中老年屈光异常性视疲劳戴镜矫正对干眼症疗效的影响

Influences of correction with spectacles in middle-aged and aged patient with ametropic asthenopia on xerophthalmia

目的:探讨中老年屈光异常性视疲劳戴镜矫正对干眼症治疗疗效的影响。方法:将86例40～58岁的干眼症合并屈光异常性视疲劳病例,按1∶1随机分为药物治疗组和药物+戴镜联合治疗组,治疗3mo。观察治疗前后的眼部症状、泪液分泌量、泪膜破裂时间、角膜荧光素染色等疗效性指标。结果:随访3mo,两组患者泪液分泌量、泪膜破裂时间和角膜荧光素染色都有显著性差异(P<0.05),联合治疗组效果明显优于药物治疗组。结论:戴镜矫正配合药物联合治疗干眼可明显改善干眼症状,增加泪液分泌量,延长泪膜破裂时间,改善角膜上皮情况,较单纯药物治疗理想。

AIM：To investigate the influences of correction with spectacles in middle-aged and aged patient with ametropic asthenopia on xerophthalmia. METHODS： Eighty-six xerophthalmia patients combined with ametropic asthenopia aged 40-58 years old were randomly divided into drug treated group and drug-spectacles treated group, clinical symptoms and physical signs before and after treatment were observed. RESULTS： Clinical symptoms and physical signs were improved after treatment in both groups, there were statistical differences between the two groups（P0.05）, and the curative effect in drug-spectacles group was better than that in drug treated group. CONCLUSION： Drug-spectacles treatment has better effect on improving symptoms and physical signs.