深圳市儿童干眼症的相关性因素分析  

Related ocular factors of dry eye in school age children in Shenzhen

作　　者：王恒[1] 蔡晓华[1] 祝芸芸[1] 

机构地区：[1]深圳市第四人民医院眼科,518000

出　　处：《临床眼科杂志》2015年第6期569-571,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨儿童干眼症的相关性因素。方法对主诉眨眼的患儿统一进行病史采集、裂隙灯检查、验光、眼表指标测定：泪液基础分泌试验（Schirmer试验）、角膜荧光素染色、泪膜破裂时间（BUT）等。参照干眼症诊断标准,对诊断为干眼症的患儿进行分析。结果 180例干眼症患者中,年龄6~12岁,平均（8.22±1.28）岁,男性98例,女性82例,男女比例1.20：1。各种结膜炎伴干眼症患者91例,占50.56%;屈光不正伴干眼症患25例,占13.89%;睑板腺功能障碍（MGD）伴干眼症患者17例,占7.78%;综合性因素（伴两种或两种以上眼表疾病）伴干眼症患者38例,占21.11%,单纯干眼症（未发现其它眼表疾病）患者9例,占5.00%。结论儿童干眼症是一个病因较为复杂的眼科常见病,原发性儿童干眼症患者较少。结膜炎等眼表损害方面因素是影响儿童干眼症发病逐渐增多的最重要的原因。Objective To investigate the risk factors of childhood dry eye. Methods Following examinations were done in children who complained frequent blinking： medical and ophthalmic history,slit lamp examination,refraction,ocular surface parameters,basis tear secretion test（ Schirmer test）,corneal fluorescein staining,tear film break-up time（ BUT）. These data were collected and analyzed referred to the diagnosis guideline of dry eye. Results Mean age of 180 children who met the criteria of dry eye was 8. 22 ± 1. 28,with the range from 6 to 12 years old. There were 98 boys and 82 girls. Male-female ratio was 1. 20. Conjunctivitis was found in 91 patients（ 50. 56%）. Ametropia（ n = 25,13. 89%）and meibomian gland dysfunction（ MGD; n = 17,7. 78%） were also common. Thirty-eight patients（ 21. 11%） had two or more ocular surface diseases. Only 9 patients（ 5. 00%） were without other ocular surface diseases（ therefore the diagnosis was primary dry eye）. Conclusion Primary dry eye is not common among children. Most dry eye cases will present with one or more ocular diseases. Conjunctivitis is the most commonly co-existing condition. Physicians need to treat conjunctivitis and other ocular surface damage factors in order to prevent dry eye.

关 键 词：儿童干眼症 睑板腺功能障碍 屈光不正结膜炎 

分 类 号：R777.34[医药卫生—眼科]