山东大学耳鼻喉眼学报 ›› 2022, Vol. 36 ›› Issue (6): 19-25.doi: 10.6040/j.issn.1673-3770.0.2022.157

• 研究进展 • 上一篇    

泪膜稳定性对超声乳化术后视觉质量影响的研究进展

李彦松,朱玉广   

  1. 临床医学院)眼科中心, 山东 潍坊 261053
  • 发布日期:2022-12-07
  • 通讯作者: 朱玉广. E-mail:zhuyg@wfmc.edu.cn
  • 基金资助:
    山东省医药卫生科技发展计划项目(2018WS056);潍坊市科技发展计划项目(2020YX044)

Research progress on the effects of tear film stability on visual quality after phacoemulsification

LI YansongOverview,ZHU YuguangGuidance   

  1. Eye Center, Affiliated Hospital of Weifang Medical University (School of Clinical Medicine), Weifang 261053, Shandong, China
  • Published:2022-12-07

摘要: 干眼(DED)的发病率逐年升高,已成为最常见的眼部疾病之一。DED患者伴有泪膜稳定性差,影响患者的视觉质量。随着我国社会的老龄化,白内障发病率增加,超声乳化吸除术(PHACO)是目前治疗白内障的主要术式,而PHACO会导致泪膜稳定性下降。泪膜的不稳定性与DED的发病密切相关,重视白内障围手术期眼表问题对于改善患者术后DED症状、提高术后视觉质量及患者满意度均具有重要的作用。论文对泪膜对PHACO后视觉质量影响的研究进展进行了综述。

关键词: 超声乳化术, 干眼, 泪膜, 视觉效果, 屈光误差

Abstract: The incidence of dry eye disease(DED)is increasing year by year and has become one of the most common eye diseases. DED causes irregularity of the ocular surface and reduces the tear film stability with effects on the visual function and quality of life. With the aging of society, the incidence of cataracts has increased, phacoemulsification(PHACO)is one of the most successful interventions currently being undertaken in the field of medicine in the worldwide, PHACO affects the tear film stability and reduces the visual quality. Tear film instability has been associated closely with DED. During the perioperative period of cataract surgery, ocular surface diseases plays an important role in the treatment of DED, improvement of visual quality, and increase of patients's atisfaction. In the article, we review advances in the tear film effects on visual quality after PHACO.

Key words: Phacoemulsification, Dry eye disease, Tear film, Visual function, Refractive error

中图分类号: 

