论文部分内容阅读
目的：探讨儿童干眼的相关因素及临床特点。方法收集我院眼科确诊的420例儿童干眼的临床资料及统计数据，进行回顾性研究分析。结果420例确诊干眼的患儿中每天持续看电脑、电视超过2h者380例(90.47%)，有偏食习惯者224例(53.33%)，有过敏性结膜炎病史者72例(17.14%)，有急、慢结膜炎病史者106(37.17%)，使用抗菌素滴眼超过1个月者182例(43.33%)。临床主要症状为瞬目频繁者190例(45.2%)、眼痒134例(31.9%)、异物感88例(20.95%)、分泌物多者39例(9.28%)、眼红134例(31.9%)、畏光55例(13.09%)、干涩者41例(9.76%)。Schirmer Test：340例为阳性(<10mm/5min)，80例为强阳性(<5mm/5min)。BUT：420例全部<5s为强阳性。100例角膜上皮点状着染1-4象限。干眼仪检查：320例图像为3级以上。经过正规系统的抗干眼治疗，患儿不适症状缓解，检查结果均有所改善，随访3个月未见复发。结论儿童干眼的发病是多因素相互作用的结果，小儿眼科医生应给予足够的重视，准确的诊断和针对病因的联合治疗是防治儿童干眼的关键。“,”Objiective To discuss the related factors and clinical characteristics of dry eye in children. Methods The clinical data and of 420 cases of dry eye in children were retrospectively analyzed. Results In the 420 cases ,380 cases (90.47%)used to watch TV and computer more than 2 hours everyday,224 cases (53.33%)had a un-balanced diet,72 cases(17.14%)had allergic conjunctivitis ,106 cases(37.17%)had acute or chronic conjunctivitis his-tory,182 cases (43.33%)had used antibiotic eye drops more than one month. The main clinical symptoms had blinking frequently (190 cases ,45.2%), itching of eye (134 cases,31.9%),foreign body sensation (88 cases,20.95%),more eye secreta (39 cases,9.28%), red eyes (134 cases,31.9%),phengophobia (55 cases,13.09%),dyeness in eyes (41 cases ,9.76%). Schirmer Test: 340 cases <10mm/5min were positive,80 cases <5mm/5min were strongly positive. BUT: all of 420 cases<5s cases were strongly positive. FL:100 cases of corneal epithelial punctate staining in the 1-4 quadrant. Dry eye instrument test: 320 cases of image above for level 3. After the formal system of anti dry eye treat-ment,the uncomfortable symptom with children were alleviating,inspection results were improved,followed up for 3 months without recurrence. Conclusion The incidence of dry eye in children is the interaction result of multiple fac-tors,pediatric ophthalmology doctors should pay enough attention to accurate diagnosis and etiotropic combination therapy are the keys to the prevention and treatment of children dry eye.