眼手术相关性干眼发病机制的研究进展  

Advances in the study of the pathogenesis of ophthalmic surgery-related dry eye

作　　者：季彤 樊芳[1] 贾志旸[1] Tong Ji;Fang Fan;Zhi-Yang Jia(Department of Ophthalmology,Hebei General Hospital,Shijiazhuang 050051,Hebei Province,China;North China University of Science and Technology,Tangshan 063210,Hebei Province,China)

机构地区：[1]河北省人民医院眼科,中国河北省石家庄市050051 [2]华北理工大学,中国河北省唐山市063210

出　　处：《国际眼科杂志》2023年第7期1144-1148,共5页International Eye Science

基　　金：河北省医学适用技术跟踪项目(No.GZ2022009)。

摘　　要：随着各类眼科手术的快速发展和广泛开展,术后视觉质量受到了更多的关注。干眼(dry eye)是眼科手术后的常见并发症,常引起眼部不适、视物模糊等症状以及其他干眼体征。眼手术相关性干眼是干眼的一个常见类型,通常由于手术损伤角结膜组织及神经、破坏泪膜稳定性、术后炎症反应以及围术期局部用药等多种因素导致。本文就眼手术相关性干眼的危险因素、不同眼科手术导致干眼的发病机制以及对此类干眼的预防等进行综述,以期眼科医生在临床中能够减少眼手术相关性干眼的发生及发展,提高眼科手术后的视觉质量及生活质量。With the rapid development and widespread implementation of all types of ophthalmic surgery,more attention is being paid to the quality of post-operative vision.Dry eye is a common complication after ophthalmic surgery,often causing eye discomfort,blurred vision and other dry eye symptoms.Ophthalmic surgery-related dry eye is a common type of dry eye and is usually caused by a combination of surgical injury to the conjunctival tissue and nerves,destabilisation of the tear film,postoperative inflammatory reaction and perioperative topical medication.This article reviews the risk factors for ophthalmic surgery-related dry eye,the pathogenesis of dry eye due to different ophthalmic surgeries and the prevention of this type of dry eye,with the aim of reducing the occurrence and development of ophthalmic surgery-related dry eye and improving the quality of vision and life after ophthalmic surgery in the clinical setting.

关 键 词：眼科手术 干眼 术后并发症 病因 发病机制 

分 类 号：R779.6[医药卫生—眼科] R777.34[医药卫生—临床医学]