94例门诊干眼症诊治的临床观察

目的观察干眼症药物治疗方案的疗效。方法回顾研究我院门诊诊治的94例干眼症患者的临床与诊治资料。依据泪膜破裂时间（BUT）、泪液分泌试验（Schirmer试验）、泪河高度、睑板腺功能检查（MGD评分）等方法确诊干眼症并进行临床分型,给予相应治疗。结果 94例干眼症患者中18例为水液缺乏型干眼（ATD）、47例为脂质缺乏型干眼（LTD）、29例为其他类型。针对性给药治疗后临床症状与各项试验结果均有明显改善。结论临床症状及Schirmer试验、BUT、泪河高度、MGD评分可快速确诊干眼症并明确分型,根据干眼症分型,给予相应治疗可明显改善症状,避免盲目用药,重复用药,减少药物的副作用。

Clinical Observation of 94 Cases Xerophthalmia Diagnosis and Treatment in Outpatient

Objective To observe the curative effect of xerophthalmia medicine cure plan.Methods An retrospective research on clinical and diagnosis and treatment materials of 94 cases xerophthalmia patients in outpatient in our hospital;To diagnose and classify xerophthalmia according to breaking-up time（BUT）,Schirmer test,tear height,Meibomain gland dysfunction（MGD） evaluation giving relevant treatment.Results There are 18 cases of these patients are aqueous tear-deficiency（ATD） state;47 of them are lipid tear deficiency（LTD）;29 of them are other types.Their clinical symptom and test results improve obviously after medicine treatment.Conclusions Xerophthalmia can be diagnose and classify clearly by clinical symptom,Schirmer test,BUT,tear height,MGD evaluation.According to the classification of xerophthalmia,we give them relevant treatment to improve their symptom,avoiding blind and repetition medication for reducing side-effect of medicine.