95例干眼症状患者的客观检查结果分析

Result analysis on clinical examinations of 95 dry eye cases

目的探讨眼部干涩、视力疲劳、异物感等不适症状与干眼的关系。方法对初次就诊于我院门诊,以视疲劳、异物感及眼干涩等症状为主诉的95例患者,进行裂隙灯、泪膜破裂时间、泪液分泌试验、角膜荧光素染色及睑板腺检查,并对其结果进行分析。结果 95例患者中,泪膜破裂时间异常者19例(20%),Schirmer I test异常者14例(14.7%),角膜荧光素染色异常者11例(11.6%),睑板腺开口阻塞12例(12.6%)。确诊干眼患者11例,男性3例(糖尿病患者1例,高血压病患者2例),女性8例(糖尿病、高血压、干燥综合征及更年期者各2例)。结论干眼症状与多种因素有关,在以干眼症状为主诉的患者中仅有少数可以被确诊为干眼。

OBJECTIVE To discuss the relationship between the symptoms such as dryness, asthenopia and foreign body sensation, and dry eye syndrome. METHODS Ninety-five cases, initially visited our hospital＇s clinic with the symptoms of asthenopia, dryness and foreign body sensation in the eyes, were undertaken slitlamp, breakup time of tear film（BUT）, Schirmer I test, corneal fluorescein staining and meibomain gland examinations and then the results were analysed. RESULTS Among 95 cases, 19 （20%）were BUT abnormal, 14 （ 14.7% ） abnormal in SchirmerI test, 11 （11.6%）abnormal in corneal fluorescein stain- ing, and 12 （12.6%）with obstruction of tarsal glands openings. Eleven were diagnosed dry eye syndrome among which 3 were male with 1 diabetes and 2 hypertension patients, while among the 8 females there were 2 diabetes, 2 hypertension, 2 xerosis and 2 menopause syndrome. CONCLUSIONS Dry eye symptoms are correlated with many factors. Only small number of patients complained mainly with dry eye symptoms could be diagnosed as dry eye syndrome.