不同切口方式白内障超声乳化联合人工晶体植入术后干眼症的临床研究
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Clinical analysis of dry eye syndrome after different options of cataract phacoemulsification combined with intraocular lens implantation
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    摘要:目的  探讨不同切口方式白内障超声乳化联合人工晶体植入术后干眼症的发生情况。方法  选取2011年1月-2013年12月该院收治的168例(168双眼)非干眼症白内障患者,将其随机分成对照组与观察组,每组84例(84双眼)。对照组患者接受透明角膜切口白内障超声乳化联合人工晶体植入手术,观察组接受角巩膜缘切口白内障超声乳化联合人工晶体植入手术。比较术前、术后第1周、术后第4周及术后第12周的基础泪液分泌试验、泪膜破裂时间及角膜荧光素染色等。结果  术后第1周,观察组患者的干眼症状评分高于对照组,术后第4周与第12周两组患者的干眼症状评分比较,差异无统计学意义。结论  角巩膜缘切口白内障超声乳化联合人工晶体植入术较透明角膜切口术后短期干眼症的发生率低。

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    Abstract: Objective To explore the dry eye condition after different cataract surgeries of phacoemulsification and intraocular lens implantation. Methods A total of 168 non-xerophthalmic patients (168 eyes) in our hospital between January 2011 and December 2013 were included in the study. These patients were randomly divided into observation group and control group (84 eyes in each group). The control group received cataract phacoemulsification and intraocular lens implantation via clear corneal incision, while the study group received phacoemulsification and intraocular lens implantation via angle scleral margin incision. The Schirmer test, breakup time of tear film, and corneal fluorescein staining were studied and compared between the two groups at baseline and at 1st , 4th  and 12th week after the procedure. Results At the 1st week after operation, the score of dry eye symptom in the control group was significantly higher than that in the observation group, but there was no significant difference in the score of dry eye symptom between the two groups at the 4th and 12th week after operation. Conclusions In short-term the incidence of dry eye syndrome after  phacoemulsification combined with intraocular lens implantation through clear corneal incision is lower than that through angle scleral margin incision.

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孟克青,许衍辉,董玮.不同切口方式白内障超声乳化联合人工晶体植入术后干眼症的临床研究[J].中国现代医学杂志,2017,(3):108-111

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  • 收稿日期:2016-01-22
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  • 在线发布日期: 2017-02-15
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