  • R776.1
[1] Naderi K, Gormley J, O'Brart D. Cataract surgery and dry eye disease: a review[J]. Eur J Ophthalmol, 2020, 30(5): 840-855. doi:10.1177/1120672120929958.
[2] 唐颖, 田甜, 葛红岩. 干眼症发病机制与发病因素的研究进展[J]. 医学综述, 2019, 25(11): 2196-2201. doi:10.3969/j.issn.1006-2084.2019.11.022. TANG Ying, TIAN Tian, GE Hongyan. Research development of pathogenesis and influence factors in xerophthalmia[J]. Medical Recapitulate, 2019, 25(11): 2196-2201. doi:10.3969/j.issn.1006-2084.2019.11.022.
[3] Pflugfelder SC, Stern ME. Biological functions of tear film[J]. Exp Eye Res, 2020, 197: 108115. doi:10.1016/j.exer.2020.108115.
[4] Montés-Micó R. Role of the tear film in the optical quality of the human eye[J]. J Cataract Refract Surg, 2007, 33(9): 1631-1635. doi:10.1016/j.jcrs.2007.06.019.
[5] Montés-Micó R, Alió JL, Muñoz G, et al. Postblink changes in total and corneal ocular aberrations[J]. Ophthalmology, 2004, 111(4): 758-767. doi:10.1016/j.ophtha.2003.06.027.
[6] Herbaut A, Liang H, Denoyer A, et al. Tear film analysis and evaluation of optical quality: a review of the literature[J]. J Fr Ophtalmol, 2019, 42(2): e21-e35. doi:10.1016/j.jfo.2018.12.001.
[7] Tutt R, Bradley A, Begley C, et al. Optical and visual impact of tear break-up in human eyes[J]. Invest Ophthalmol Vis Sci, 2000, 41(13): 4117-4123. doi: 10.1097/00004397-200040010-00021.
[8] Guo OD LW, Akpek E. The negative effects of dry eye disease on quality of life and visual function[J]. Turk J Med Sci, 2020, 50(SI-2): 1611-1615. doi:10.3906/sag-2002-143. doi: 10.3906/sag-2002-143.
[9] Karakus S, Mathews PM, Agrawal D, et al. Impact of dry eye on prolonged reading[J]. Optom Vis Sci, 2018, 95(12): 1105-1113. doi:10.1097/OPX.0000000000001303.
[10] Koh S. Irregular astigmatism and higher-order aberrations in eyes with dry eye disease[J]. Invest Ophthalmol Vis Sci, 2018, 59(14): DES36-DES40. doi:10.1167/iovs.17-23500.
[11] Szczotka-Flynn LB, Maguire MG, Ying GS, et al. Impact of dry eye on visual acuity and contrast sensitivity: dry eye assessment and management study[J]. Optom Vis Sci, 2019, 96(6): 387-396. doi:10.1097/OPX.0000000000001387.
[12] Koh S, Maeda N, Kuroda T, et al. Effect of tear film break-up on higher-order aberrations measured with wavefront sensor[J]. Am J Ophthalmol, 2002, 134(1): 115-117. doi:10.1016/s0002-9394(02)01430-7.
[13] 苏远东, 梁庆丰, 王宁利, 等. 泪膜客观散射指数对干眼诊断价值的研究[J]. 中华眼科杂志, 2017, 53(9): 668-674. doi:10.3760/cma.j.issn.0412-4081.2017.09.007. SU Yuandong, LIANG Qingfeng, WANG Ningli, et al. A study on the diagnostic value of tear film objective scatter index in dry eye[J]. Chinese Journal of Ophthalmology, 2017, 53(9): 668-674. doi:10.3760/cma.j.issn.0412-4081.2017.09.007.
[14] Xi L, Qin J, Bao Y. Assessment of tear film optical quality in a young short tear break-up time dry eye: case-control study[J]. Medicine(Baltimore), 2019, 98(40): e17255. doi:10.1097/MD.0000000000017255.
[15] D'Souza S, Annavajjhala S, Thakur P, et al. Study of tear film optics and its impact on quality of vision[J]. Indian J Ophthalmol, 2020, 68(12): 2899-2902. doi:10.4103/ijo.IJO_2629_20.
[16] Koh S, Maeda N, Kuroda T, et al. Effect of tear film break-up on higher-order aberrations measured with wavefront sensor[J]. Am J Ophthalmol, 2002, 134(1): 115-117. doi:10.1016/s0002-9394(02)01430-7.
[17] 郑晓红, 赵少贞. 泪膜动态改变对视觉质量的影响[J]. 国际眼科纵览, 2017, 41(4): 245-250. doi:10.3760/cma.j.issn.1673-5803.2017.04.006. ZHENG Xiaohong, ZHAO Shaozhen. Impact of tear film dynamic changes on the visual quality[J]. International Review of Ophthalmology, 2017, 41(4): 245-250. doi:10.3760/cma.j.issn.1673-5803.2017.04.006.
[18] Montés-Micó R, Cerviño A, Ferrer-Blasco T, et al. The tear film and the optical quality of the eye[J]. Ocul Surf, 2010, 8(4): 185-192. doi:10.1016/s1542-0124(12)70233-1.
