睑板腺功能障碍患者白内障围手术期需关注的问题及对策  

Perioperative ocular surface evaluation and management in meibomian gland dysfunction patients undergoing cataract surgery

作　　者：梁庆丰[1] 董喆[1] 王宁利[1] 

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科研究所北京市眼科学与视觉科学重点实验室,100005

出　　处：《中华眼科杂志》2014年第4期244-246,共3页Chinese Journal of Ophthalmology

摘　　要：睑板腺功能障碍（MGD）是老年人常见的眼表疾病,MGD患者进行白内障手术容易引发或加重干眼的症状及角结膜上皮细胞的损伤,严重者可出现角膜溃疡及眼内感染.为提高MGD患者白内障手术的效果及患者术后的生活质量,本文就MGD患者白内障手术前睑板腺功能及眼表情况的评估、手术过程中对眼表的保护及术后眼表病变的观察与合理用药等问题与眼科同道共同探讨.Meibomian gland dysfunction （MGD） is one of the most common conditions in the elderly.Most of MGD patients undergoing cataract surgery were found to have significant dry eye symptoms and ocular surface disease.The severe cases with ocular surface disease are also at higher risk of postoperative complications,namely infections and corneal ulcers.To improve the operation effect and achieve the best visual outcome and life quality in cataract patients,it is important to evaluate the ocular surface and meibomian glands in MGD patients preoperatively,pay attention to the intraoperative care and detect the postoperative complications carefully and use medicine properly.

关 键 词：睑板腺 白内障摘除术 手术期间 眼药水 干眼综合征 

分 类 号：R779.66[医药卫生—眼科]