白内障患者手术前后干眼的临床研究

Clinical Study of Dry Eye Before and After Cataract Surgery

目的观察白内障患者手术前后干眼的发展情况。方法分析2016年1月-2016年8月进行白内障手术的78例患者临床资料,观察对比手术前后干眼症状改善情况。结果白内障手术后第1 d、7 d、20 d患者干眼症状(干涩感、异物感、眼红、畏光、视疲劳)评分明显高于术前,差异有统计学意义(P<0.05);术后术后第1 d、7 d、20 d患者泪膜破裂时间(BUT)、泪液分泌试验(Schirmer试验)、角膜荧光染色评分明显高于术前,差异有统计学意义(P<0.05);术后60d患者BUT、Schirmer试验、角膜荧光染色评分与术前对比,差异无统计学意义(P>0.05)。结论白内障患者手术会诱发或加重干眼症,会使患者泪膜功能在短期受到影响,术后应给予有效的治疗和预防,以促进患者的康复。

Objective to observe the development of dry eye before and after operation in patients with cataract. Methods retrospective analysis in January 2016 to August 2016 in our hospital during cataract surgery clinical data of 78 patients, observe contrast dry eye symptoms before and after operation. Results after cataract surgery patients with 1 d, 7 d, 20 d dry eye symptoms （sense of dryness, foreign body sensation, jealous, photophobia, visual fatigue） score significantly higher than that of preoperative, the difference was statistically significant （ P 〈 O. 05 ） ; Postoperative pa- tients with postoperative 1 d, 7 d, 20 d -rupture time （BUT）, tear secretion test （Schirmer test）, scores significantly higher than the preoperative corneal fluorescent dye, the difference was statistically significant （ P 〈 O. 05 ） ; Postoperative patients with 60 d BUT, Schirmer test, compared with preoperative corneal fluorescent dye score, there was no statisti- cally significant difference （ P 〉 0. 05 ）. Conclusions the patients with cataract surgery can induce or aggravate dry eyes, can make patients - function in the short - term impact, should give effective treatment and prevention of postop- erative, to promote the recovery of patients.