睑板腺按摩对FS-Lasik术后效果的影响

The Influence of Tarsal Gland Massage on Postoperative Curative Effect of FS-Lasik

目的探讨睑板腺按摩对飞秒激光联合准分子激光角膜磨镶手术效果的影响.方法对同一手术医师开展手术并全部实施该手术方式的患者进行前瞻性研究,将符合条件的78例患者随机分为2组,实验组39例,共78只眼;对照组39例,共78只眼,并对两组患者术后层间睑脂存在情况进行分析.然后以术后有无睑脂存在将患者分为有睑脂组和无睑脂组,并对2组患者术后视力恢复情况进行比较.结果术后对照组有3例失访,共观察36例,72只眼,在裂隙灯下发现有10只眼层间有睑脂存在,占13.89%,实验组有2例失访,共观察37例,74只眼,有2只眼层间有睑脂存在,占2.7%.2组结果比较差异有统计学意义(P<0.01);有睑脂组和无睑脂组术后1个月内视力恢复结果比较均有统计学意义(P<0.05).结论睑板腺按摩在飞秒激光联合准分子激光角膜磨镶术中可有效减少层间睑脂的存留,避免视力恢复延迟,有效提高了术后效果.

Objective To study the influence of tarsal gland massage on postoperative curative effect of femtosecond laser combined with excimer laser keratomileusis.Methods A prospective study was conducted on patients who underwent the same surgical approach by the same surgeon.78 eligible patients were randomly divided into two groups:39 patients in experimental group,equal to 78 eyes,were given tarsal gland massage before the operation;and the other 39 patients in control group,equal to 78 eyes,were not given tarsal gland massage before the operation.The presence condition of postoperative interlayer eyelid fat of the two groups of patients was investigated.After that,the patients were divided into two groups according to above eyelid fat condition:with eyelid fat group and without eyelid fat group,and the visual acuity recovery status were compared between the two groups.Results In the control group after the operation,3 patients could not be contacted in the follow-up study,but a total of 36 patients,equal to 72 eyes were observed by slit lamp,and there were totally 10 eyes with interlayer eyelid fat,accounting for 13.89%;Whereas,2 patients could not be contacted in the experimental group,but a total of 37 patients,equal to 74 eyes were observed,and there were only 2 eyes with interlayer eyelid fat,accounting for 2.7%.The P value of comparison between these two groups was less than 0.01,which had statistical differences.There was significant difference between the two groups(<0.05)in the recovery of visual acuity within one month after the operation.Conclusion Tarsal gland massage can effectively reduce the residual of interlayer eyelid fat after the operation of femtosecond laser combined with excimer laser keratomileusis,thereby it can avoid the delay of vision recovery and effectively improve the postoperative curative effect