长期视屏终端接触者干眼症325例临床分析  

Clinical characteristics of 325 patients with dry eye syndrome

作　　者：陈云珍[1] 赵丹丹[1] 赵雪芹[1] 朱伟[1] 沈祯[1] 张荷珍[2] 

机构地区：[1]首都医科大学大兴医院,北京102600 [2]首都医科大学附属北京同仁医院,北京100176

出　　处：《眼外伤职业眼病杂志》2010年第9期695-697,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的分析干眼症的临床症状,探讨临床实用的检查方法。方法对325例长期视屏终端接触者干眼症进行临床调查,包括常见症状(眼干、视疲劳,异物感等),泪膜破裂时间(BUT)、Schirmer试验、角膜荧光染色和睑板腺检查。结果常见症状依次是:眼干涩感(82.5%)、视疲劳(70.2%)、异物感(65.2%)、视物模糊(34.8%)、烧灼感(30.2%)、眼痛(24.3%)、畏光(20.9%)、眼红(16.9%)、眼胀(13.2%),流泪(11.4%)等。在临床检查中BUT(84.9%)、Schirmer试验(72.0%)阳性率高,睑板腺异常、角膜荧光染色的阳性率较低。结论干眼症的临床症状中以眼干涩、视疲劳、异物感为主,临床检查中BUT、Scbirmer试验阳性率高,可作为干眼症的主要检查方法。Objective To analyze the clinical characteristics of patients with dry eye syndrome,explore practical diagnostic methods. Methods The following items were recorded in 325 patients with dry eye,including optical symptoms such as dryness of eye,asthenopia,foreign body sensation,and causation,slit-lamp examination,tear break-up time,basal Schirmer’s test,vital fluorescence staining and meibomian gland dysfunction examination. Results Dryness was the most common symptom （82. 5%） ,then followed by ocular fatigue （70. 2%） , foreign body sensation （65. 2%） ,vague vision（34. 8%） ,burning sensation （30. 2%） , ophthalmalgia（24. 3%） ,photophobia（20. 9% ） ,Ocular hyperemia （16. 9% ） , expansion of eye （13. 2%） , and lacrimation （11. 4%） . The positive rates in meibomian gland dysfunction examination and retinal fluorescence staining were lower than that in examination of BUT,which was the highest about 81. 5% and Schirmer’s test （72. 0% ） . Conclusions Dryness,asthenopia and foreign body sensation are the main clinical symptoms. Symptoms combined with examinations of BUT,Schirmer’s test,are the necessary means to diagnose most of the dry eye patients.

关 键 词：泪膜破裂时间 角膜荧光染色 睑板腺功能障碍 干眼症 

分 类 号：R777[医药卫生—眼科]