CAJ | 학술논문

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。方法：选择单纯老年性白内障患者60例60眼，行白内障超声乳化联合人工晶状体植入术。观察分析术前、术后1天，7天，30天，90天的所有患者的基础泪液分泌试验（ SⅠt）、泪膜破裂时间（BUT）及角膜荧光素染色评分情况。结果：Schirmer I试验结果表明术后1d泪液分泌量增多，与术前比较差异有显著意义（ P ＜0．05）；术后7天、30天、90天恢复至术前水平，差异均无显著意义（ P ＞0．05）。 BUT结果表明术后1天，7天BUT均较术前明显缩短，差异均有显著意义（ P ＜0．05）。30天、90天与术前比较，差异均无显著意义（ P ＞0．05）。角膜荧光素染色结果表明术后1天和7天术眼角膜荧光素着色点较术前明显增多，差异有显著意义（ P ＜0．05），术后30天、90天与术前比较，差异均无显著意义（ P ＞0．05）。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泪膜功能。
목적：탐토백내장초성유화연합인공정체식입술후루막적변화。방법：선택단순노년성백내장환자60례60안，행백내장초성유화연합인공정상체식입술。관찰분석술전、술후1천，7천，30천，90천적소유환자적기출루액분비시험（ SⅠt）、루막파렬시간（BUT）급각막형광소염색평분정황。결과：Schirmer I시험결과표명술후1d루액분비량증다，여술전비교차이유현저의의（ P ＜0．05）；술후7천、30천、90천회복지술전수평，차이균무현저의의（ P ＞0．05）。 BUT결과표명술후1천，7천BUT균교술전명현축단，차이균유현저의의（ P ＜0．05）。30천、90천여술전비교，차이균무현저의의（ P ＞0．05）。각막형광소염색결과표명술후1천화7천술안각막형광소착색점교술전명현증다，차이유현저의의（ P ＜0．05），술후30천、90천여술전비교，차이균무현저의의（ P ＞0．05）。결론：백내장초성유화연합인공정체식입술가재단기내영향루막공능。
Objective:To discuss the changes of the lacrimal film after phacoemusification combined with intraocular lens implantation. Me thods:60 paitents (60 eyes) of simple age -related cataract were enrolled in this study .The patients accepted phacoemusification combined with intraocular lens implantation .We observed and analyzed the Schirmer I test , breaking-up time ( BUT) and fluorescent (fl) before operation and 1 day, 7 days, 30 days and 90 days after operation.Results:Schirmer I test showed the amount of lacrimal se-cretion increased the first day after operation and had significant difference comparing with that before operation (P<0.05).The amount of lacrimal secretion of 7 days, 30 days, 90 days post-operated recovered to the level of that pre -operated and the difference was not significant (P>0.05)..But showed the breaking -up time of lacrimal film of 1 day, 7 days post-operated was obviously shortened than that of pre-operation and the difference was significant (P<0.05).The difference of BUT between 30 days,90 days post-operated and that of pre-operation was not significant (P>0.05).The fluorescent showed the fl of 1day,7 days post-operated was increased sharply comparing with that of pre -operation and the difference was significant (P<0.05).The difference of fl between 30 days, 90 days post-operated and that of pre -operation was not significant (P>0.05).Conclusion:Phacoemusification combined with intraocular lens im-plantation significantly may affect the lacrimal film function in the short term .