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目的 :观察SARS患者患病期间引起的眼病及眼部表现。方法 :对 118例患者 (2 35只眼 )进行首发症状问卷调查。观察有眼部症状患者的睑球结膜充血情况 ,并做分组 (对照组、激素组、中药组 )泪液分泌试验。结果 :77只眼 (32 .7% )首发症状为干涩、畏光、流泪、疼痛、视物模糊 ,187只眼 (79.5 % )有眼部刺激的续发症状。共有 35例SARS患者继发不同眼病 ,以慢性结膜炎和电光性眼炎患者居多。泪液分泌实验各组 2 2只眼 ,对照组、激素组及中药组的异常率分别为 36 .4 %、2 7.3%和 4 5 .5 % ,组间无显著性差异。结论 :化学消毒剂及紫外线等使用不当是引起结膜炎和角膜炎的主要原因 ,SARS首发、续发眼部表现及继发性眼病与SARS发病无明显相关性。
OBJECTIVE: To observe the ocular diseases and ocular manifestations during the SARS patients’ illness. Methods: The first symptom questionnaire survey of 118 patients (35 eyes) was performed. To observe the eyelid conjunctival hyperemia in patients with ocular symptoms and do tear secretion test in groups (control group, hormone group and TCM group). Results: The initial symptoms of 77 eyes (32.7%) were dry, photophobia, tearing, pain, blurred vision, and ocular irritation in 187 eyes (79.5%). A total of 35 cases of SARS patients secondary to different eye diseases, mostly chronic conjunctivitis and electro-optic ophthalmia patients. The abnormal rate of tear secretion test in each group of 22 eyes, control group, hormone group and traditional Chinese medicine group were 36.4%, 23.3% and 45.5% respectively. There was no significant difference between the two groups. Conclusion: The improper use of chemical disinfectants and ultraviolet light is the main cause of conjunctivitis and keratitis. No significant correlation was found between the first episode of SARS, the second episode of ocular manifestations and the second episode of SARS.