儿童过敏性结膜炎所致干眼症的临床观察

目的探讨儿童过敏性结膜炎所致的泪膜功能变化。方法取2010年4月～10月山西省眼科医院门诊诊断为过敏性结膜炎的患儿32例（64只眼）为观察组,取年龄与之匹配的正常儿童32例（64只眼）为对照组,分别进行裂隙灯检查、泪膜破裂时间（break-up time,BUT）检查、泪液分泌试验（Schirmer I test,SIt）、角膜荧光素染色试验（fluorescein,FL）。结果过敏性结膜炎患儿的泪膜功能有不同程度的异常,SIt、BUT、FL与对照组相比均有统计学差异（P〈0.05）。左右眼SIt、BUT、FL检查明显相关,观察组患儿SIt与BUT、FL检查不具有相关性,BUT与FL检查具有相关性。结论儿童过敏性结膜炎会使泪膜稳定性降低,导致干眼症的发生。儿童过敏性结膜炎往往双眼起病,且泪膜功能改变与疾病的严重程度有关。

The clinical observations of the dry eye caused by allergic conjunctivitis in children

Object To investigate the change of the function of the tear film caused by allergic conjunctivitis in children.Method 32 children patients(64 eyes) who were diagnosed allergic conjunctivitis in children by the outpatient clinic of Eye Hospital of ShanXi from April 2010 to Oct 2010 were studied.The control group consisted of 32 normal children(64 eyes) with no significant different in age.Slit-lamp examinations,break-up time(BUT),Schirmer I test(SIt),fluorescein(FL) were performed on these two groups.Result...