两种白内障手术切口对术后泪膜和眼表影响的对比研究.DOC

两种白内障手术切口对术后泪膜和眼表影响的对比研究 李敏，陈轶卉，盛敏杰 通讯作者：盛敏杰 电话 :021Email：drsmjyx@163.com SPSS14.0软件分析处理，对比评估两组泪膜稳定性和眼表情况的改变情况。结果 两组患者在术前、术后1周和1月的视力、泪膜破裂时间、泪液分泌实验、角膜荧光染色和角膜内皮细胞计数的检测结果均无统计学差异。结论 白内障超声乳化手术中，角膜颞侧切口和角膜上方切口对患者泪膜稳定性和眼表的影响未见明显差异。 【关键词】白内障手术；角膜切口；泪膜；眼表 Comparative study on effect of two kinds of corneal incision on tear film and ocular surface after cataract surgery Min LI, Yi Hui Chen, Min Jie Sheng. Department of Ophthalmology，Tenth eople’s Hospital of Tongji University, Shanghai,China Corresponding author：Min Jie Sheng Tel :021 Email：drsmjyx@163.com Abstract】Purpose To compare the impact on the tear film and ocular surface with corneal temporal incision or superior incision in cataract surgery. Methods 55 patients (66 eyes) underwent phacoemulsification were randomly assigned to two groups: Group A, the clear temporal corneal incision, and Group B，the superior corneal incision. Vision，intraocular pressure，tear film break-up time (TFBUT), Schirmer I test (SIT), tear meniscus height (TMH), corneal fluorescein staining and corneal endothelium cell number count were recorded before surgery, 1 week and 1month after surgery of the two groups. The data was inputted into SPSS 14.0 for statistic analysis to investigate the comparison of tear film stability between the two groups. Results There were no statistic differences in the vision, TFBUT, SIT, TMH, corneal fluorescein staining and corneal endothelium cell number count before surgery, 1 week and 1month after surgery of the two groups. Conclusions The incision through either temporal cornea or superior cornea in phacoemulsification shows no statistic difference in change of tear film and ocular surface before surgery, 1-week, 1-month after surgery. 【Key Words】Cataract surgery；Corneal Incision；Tear film；Ocular surface 白内障是临床上常见的眼科疾病之一。随着折叠型人工晶体的广泛应用，超声乳化手术因其屈光稳定性、术后散光发生率较低及较少的术后炎症反应在临床上得到广泛应用。随着学者对眼表的深入研究，人们越来越关注术后泪膜不稳定性和增加的干眼发病率。一些研究表明白内障手术可能会加剧干眼的症状和体征的发生[1]。无论是小切口的白内障手术或者超声乳化手术，都会对泪膜质量产生某些影响[2]。目前，单