原发性进展性翼状胬肉和干眼的相关性临床观察  

Clinical observation of the relationship between primary progressive pterygium and dry eye

作　　者：李妍[1] 王萍[1] 秦莉[2] 

机构地区：[1]西安市第四医院眼科,710004 [2]西安交通大学第一附属医院眼科,710061

出　　处：《临床眼科杂志》2015年第2期163-165,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨原发性进展性翼状胬肉和干眼的相关性。方法选取西安市第四医院眼科门诊2013年7月至2014年7月45例确诊原发性进展性翼状胬肉患者,进行回顾性研究,以翼状胬肉眼位观察组,对侧眼为对照组,分别检查干眼主观症状评分、泪膜破裂时间(BUT)、基础泪液分泌试验(SIt)、角膜荧光染色评分(FL)和干眼患病率,对数据进行统计学分析。结果观察组的BUT较对照组缩短,差异有统计学意义(P<0.05),干眼主观症状评分和FL高于对照组,差异有统计学意义(P<0.05),观察组的SIt较对照组缩短,差异无统计学意义(P>0.05),干眼的患病率比较差异有统计学意义(P<0.05)。结论原发性进展性翼状胬肉降低泪膜稳定性,引起角膜上皮损伤和干眼症,增加干眼的患病率,两者之间关系密切,互相影响。Objective To observe the relationship between primary progressive pterygium and dry eye.Methods Totally 45 cases of primary progressive pterygium diagnosed in our hospital from July 2013 to July 2014 were enrolled.The pterygium eye was evaluated and the fellow eye served as control.Symptom scores, tear film break-up time （ BUT）, Schirmer I test, Fluorescent staining, and the prevalence of dry eye were examined and compared.Results BUT were shorter in pterygium eye than in fellow eye （ P 〈0.05）.Symptom scores and the fluorescent staining scores were higher （ P 〈0.05） .Schirmer I test showed no significant difference between the two eye, but the prevalence of dry eye was signifi-cantly different （ P 〈0.05）.Conclusion Primary progressive pterygium may decrease constancy of tear film and cause the corneal epithelium damage and dry eye syndrome;there is a close relationship between it and dry eye syndrome.

关 键 词：翼状胬肉 干眼 泪膜稳定性 眼表 

分 类 号：R779.6[医药卫生—眼科]