for dryness and corneal fluorescein stai-ning increased significantly (P < 0. 05). From the 7th day, there was no significant difference in the SIT value. At 30 days postoperatively, all indexes recovered to the preoperative levels (P > 0. 05). Conclusions Phacoemulsification combined with intraecular lens implantation might relate to the changes of postoperative tear film stability in a short term, which would recover 1 month later. (Chin J Ophthalmol and Otorhinolaryngol,2009 ,9 :225-227)
