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目的探讨白内障超声乳化术人工晶体植入术后干眼症的发病情况。方法对37例(50只眼)白内障患者手术前3天、术后1周、1个月和3个月进行眼部检查。检查项目包括:裂隙灯显微镜检查眼前节情况、荧光素染色、泪膜破裂时间(BUT)、SchirmerⅠ试验(STⅠ)、结膜印迹细胞学(IC)检查。通过问卷调查评价干眼症对生活质量的影响。结果白内障患者通过手术大多能获得良好的视功能,但术后部分患者会出现干眼症状,一定程度的影响生活质量。术后患者出现泪河线变窄,BUT时间变短、STⅠ减少,角结膜荧光素染色加重。此现象可在术后1周出现,术后1个月时最明显,术后3个月症状有所缓解。结论白内障术后患者可能出现明显的干眼症状和体征,应及时给予干预治疗。
Objective To investigate the incidence of dry eye after phacoemulsification with intraocular lens implantation. Methods 37 cases (50 eyes) of cataract patients 3 days before surgery, 1 week after surgery, 1 month and 3 months for eye examination. Check items include: Slit lamp microscopy anterior segment, fluorescein staining, tear film break time (BUT), Schirmer Ⅰ test (ST Ⅰ), conjunctival imprinting cytology (IC) examination. Evaluate the impact of dry eye on quality of life by questionnaire. Results Cataract patients mostly obtained good visual function through surgery, but some patients showed dry eye symptoms after operation, which affected the quality of life to a certain extent. Postoperative tear river narrowing, BUT shorter, ST Ⅰ decreased, corneal conjunctiva fluorescein staining worse. This phenomenon can occur in 1 week after surgery, one month after the most obvious symptoms were relieved after 3 months. Conclusion Patients with postoperative cataract may have obvious symptoms and signs of dry eye and should be promptly given interventions.