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| 白内障超声乳化摘除术对睑板腺功能的影响 | |
| 引用本文： | 王彬颖,赵勇,王雁,高云仙.白内障超声乳化摘除术对睑板腺功能的影响[J].国际眼科杂志,2018,18(3):532-534. |
| 作者姓名： | 王彬颖 赵勇 王雁 高云仙 |
| 作者单位： | 中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学,中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学第四附属医院眼科,中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学第四附属医院眼科,中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学第四附属医院眼科 |
| 基金项目： | 新疆维吾尔自治区自然科学基金(No.2016D01C129) |
| 摘 要： | 目的：评估白内障超声乳化摘除手术对睑板腺功能的影响，并探讨其对眼表的潜在影响。 方法：采取前瞻性自身对照研究。选取患有年龄相关性白内障的睑板腺功能障碍患者56例56眼，分别于术前1d，术后2wk，1、3mo进行眼表疾病指数(ocular surface disease index，OSDI)问卷评分、睑板腺积分、睑缘形态评分、基础泪液分泌试验(SⅠt)、泪膜破裂时间(BUT)的评估。 结果：手术前后，SⅠt试验差异无统计学意义(P>0.05)； 而OSDI评分、睑板腺积分、睑缘形态评分、BUT均较术前有明显变化，差异均有统计学意义(P<0.05)。术后2wk，1、3mo OSDI评分、睑板腺积分、睑缘形态评分均较术前1d明显升高，差异均有统计学意义(P<0.05)； 术后2wk，1、3mo BUT均较术前1d明显缩短，差异均有统计学意义(P<0.05)。 结论：白内障手术可能加重睑板腺功能障碍。 |
| 关 键 词： | 白内障超声乳化手术 睑板腺功能障碍 眼表 |
| 收稿时间： | 2017/9/7 0:00:00 |
| 修稿时间： | 2018/2/1 0:00:00 |
Evaluation of meibomian gland dysfunction after phacoemulsification surgery |
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| Bin-Ying Wang,Yong Zhao,Yan Wang and Yun-Xian Gao.Evaluation of meibomian gland dysfunction after phacoemulsification surgery[J].International Journal of Ophthalmology,2018,18(3):532-534. | |
| Authors: | Bin-Ying Wang Yong Zhao Yan Wang and Yun-Xian Gao |
| Institution: | Xinjiang Medical University, Urumchi 830000, Xinjiang Uygur Autonomous Region, China,Department of Ophthalmology, Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China.,Department of Ophthalmology, Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China. and Department of Ophthalmology, Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China. |
| Abstract: | AIM: To evaluate meibomian gland dysfunction(MGD)after phacoemulsification surgery, and to discuss the potential impact of ocular surface. METHODS: A perspective, self-controlled clinical trial was conducted. Fifty-six eyes of 56 patients with MGD underwent phacoemulsification and were evaluated the ocular surface disease index(OSDI), meibography score, lid margin abnormalities, Schirmer test, tear film break-up time(BUT)at preoperatively and postoperatively 2wk, 1 and 3mo. RESULTS: Schirmer test did not change significantly postoperatively(P>0.05). The OSDI scores, meibography score, lid margin abnormalities increased at 2wk, 1 and 3mo postoperatively compared to before operation(all P<0.05); BUT decreased(P<0.05). CONCLUSION: Meibomian gland function may be aggravated after phacoemulsification surgery. |
| Keywords: | phacoemulsification meibomian gland dysfunction ocular surface |
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