准分子激光原位角膜磨镶术后干眼的调查研究  

Analysis of dry eye after laser in situ keratomileusis(LASIK)

作　　者：陈海娥[1] 赵邯英[2] 赵玉霞[2] 亢丽萍 

机构地区：[1]河北工程大学临床医学院眼科,河北邯郸056029 [2]邯郸市眼科医院,河北邯郸056001 [3]邯郸市博仁眼科,河北邯郸056001

出　　处：《眼外伤职业眼病杂志》2006年第4期248-251,共4页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨准分子激光原位角膜磨镶术(LASIK)后干眼相关因素以及重视预防术后干眼的重要性。方法采用基础泪液分泌试验,泪膜破裂时间,反射泪液分泌试验,瞬目次数和角膜知觉等检查,以及术后用药时间、年龄和职业等术后发生干眼情况的临床调查研究。结果对1280例(2550眼)术前检查有干眼异常的420眼中,术后有400眼(95.24%)发生干眼;术前无干眼异常的2130眼中,术后有1120眼(52.58%)发生干眼。术前干眼异常术后干眼发生率明显高于术前无干眼者(χ2=32.31,58.52,P<0.005),两组间差异具有统计学意义。结论术前干眼检查异常,术后发生干眼的危险因素明显增加。认为对于术前检查严重干眼患者慎行LASIK手术。Objective To discuss the related factors about dry eye after LASIK and the importance of its prevention. Methods By Schirmer Ⅰ test, examination of break up time, Schirmer Ⅱ test, record about times of wink, test of cornea sense, therapy time after operation to analyze patients clinical conditions of different age and occupation about dry eye before and after LASIK. Results Among 1280 cases （2550 eyes） ,there were abonormal 420 eyes and 2130 normal eyes in dry eye examination before operation and relatively there were 400 eyes （95.24%） and 1120 eyes （52.58%） abnomal in dry eye examination after operation. The occuring probability of abnormal eyes before opration is higher than the probability of normal eyes. （ X^2 = 32.31,58.52, P 〈 0.005）, There exist statistical significance between the two groups. Conclusion The possibility of dry eye after operation is high if there is abnormal in examination of dry eye before operation. The patients of serious dry eye should be cautious for LASIK surgery.

关 键 词：准分子激光 角膜磨镶术 干眼 

分 类 号：R779.63[医药卫生—眼科]