Smart plug泪小管塞治疗水液缺乏型干眼的长期并发症  

Long-term complications of Smart plug insertion in the treatment of aqueous tear deficiency dry eye

作　　者：王德贵 姚勇 WANG Degui YAO Yong(Department of Cataract, Shantou Balder Eye Hospital, Shantou Guangdong 515041 Department of Corneal Disease, Joint Shantou International Eye Center, Shantou Guangdong 515041, China)

机构地区：[1]汕头博德眼科医院白内障专科,广东汕头515041 [2]汕头国际眼科中心角膜专科,广东汕头515041

出　　处：《Eye Science》2017年第3期134-137,共4页眼科学报（英文版）

摘　　要：目的:评估Smart plug泪小管塞治疗水液缺乏型干眼的长期并发症。方法:收集汕头国际眼科中心2011至2016年门诊确诊的水液缺乏型干眼患者300例(600眼),进行Smart plug泪小管塞治疗,随访观察术后临床并发症,中位随访时间为术后3年(术后1~5年)。结果:3例患者(3眼)术后患有泪小管炎(0.5%),发病时间为术后1~3(中位2)年,取出泪小管塞后并给予局部抗生素滴眼液治愈。2例患者(4眼)因植入上下泪小管塞后流泪症状不能耐受,单纯取出下泪小管塞后症状缓解(0.7%);4例患者(8眼)因只植入下泪小管塞症状未能明显好转,1个月后再次植入上泪小管塞(1.3%);291例患者干眼主观症状改善,有效率为97.5%,长期随访未发现并发症。结论:虽然Smart plug泪小管塞治疗水液缺乏型干眼具有明确的疗效,但Smart plug泪小管塞植入后的长期并发症不容忽视,需要长期观察。Objective： To evaluate the long-term complication associated with the use of the Smart plug in the treatment of aqueous tear deficiency dry eye. Methods： A total of 300 patients （600 eyes） were collected in Joint Shantou International Eye Center from 2011 to 2016, all the patients accepted the treatment with Smart plug, and were followed up for clinical complications. The median follow-up time was postoperative 3 years （1-5 years after surgery）. Results： Three patients （3 eyes） developped canaliculitis, the rate was 0.5%. The median time from Smart plug insertion to the onset of canaliculitis was 2 （1-3） years, leaving the Smart plug and resolved the application of topical antibiotics. Two patients （4 eyes） could not suffer from implantation of the upper and lower Smart plug, removed the below, the ratio was 0.7%; 4 patients （8 eyes） need upper Smart plug insertion after implantation of the lower one month later, the rate was 1.3%; 291 cases of dry eye improved by long-term follow- up, the effective rate was 97.5%. Conclusion： Although the Smart plug is effective in the treatment of aqueous tear deficiency dry eye, the later complications of Smart plug insertion cannot be neglected and need the long-term follow-up.

关 键 词：泪小管塞 干眼 并发症 

分 类 号：R777.34[医药卫生—眼科]