白内障超声乳化术后干眼相关因素及治疗研究进展  

Research progress on dry eye-related factors and treatment after phacoemulsification

作　　者：张澳 李诗怡 黄菊 王康[1] 王琳[1] 谢迎宾[1] Zhang Ao;Li Shiyi;Huang Ju;Wang Kang;Wang Lin;Xie Yingbin(Deparrment of Ophthalmology,Binzhou Medical University Hospital,Binzhou 256603,Shandong Province,China;Deparrment of Ophthalmology,Beijing Shunyi Hospital,Beijing 101300,China)

机构地区：[1]滨州医学院附属医院眼科,山东省滨州市256603 [2]北京顺义区医院眼科,北京市101300

出　　处：《国际眼科杂志》2025年第5期770-774,共5页International Eye Science

基　　金：山东省医药卫生科技发展计划项目(No.2014WS0200);滨州医学院科技计划项目(No.BY2020KJ05)。

摘　　要：白内障超声乳化吸除联合人工晶状体植入术(Phaco+IOL)因切口小、恢复速度快等优点成为白内障目前主要的治疗方法。白内障超声乳化吸除术会损伤结膜、角膜等眼表组织,引起局部炎症反应,进而导致术后眼部干涩和不适感。根据研究,患者多在白内障超声乳化吸除术后24 h内出现干眼症状,并在接下来1 wk逐渐加重到达巅峰,严重影响患者的生活质量。文章旨在全面探讨术前患者身体状况及眼局部情况、术中操作及术后治疗对术后干眼的影响,以期为潜在白内障超声乳化术后的干眼患者制定科学有效的预防措施,并为术后干眼治疗提供理论依据。Phacoemulsification with intraocular lens implantation(Phaco+lOL)has become the main treatment for cataracts due to small incision and fast recovery.Phacoemulsification can damage the conjunctiva,cornea and other ocular surface tissues,causing local inflammation,which in turn leads to eye dryness and discomfort after surgery.According to studies,patients who suffer from phacoemulsification most experience dry eye syndrome within 24 h,which gradually worsens and reaches its peak in the following 1 wk,seriously affecting their quality of life.The review aims to comprehensively investigate the effects of preoperative patient physical conditions and local ocular status,intraoperative maneuvers and postoperative treatments on postoperative dry eye,with the expectation of formulating scientific and effective preventive measures for potential dry eye patients after phacoemulsification,and providing a theoretical basis for postoperative dry eye treatment.

关 键 词：白内障超声乳化术 干眼 全身情况 眼部疾病 术中风险因素 研究进展 

分 类 号：R779.66[医药卫生—眼科]