透明角膜和巩膜隧道切口白内障超声乳化联合人工晶体植入术后干眼症发生情况比较

Comparison of Xerophthalmia Incidence after Phacoemulsification Combined with Intraocular Lens Implantation between Transparencycornea and Sclera Tunnels Incision

doi:
10.3969/j.issn.1007-9572.2017.z1.045
摘要:
目的 探讨透明角膜、巩膜隧道两种不同切口白内障超声乳化联合人工晶体植入术后干眼症发病情况.方法 选取2013年9月-2016年9月于南阳医专第一附属医院行白内障超声乳化联合人工晶体植入术200例白内障患者,根据手术方式不同分为观察组(采用巩膜隧道切口,100例)和对照组(采用透明角膜切口,100例).比较两组手术前后干眼症评分、角膜荧光素染色评分、泪膜破裂时间、基础泪液分泌量.结果 观察组术后1周、术后1个月干眼症、角膜荧光素染色评分低于对照组(P<0.05).两组术后1周、术后1个月干眼症、角膜荧光素染色评分均高于术前(P<0.05).观察组术后1周、术后1个月泪膜破裂时间、基础泪液分泌量高于对照组(P<0.05).两组术后1周、术后1个月泪膜破裂时间、基础泪液分泌量均低于术前(P<0.05).结论 巩膜隧道切口在白内障超声乳化联合人工晶体植入术的应用中相较于透明角膜在术后1个月内对泪膜的稳定性影响较轻,显著降低干眼症症状.
Abstract:
Objective To explore of xerophthalmia incidence after phacoemulsification combined with intraocular lens implantation between transparencycornea and sclera tunnel incision.Methods 200 patients with phacoemulsification combined with intraocular lens implantation in the Fisrt Affiliated Hospital of Nanyang Medical College from September 2013 to September 2016 were divided into observation group and control group by treatment method,each of 100 cases.The observation group was given sclera tunnel incision,control group was given transparencycornea incision.The xerophthalmia symptom scores,cornea fluorescein staining scores,breakup time of tear film and schirmer were compared between the two groups.Results The xerophthalmia symptom scores,cornea fluorescein staining scores in observation group were lower than those in control group on 1 week and 1 month after operation(P<0.05).The xerophthalmia symptom scores,cornea fluorescein staining scores in 1 week and 1 month after operation were higher than those before operation(P<0.05).The breakup time of tear film and schirmer in observation group were higher than those in control group on 1 week and 1 month after operation(P<0.05).The breakup time of tear film and schirmer in 1 week and 1 month after operation were higher than those before operation(P<0.05).Conclusion Sclera tunnel incision has lighter effects on stability of tear film than transparencycornea in 1 month after phacoemulsification combined with intraocular lens implantation,and it can distinctly relieve symptom of xerophthalmia.
作者 刁婷婷
Author: DIAO Ting-ting
作者单位 南阳医专第一附属医院, 河南省南阳市,473000
刊 名: 中国全科医学   ISTICPKU
Journal: Chinese General Practice
年,卷(期) 2017, 20(z1)
分类号 R776.1
关键词: 超声乳化白内障吸除术 知识脉络    透明角膜 知识脉络    巩膜隧道 知识脉络    人工晶体植入术 知识脉络    干眼症 知识脉络   
Keywords: Phacoemulsification    Transparencycornea    Sclera tunnel    Intraocular lens implantation    Xerophthalmia   
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