Keratograph眼表分析仪在白内障手术前后眼表对比分析.docVIP

Keratograph眼表分析仪在白内障手术前后眼表对比分析 　　【摘要】 目的：研究白?日鲜质跚昂?Keratograph眼表分析仪的应用。方法：选取本院2015年 　　12月-2016年5月于本科手术治疗的白内障患者95例（95眼）临床资料，均予PHCAO+IOL植入术（超声乳化联合人工晶体植入）治疗。采用Keratograph 5M眼表分析仪观察术前、术后10、30、90 d各时点患者泪膜的非侵袭式破裂时间、下睑中央的泪河高度、结膜的充血评分、角膜荧光素的染色评分、角膜缘的充血评分。结果：术后各时点下睑中央泪河高度与术前对比，差异均无统计学意义（P0.05），术后10 d时泪河高度略低于术前，于术后30 d时恢复至术前水平。术后各时点First-NIBUT、Average-BUT与术前对比，差异均无统计学意义（P0.05）。术后10、30 d时鼻颞侧球结膜及角膜缘充血均高于术前（P0.05），在术后90 d时恢复至术前水平。术后10、30 d时角膜荧光素染色评分与术前对比，差异均有统计学意义（P0.05），多集中在上方透明角膜切口位置，术后90 d时恢复至术前水平。结论：白内障PHCAO+IOL植入术术后可出现轻微的眼表局部炎症，对泪膜无不可逆性影响。采用Keratograph 5M可以准确、快速、简便的评价眼表、泪膜变化，便于及时给予处理及相应补充治疗措施。 　　【关键词】 眼表分析仪； Keratograph； 超声乳化； 人工晶体； 泪膜 　　【Abstract】 Objective：To study the application of Keratograph ocular surface analyzer before and after cataract surgery.Method：95 cases （95 eyes）with surgical treatment of cataract in our hospital were selected from December 2015 to May 2016，they were given PHCAO+IOL implantation treatment（phacoemulsification combined with intraocular lens implantation）.The lower eyelid central tears river height， non invasive tear film rupture time， conjunctival hyperemia scores， limbal hyperemia scores and corneal fluorescein staining scores on preoperative，postoperative 10，30 and 90 days at each time point were observed by Keratograph ocular surface analyzer.Result：There was no statistical significance difference at each time point in lower eyelid central tears river height（P0.05）.The height of the lacrimal river after 10 d was slightly lower than that before operation， and the level after 30 d recovered to the preoperative level.There was no significant difference in First-NIBUT and Average-BUT between preoperative and postoperative points（P0.05）.At 10 and 30 d after operation，the hyperemia of nasal temporal bulbar conjunctiva and corneal hyperemia nasal were higher than that of preoperative （P0.05），and recovered to preoperative level at 90 d after operation.After surgery 10 and 30 d the corneal fluorescein staining score compared with preoperative，