[19] Gao Y, Liu R, Liu Y, et al. Optical quality in patients with dry eye before and after treatment[J]. Clin Exp Optom, 2021, 104(1): 101-106. doi:10.1111/cxo.13111.
[20] Khoramnia R, Auffarth G, Łabuz G, et al. Refractive outcomes after cataract surgery[J]. Diagnostics, 2022, 12(2): 243. doi:10.3390/diagnostics12020243.
[21] Sachdev GS, Sachdev M. Optimizing outcomes with multifocal intraocular lenses[J]. Indian J Ophthalmol, 2017, 65(12): 1294-1300. doi:10.4103/ijo.IJO_1072_17.
[22] 唐唯, 李元彬. 屈光性白内障手术新进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(2): 149-158. doi: 10.6040/j.issn.1673-3770.0.2018.325. TANG Wei, LI Yuanbin. New progress in refractive cataract surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 149-158. doi: 10.6040/j.issn.1673-3770.0.2018.325.
[23] Koh S, Maeda N, Ogawa M, et al. Fourier analysis of corneal irregular astigmatism due to the anterior corneal surface in dry eye[J]. Eye Contact Lens, 2019, 45(3): 188-194. doi:10.1097/ICL.0000000000000559.
[24] Hiraoka T, Asano H, Ogami T, et al. Influence of dry eye disease on the measurement repeatability of corneal curvature radius and axial length in patients with cataract[J]. J Clin Med, 2022, 11(3): 710. doi:10.3390/jcm11030710.
[25] 毕宏生. 精准屈光性白内障手术规划[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 1-4. doi: 10.6040/j.issn.1673-3770.1.2017.026. BI Hongsheng. Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 1-4. doi:10.6040/j.issn.1673-3770.1.2017.026.
[26] Potvin R, Makari S, Rapuano CJ. Tear film osmolarity and dry eye disease: a review of the literature[J]. Clin Ophthalmol, 2015, 9: 2039-2047. doi:10.2147/OPTH.S95242.
[27] Epitropoulos AT, Matossian C, Berdy GJ, et al. Effect of tear osmolarity on repeatability of keratometry for cataract surgery planning[J]. J Cataract Refract Surg, 2015, 41(8): 1672-1677. doi:10.1016/j.jcrs.2015.01.016.
[28] Röggla V, Leydolt C, Schartmüller D, et al. Influence of artificial tears on keratometric measurements in cataract patients[J]. Am J Ophthalmol, 2021, 221: 1-8. doi:10.1016/j.ajo.2020.08.024.
[29] 洪莲花, 李英俊. 干眼对年龄相关性白内障患者人工晶状体度数测量和计算准确性的影响[J]. 中华实验眼科杂志, 2016, 34(2): 170-174. doi:10.3760/cma.j.issn.2095-0160.2016.02.016. HONG Lianhua, LI Yingjun. Pilot study on dry eye affecting the accuracy of intraocular lens power measurement in age-related cataract[J]. Chinese Journal of Experimental Ophthalmology, 2016, 34(2): 170-174. doi:10.3760/cma.j.issn.2095-0160.2016.02.016.
[30] Kim J, Kim MK, Ha Y, et al. Improved accuracy of intraocular lens power calculation by preoperative management of dry eye disease[J]. BMC Ophthalmol, 2021, 21: 364. doi:10.1186/s12886-021-02129-5.
[31] Hovanesian J, Epitropoulos A, Donnenfeld ED, et al. The effect of lifitegrast on refractive accuracy and symptoms in dry eye patients undergoing cataract surgery[J]. Clin Ophthalmol, 2020, 14: 2709-2716. doi:10.2147/OPTH.S264520.
[32] Hovanesian JA, Berdy GJ, Epitropoulos A, et al. Effect of cyclosporine 0.09% treatment on accuracy of preoperative biometry and higher order aberrations in dry eye patients undergoing cataract surgery[J]. Clin Ophthalmol, 2021, 15: 3679-3686. doi:10.2147/OPTH.S325659.
[33] 魏佩佩, 李灿. 多焦点人工晶体植入术后的视觉质量及并发症[J]. 山东大学耳鼻喉眼学报, 2021, 35(2):141-146. doi:10.6040/j.issn.1673-3770.0.2020.164. WEI Peipei, LI Can. Visual quality and complications after implantation of multifocal intraocular lens[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 141-146. doi:10.6040/j.issn.1673-3770.0.2020.164.
[34] Cung LX, Nga NTT, Nga DM, et al. Cataract surgery destabilises temporary the tear film of the ocular surface[J]. Klin Monbl Augenheilkd, 2021, 238(3): 282-287. doi:10.1055/a-1179-0373.
[35] Kato K, