CAJ | 학술논문

目的：观察白内障超声乳化手术对年龄相关性白内障患者泪膜的影响。方法选择行白内障超声乳化术的年龄相关性白内障患者75例（80只眼）。分别于术前2 d和术后1、7 d、1、3个月观察患者主观干眼症状、泪膜破裂时间（BU T ）、角膜荧光素染色及下睑中央泪河高度的变化情况。结果与术前相比，干眼症状在术后1、7 d增加，BU T在术后1、7 d、1个月明显缩短，角膜荧光素染色在术后1、7 d明显增高，差异均有统计学意义；术后3个月时主观干眼症状、BU T、角膜荧光素染色及下睑中央泪河高度恢复至术前水平，与术前比较差异无显著性。结论白内障超声乳化手术可在短期内影响泪膜的稳定性，应该进行积极地预防及治疗。
목적：관찰백내장초성유화수술대년령상관성백내장환자루막적영향。방법선택행백내장초성유화술적년령상관성백내장환자75례（80지안）。분별우술전2 d화술후1、7 d、1、3개월관찰환자주관간안증상、루막파렬시간（BU T ）、각막형광소염색급하검중앙루하고도적변화정황。결과여술전상비，간안증상재술후1、7 d증가，BU T재술후1、7 d、1개월명현축단，각막형광소염색재술후1、7 d명현증고，차이균유통계학의의；술후3개월시주관간안증상、BU T、각막형광소염색급하검중앙루하고도회복지술전수평，여술전비교차이무현저성。결론백내장초성유화수술가재단기내영향루막적은정성，응해진행적겁지예방급치료。
Objective To observe the effect of phacoemulsification on tear film of patients with age-related cataract .Method 75casesofpatientswithage-relatedcataractgivenphacoemulsification(80eyes)wereselected.Inthepreoperative2dand postoperative 1 ,7 d ,1 months ,3 months ,subjective symptoms of dry eye ,tear break-up time (BUT) ,corneal fluoresceinstaining and lower eyelid central tears river height changes were observed .Results compared with the preoperative ,postoperative dry eye symptoms in 1d ,7d increased ,breakup time of tear film after 1 d ,7 d ,1months shortened obviously ,corneal fluorescein stai- ning in the postoperative 1d ,7d significantly increased ,differences were significant ;3 months after operation the subjective xe- rophthalmia like ,tear break-up time (BUT) ,corneal fluorescein staining and lower eyelid central tears river height recovered to the preoperative level ,compared with those before operation had no significant difference .Conclusion phacoemulsification can influence the stability of tear film in the short time ,which should been actively prevented and treated .