泪液成分异常与不同泪膜破裂方式的研究进展

Research progress on abnormal tear composition and different break-up patterns of tear film

泪膜是覆盖于眼球表面的一层液体薄膜,从内而外分为黏液层、水液层和脂质层,每层成分的改变都会导致泪膜不稳定,进而导致干眼的发生。在研究泪膜破裂方式及相关泪液成分改变的基础上,学者Yokoi及其团队分别在2012年和2013年提出了有关干眼治疗和诊断的新概念,称为泪膜导向治疗(tear film-oriented therapy,TFOT)和泪膜导向诊断(tear film-oriented diagnosis,TFOD),就是根据泪膜破裂模式(tear film break-up pattern,TFBUP)的不同,推断出相应的泪膜成分改变,补充不足的泪膜成分,这种诊疗方法目前正逐渐被接受。本文对不同泪膜破裂方式与泪膜成分改变的关系做了汇总分析,旨在为干眼的诊断和治疗提供更为科学实用的指导方案。

Tear film is a layer of fluid film covering the surface of eye global,which is divided into mucus layer,aqueous layer and lipid layer from inside to outside.The change of each layer composition will lead to tear film instability,resulting in the occurrence of dry eye.On the basis of numerous studies on the correlation between tear composition and tear film break-up patterns,Yokoi and his team proposed new concepts on the diagnosis and treatment of dry eye called tear film-oriented therapy(TFOT)and tear film-oriented diagnosis(TFOD)in 2012 and 2013.That is according to different tear film break-up patterns(TFBUP),so changes in tear film composition can be deduced and supplemented,and this diagnosis and treatment method is gradually being accepted.In this paper,we summarized and analyzed the relationship between different tear film break-up patterns and changes in tear film composition to provide a more scientific and convenient guidance program for the diagnosis and treatment of dry eye.