干眼症患者行白内障超声乳化术的预后研究  

Prognosis of phacoemulsification in patients with dry eyes

作　　者：陈敏[1] 蔡利梅[1] 蔡福旭[1] 吴惠英[1] 

机构地区：[1]莆田学院附属医院眼科,福建莆田351100

出　　处：《山东大学耳鼻喉眼学报》2009年第5期61-63,72,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的分析比较干眼症患者行白内障超声乳化术(Phaco)与白内障囊外摘除术(ECCE)术后的泪膜功能和并发症情况。方法38例(45眼)干眼症患者行Phaco手术(A组),28例(30眼)行ECCE手术(B组)。对患者术后1～90d进行定期随访,收集术前与术后泪膜功能、并发症与终视力情况,并对数据进行统计学处理。结果66例患者中,56例为年龄相关性,10例为Sjo¨gren综合征。75眼中,60眼主要表现为水样液缺乏性干眼症(SchirmerⅠ5.0mm),15眼为6.0～9.0mm;63眼BUT5s,12眼介于6～9s。Phaco术后32眼出现浅层点状角膜病变,27眼出现角膜上皮缺损。40眼终视力为1.0,22眼0.8～0.5,13眼0.4～0.1。两组间差异均有统计学意义(P<0.05)。结论对伴发或不伴发系统组织疾病的干眼症患者,选择白内障超声乳化手术方式较囊外摘除术式更为安全,其术后并发症少。Objective To compare the tear film function and complication between phacoemulsification （Phaco） and extracapsular cataract extraction （ECCE） in patients with dry eyes. Methods 38 patients（45 eyes） were in the Phaco group and 28 patients （30 eyes） were in the ECCE group. The tear film function,complications and final visual outcomes were analyzed before and after operation. Results Of the 66 patients,56 had age-related dry eyes and 10 had secondary Sjgren s syndrome. 60 eyes had predominant aqueous deficiency （Schirmer Ⅰ score of 5.0 mm or less）, and 15 had Schirmer scores between 6.0 mm and 9.0 nun. The tear-film breakup time was 5 seconds or less in 63 eyes and 6-9 seconds in 12 eyes. Postoperatively, 32 eyes had superficial punctate keratopathy and 25 had an epithehal defect. The final visual acuity was 1.0 in 40 eyes, 0.8 to 0.5 in 22 eyes, and 0.4 to O. 1 in 13 eyes. All the differences between the two groups had statistical significance（ P 〈 0.05）. Conclusions Phaco is safer and causes fewer comphcations in treatment of age-related dry eyes on patients with or without associated systemic disorders than ECCE.

关 键 词：白内障超声乳化 白内障囊外摘除术 干眼症 泪膜功能 并发症 

分 类 号：R776.1[医药卫生—眼科]