中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
4期
278-281
,共4页
武劲圆%孙丰源%唐东润%张蕊
武勁圓%孫豐源%唐東潤%張蕊
무경원%손봉원%당동윤%장예
肾移植%白内障%超声乳化%干眼
腎移植%白內障%超聲乳化%榦眼
신이식%백내장%초성유화%간안
Renal transplantation%Cataract%Phacoemulsification%Dry eye
目的 分析肾移植术后患者行超声乳化白内障吸出术后泪液及泪膜的变化,探讨其干眼问题.方法 采用非随机病例对照研究设计.肾移植组白内障患者26例(34眼)及单纯年龄相关性白内障患者(对照组)33例(40眼),分别于超声乳化联合人工晶状体(IOL)植入术前术后不同时间,以干眼调查问卷的方式获得患者的主觉症状并进行评分,同时行泪膜破裂时间(BUT)、基础泪液分泌试验(SIt)、角膜荧光素染色检查,对两组患者的上述检测指标进行比较.结果 肾移植组术后干眼症状的评分及角膜荧光素染色(FL),泪膜破裂时间(BUT)明显重于对照组,总体差异均有统计学意义(P<0.05).但术后3个月FL与术前比较差异无统计学意义(P>0.05).结论 肾移植患者术后泪膜功能较差,是干眼症的易患人群,行超声乳化术后干眼症状较单纯年龄相关性白内障患者更明显.
目的 分析腎移植術後患者行超聲乳化白內障吸齣術後淚液及淚膜的變化,探討其榦眼問題.方法 採用非隨機病例對照研究設計.腎移植組白內障患者26例(34眼)及單純年齡相關性白內障患者(對照組)33例(40眼),分彆于超聲乳化聯閤人工晶狀體(IOL)植入術前術後不同時間,以榦眼調查問捲的方式穫得患者的主覺癥狀併進行評分,同時行淚膜破裂時間(BUT)、基礎淚液分泌試驗(SIt)、角膜熒光素染色檢查,對兩組患者的上述檢測指標進行比較.結果 腎移植組術後榦眼癥狀的評分及角膜熒光素染色(FL),淚膜破裂時間(BUT)明顯重于對照組,總體差異均有統計學意義(P<0.05).但術後3箇月FL與術前比較差異無統計學意義(P>0.05).結論 腎移植患者術後淚膜功能較差,是榦眼癥的易患人群,行超聲乳化術後榦眼癥狀較單純年齡相關性白內障患者更明顯.
목적 분석신이식술후환자행초성유화백내장흡출술후루액급루막적변화,탐토기간안문제.방법 채용비수궤병례대조연구설계.신이식조백내장환자26례(34안)급단순년령상관성백내장환자(대조조)33례(40안),분별우초성유화연합인공정상체(IOL)식입술전술후불동시간,이간안조사문권적방식획득환자적주각증상병진행평분,동시행루막파렬시간(BUT)、기출루액분비시험(SIt)、각막형광소염색검사,대량조환자적상술검측지표진행비교.결과 신이식조술후간안증상적평분급각막형광소염색(FL),루막파렬시간(BUT)명현중우대조조,총체차이균유통계학의의(P<0.05).단술후3개월FL여술전비교차이무통계학의의(P>0.05).결론 신이식환자술후루막공능교차,시간안증적역환인군,행초성유화술후간안증상교단순년령상관성백내장환자경명현.
Objective To analyze the change of tear film after phacoemulsification in patient with renal transplantation and discuss the problem of dry eye.Methods A non-randomized cases-controlled study was designed.26 cataract patients with renal transplantation (the experimental group) (34 eyes) and matched 33 patients (40 eyes) with age-related cataract(control group) were included in this study.Before and after different time phacoemulsification and IOL implantation respectively was performed on the all patients,dry eye-related symptom was surveyed and scored by questionnaire,and tear film break-up time (BUT),Schirmer I test (SIt) and corneal fluorescein (FL) were examined.Results The experimental group is significantly heavier than control group obviously postoperatively in patients with dry eye symptom score,FL,BUT,the overall differences were statistically significant(P < 0.05),but after 3 months FL preoperatively with no significant difference (P > 0.05).Conclusion Tear film function of renal transplantation patients is poor after cataract phacoemulsification.And are susceptible population for dry eye.Dry eye appears more early and severer in renal transplantation patients after phacoemulsification combined with IOL implantation.