CAJ | 학술논문

目的：观察糖尿病对合并干眼症的白内障患者行超声乳化术后泪膜及眼表的影响。方法选取欲行白内障超声乳化手术的干眼症患者，分为糖尿病组和对照组。比较两组患者术后泪膜破裂时间（ break-up time， BUT）、泪液分泌实验（Shirmer Ⅰ）、症状评分和染色评分。结果两组患者术前年龄、性别、手术中累计发散能量和灌注时间无显著性差异（P ﹥0.05），术前 BUT、Shirmer Ⅰ、症状评分和染色评分无显著性差异（P ﹥0.05）。术后1周、1月两组间 BUT 无显著性差异（P ﹥0.05），术后3月糖尿病组 BUT 较对照组显著性减小（P ﹤0.05）。术后各时间点两组患者的 ShirmerⅠ均无显著性差异（P ﹥0.05）。两组术后1周症状评分无显著性差异（P ﹥0.05），而糖尿病组术后1月和3月症状评分均较对照组差（P ﹤0.05）。两组术后1周及1月时染色评分无显著性差异（P ﹥0.05），而术后3月时糖尿病组较对照组阳性率显著性增加（P ﹤0.05）。结论糖尿病可延缓干眼患者白内障超声乳化术后泪膜及眼表情况的恢复，对于糖尿病患者行白内障术后需更早的关注眼表情况。
목적：관찰당뇨병대합병간안증적백내장환자행초성유화술후루막급안표적영향。방법선취욕행백내장초성유화수술적간안증환자，분위당뇨병조화대조조。비교량조환자술후루막파렬시간（ break-up time， BUT）、루액분비실험（Shirmer Ⅰ）、증상평분화염색평분。결과량조환자술전년령、성별、수술중루계발산능량화관주시간무현저성차이（P ﹥0.05），술전 BUT、Shirmer Ⅰ、증상평분화염색평분무현저성차이（P ﹥0.05）。술후1주、1월량조간 BUT 무현저성차이（P ﹥0.05），술후3월당뇨병조 BUT 교대조조현저성감소（P ﹤0.05）。술후각시간점량조환자적 ShirmerⅠ균무현저성차이（P ﹥0.05）。량조술후1주증상평분무현저성차이（P ﹥0.05），이당뇨병조술후1월화3월증상평분균교대조조차（P ﹤0.05）。량조술후1주급1월시염색평분무현저성차이（P ﹥0.05），이술후3월시당뇨병조교대조조양성솔현저성증가（P ﹤0.05）。결론당뇨병가연완간안환자백내장초성유화술후루막급안표정황적회복，대우당뇨병환자행백내장술후수경조적관주안표정황。
Objective:To explore the effect of diabetes on ocular surface and tear film of dry-eye patients treated with phacoemulsification for cataract. Methods:All dry-eye patients with cataract were divided into the diabetes group and the control group. The differences of break-up time(BUT),Shirmer Ι test,the scores of symptom and dyeing were compared between the two groups. Results:No significant difference was found between two groups in age,sex,cumulative energy divergence and priming time in operation,as well as BUT,ShirmerⅠtest,the scores of symptom and dyeing(P ﹥ 0. 05). The difference of BUT in the diabetes group is shorter than that in the control group after three-month surgery(P ﹤ 0. 05), while it was not significant after one - week and one-month surgery(P ﹥ 0. 05). No significant difference of Shirmer Ι test was found between the two groups in any monitoring point(P ﹥ 0. 05). The significant difference of the scores of symptom between two groups was found both after one-month surgery and three-month surgery(P ﹤ 0. 05),while not after one-week surgery(P ﹥ 0. 05). The significant difference of the scores of dyeing between the two groups was found after three-month surgery(P ﹤ 0. 05),while not after one-week surgery and one-month surgery(P ﹥ 0. 05). Conclusion:Diabetes may delay the rehabilitation of ocular surface and tear film in dry-eye patients treated with phacoemulsification for cataract.