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目的分析超声乳化白内障手术两种不同切口对术后干眼的影响。方法选取我院2014年3月至2016年3月收治的72例白内障患者,所有患者均进行白内障手术治疗。按手术方式切口不同将患者分为两组,其中A组患者行透明角膜切口;B组患者行巩膜隧道切口。分别对比两组患者术后不同时间的临床表现。结果取不同的手术切口对患者进行治疗后,A组患者术后1d、1周干眼症状评分均低于B组,组间差异有统计学意义(P<0.05);两组患者术后3周、术后1个月、3个月干眼症状评分无统计学差异(P>0.05)。结论超声乳化白内障手术两种不同切口对患者泪膜稳定性的影响仅在术后短时间内存在较为明显的差异,在各个时间段行透明角膜切口下干眼症状评分均低于行巩膜隧道切口的患者。
Objective To analyze the effect of phacoemulsification cataract surgery on the dry eye after two different incisions. Methods Totally 72 cataract patients who were treated in our hospital from March 2014 to March 2016 were selected and all patients were treated with cataract surgery. The patients were divided into two groups according to different operation incision. Group A received clear corneal incision. Group B received scleral tunnel incision. The clinical manifestations of the two groups were compared at different times after surgery. Results After taking different surgical incisions, the scores of dry eye symptoms in group A at 1 and 1 week after operation were lower than those in group B, the difference was statistically significant (P <0.05). After operation 3 Week, 1 month after surgery, 3 months dry eye symptoms score was no significant difference (P> 0.05). Conclusion The effect of phacoemulsification cataract surgery on the tear film stability of patients with two different incision only in a short period of time there are more obvious differences in each time period under the clear corneal incision dry eye symptoms were lower than scleral tunnel incision Of patients.