干眼症患者临床特征分析119例

Analysis of clinical features of dry eye in 119 cases

目的分析干眼症患者的主要临床症状和体征,探讨传统的检查方法对干眼症的诊断价值。方法对有眼干等眼部不适症状为主诉的119例干眼症患者进行问卷式调查(包括8种症状:视疲劳、异物感、干涩、烧灼感、眼胀、眼痛、畏光、眼红),并进行Schirmer试验、泪膜破裂时间(break-up time,BUT)试验、角膜荧光染色和睑板腺检查4项检查。结果在问卷的8种症状中,占前3位的是:眼干涩(70.1%)、视疲劳(67.0%)、异物感(55.6%)。在临床检查中BUT试验的阳性率最高,为81.5%,其余3项检查的阳性率明显低于BUT。结论干眼症的临床症状中以干涩、视疲劳、异物感为主,临床检查中BUT的阳性率最高,可作为干眼症的主要检查方法。

Objective To explore the diagnostic value of traditional examination for dry eye through analyzing the main clinical signs and symptoms of cases with dry eye. Methods A total of 119 outpatients, which mainly had uncomfortable optical symptoms such as dryness of eye, were taken questionnaire including eight symptoms： asthenopia, foreign body sensation, dryness of eye, burning sensation, expansion of eye, ophthalmalgia, photophobia and lacrimation, and four examinations such as slit lamp examination, examination of break-up time of tear film （BUT）, lacrimal secretion test and retinal fluorescence staining. Results Dryness of eye （ 70. 1% ）, asthenopia （ 57.096 ） and foreign body sensation（55.5% ） were the most common symptoms of dry eye in the eight symptoms. The positive rates in Schirmer I test, retinal fluorescence staining and slit lamp examination were lower than that in examination of BUT, which was the highest about 81.5%. Condus｜ons Dryness, asthenopia and foreign body sensation are the main clinical symptoms. Examination of BUT has the highest positive rate in clinical examinations, and can be used as the main examination for dry eye.