全视网膜光凝术对糖尿病视网膜病变患者泪液分泌的影响  

The effect of pan retinal photocoagulation on tear secretion in patients with diabetic retinopathy

作　　者：邢怡桥[1] 杨琳[1,2] 李拓 宋秀胜 李家璋 但汉东 李印 Xing Yiqiao Yang Lin Li Tuo Song Xiusheng Li Jiazhang Dan Handong Li Yin(Department of Ophthalmology, People＇s Hospital, Wuhan University, Wuhan, Hubei 430060 Department of Ophthalmology, Enshi Central Hospital, Enshi 445000, China)

机构地区：[1]武汉大学人民医院眼科,武汉430060 [2]恩施州中心医院眼科,恩施445000

出　　处：《临床眼科杂志》2017年第1期49-51,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨全视网膜光凝术对糖尿病视网膜病变(DR)患者泪液分泌的影响。方法临床病例对照研究。收集在我院行全视网膜光凝治疗的DR患者35例,分别测量治疗前和治疗后1、2、4、6、8周、3个月泪液分泌实验及泪膜破裂时间,并对数据进行统计学分析。结果 DR患者行532 nm激光全视网膜光凝术后1~3个月泪液分泌实验及泪膜破裂时间较术前明显下降,差异有统计学意义(P<0.05)。结论全视网膜光凝治疗对DR患者泪液分泌量及泪膜稳定性有显著影响,治疗前应充分考虑患者泪液分泌功能,尤其对于伴有干眼的DR患者。Objective To investigate the changes of tear secretion after pan retinal photocoagulation as the treatment for diabetic retinopathy. Methods Patients with diabetic retinopathy were tested with Schirmer I tests and tear film breakup time（ BUT） before and up to 3 months after pan retinal photocoagulation. Results Schirmer I test results and tear film breakup time decreased 1～3 months after pan retinal photocoagulation. Conclusions Pan retinal photocoagulation should be chosen carefully for diabetic retinopathy patients with dry eye symptoms.

关 键 词：全视网膜光凝 泪液分泌 糖尿病视网膜病变 

分 类 号：R779.63[医药卫生—眼科] R587.2[医药卫生—临床医学]