国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
5期
843-845
,共3页
白内障%羟糖苷%超声乳化%干眼%糖尿病%泪膜
白內障%羥糖苷%超聲乳化%榦眼%糖尿病%淚膜
백내장%간당감%초성유화%간안%당뇨병%루막
cataract%hydroxyl indican%phacoemulsification%dye eye%diabete%tear film
目的：探讨白内障超声乳化联合人工晶状体植入术前,应用人工泪液对合并干眼的糖尿病患者术后泪膜功能恢复的影响。<br> 方法：选择行白内障超声乳化联合人工晶状体植入前有干眼症的糖尿病患者54例60眼,随机分成A组、B组,A组28例30眼于术前使用羟糖苷滴眼液,B组26例30眼术前未使用羟糖苷滴眼液,两组术后均使用妥布霉素地塞米松、普拉洛芬及羟糖苷滴眼液,分别于术前3d,术后1,7,30,90 d 行干眼症状评分、泪膜破裂时间( break up time,BUT)、泪液分泌试验(Schirmer I test,SIt)、角膜荧光素染色( fluorescein stain test,FL)评分。<br> 结果：手术前3d两组干眼症状评分、BUT,SIt,FI评分检查结果相比,无显著性差异(P>0.05),术后1,7d,A组干眼症状评分均小于B组,有显著性差异(P<0.05)。术后1,7,30d,A组与B组相比,BUT明显延长(P<0.05), FL着色密集度明显减少(P<0.05),SIt浸湿滤纸长度明显增加,差异均有统计学意义(P<0.05)。术后90d,两组干眼症状评分、BUT,SIt,FL评分值相比,差异均无统计学意义(P>0.05)。<br> 结论：超声乳化联合人工晶状体植入术前应用人工泪液,对合并干眼的糖尿病患者术后的早期干眼症状能得到有效改善,并且泪膜功能得到有效恢复。
目的：探討白內障超聲乳化聯閤人工晶狀體植入術前,應用人工淚液對閤併榦眼的糖尿病患者術後淚膜功能恢複的影響。<br> 方法：選擇行白內障超聲乳化聯閤人工晶狀體植入前有榦眼癥的糖尿病患者54例60眼,隨機分成A組、B組,A組28例30眼于術前使用羥糖苷滴眼液,B組26例30眼術前未使用羥糖苷滴眼液,兩組術後均使用妥佈黴素地塞米鬆、普拉洛芬及羥糖苷滴眼液,分彆于術前3d,術後1,7,30,90 d 行榦眼癥狀評分、淚膜破裂時間( break up time,BUT)、淚液分泌試驗(Schirmer I test,SIt)、角膜熒光素染色( fluorescein stain test,FL)評分。<br> 結果：手術前3d兩組榦眼癥狀評分、BUT,SIt,FI評分檢查結果相比,無顯著性差異(P>0.05),術後1,7d,A組榦眼癥狀評分均小于B組,有顯著性差異(P<0.05)。術後1,7,30d,A組與B組相比,BUT明顯延長(P<0.05), FL著色密集度明顯減少(P<0.05),SIt浸濕濾紙長度明顯增加,差異均有統計學意義(P<0.05)。術後90d,兩組榦眼癥狀評分、BUT,SIt,FL評分值相比,差異均無統計學意義(P>0.05)。<br> 結論：超聲乳化聯閤人工晶狀體植入術前應用人工淚液,對閤併榦眼的糖尿病患者術後的早期榦眼癥狀能得到有效改善,併且淚膜功能得到有效恢複。
목적：탐토백내장초성유화연합인공정상체식입술전,응용인공루액대합병간안적당뇨병환자술후루막공능회복적영향。<br> 방법：선택행백내장초성유화연합인공정상체식입전유간안증적당뇨병환자54례60안,수궤분성A조、B조,A조28례30안우술전사용간당감적안액,B조26례30안술전미사용간당감적안액,량조술후균사용타포매소지새미송、보랍락분급간당감적안액,분별우술전3d,술후1,7,30,90 d 행간안증상평분、루막파렬시간( break up time,BUT)、루액분비시험(Schirmer I test,SIt)、각막형광소염색( fluorescein stain test,FL)평분。<br> 결과：수술전3d량조간안증상평분、BUT,SIt,FI평분검사결과상비,무현저성차이(P>0.05),술후1,7d,A조간안증상평분균소우B조,유현저성차이(P<0.05)。술후1,7,30d,A조여B조상비,BUT명현연장(P<0.05), FL착색밀집도명현감소(P<0.05),SIt침습려지장도명현증가,차이균유통계학의의(P<0.05)。술후90d,량조간안증상평분、BUT,SIt,FL평분치상비,차이균무통계학의의(P>0.05)。<br> 결론：초성유화연합인공정상체식입술전응용인공루액,대합병간안적당뇨병환자술후적조기간안증상능득도유효개선,병차루막공능득도유효회복。
?AlM: To discuss the artificial tears on the tear film of diabetic patients with dry eye preoperatively, and the influence on the tear film’s fuctional after phacoemulsification. <br> ?METHODS: Fifty-four diabetic patients with dry eye (60 eyes) were followed up before phacoemulsification. Preoperatively, group A ( 30 eyes in 28 cases ) was treated with Hydroxyl lndican eye drops and group B (30 eyes in 26 cases) was not treated. Postoperatively, both group A and B were treated with Tobramycin Dexamethasone eye drops, Oprah Winfrey lbuprofen eye drops and Hydroxyl lndican eye drops. Dry eye symptoms, break up time (BUT), SchirmerItest (SIt), fluorescein stain test ( Fl ) were measured at 3d preoperatively, and 1, 7, 30, 90d postoperatively. <br> ? RESULTS: At 3d preoperatively, there was no statistical differences between the two groups for dry eye symptoms, BUT, S I t, Fl ( P>0. 05 ). At 1 and 7d postoperatively, there were significant statistical differents between the two groups for dry eye symptoms (P<0. 05). And dry eye symptoms scores of group A were less than that of group B. At 1, 7, 30d postoperatively, BUT was longer, FL was less, Slt was increased in group A, with significant statistical differences (all P<0. 05). At 90d postoperatively, two groups of dry eye symptoms, BUT, S I t, Fl had no statistical significance (P>0. 05). <br> ? CONCLUSlON: Using artificial tears before phacoemulsification can improve symptoms of the diabetic patients with dry eye and accelerate the recovery of the tear film.
