不同厚度透明角膜切口白内障超声乳化手术后眼表和泪膜变化的对照研究.docVIP

不同厚度透明角膜切口白内障超声乳化手术后眼表和泪膜变化的对照研究 　　【摘要】 目的：研究不同厚度即1.8 mm与3.0 mm透明角膜切口白内障超声乳化手术对眼表和泪膜变化的影响。方法：选取本院2014年3月-2015年3月共108例（108眼）白内障患者，所有患者均满足并实施白内障超声乳化手术与人工晶状体植入手术。按照入院时间顺序随机分为观察组与对照组，每组54例（54眼）。观察组白内障超声乳化手术选择1.8 mm透明角膜切口，对照组白内障超声乳化手术选择3.0 mm透明角膜切口。两组患者于术前1 d，术后2、5、10 d比较Schirmer试验、主观干燥异物感（DES）、泪膜破裂时间及角膜荧光染色检查得分的不同。结果：两组患者白内障超声乳化手术与人工晶状体植入术后2 d、5 d、10 d的Schirmers试验长度数值、DES积分及角膜荧光染色得分均明显高于术前1 d，但泪膜破裂时间明显短于术前1 d，差异均有统计学意义（P0.05）。结论：1.8 mm厚度切口透明角膜切口白内障超声乳化手术联合人工晶状体置入术对患者术后泪膜与眼表稳定性影响较小，且较少引起干眼症表现，有助于术后视力尽早恢复，安全有效，值得临床推广使用。 中国论文网 /6/view-7251483.htm 　　【关键词】 不同厚度； 角膜切口； 白内障超声乳化手术； 泪膜； 眼表； 对比研究 　　Comparative Study on the Changes of Ocular Surface and Tear Film with Different Thickness of Transparent Corneal Incision Phacoemulsification after Operation/FANG Ting-bing，YAN Hao.//Medical Innovation of China，2016，13（09）：054-057 　　【Abstract】 Objective：To research the different thickness such as 1.8 mm and 3.0 mm clear corneal incision cataract ultrasonic emulsification operation on the influence of ocular surface and tear film changes.Method：From March 2014 to March 2015，108 cataract patients（108 eyes） in our hospital were selected.All patients were satisfied with the operation of phacoemulsification and intraocular lens implantation.All patients were randomly divided into the control group and the observation group according to the order of admission time.The corneal incision was 1.8 mm in the observation group，and the corneal incision was 3.0 mm in the control group.The different of Schirmer test，subjective dryness，foreign body feeling（DES），tear film break-up time and corneal fluorescein staining examination score between the two groups at preoperative 1 day and postoperative 2，5，10 days.Result：The length of Schirmer test，DES score and corneal fluorescence staining score in the two groups at postoperative 2，5，10 days were significantly higher than those at preoperative 1 day，and the tear film break-up time of the two groups were signficantly shorter than those at preoperative 1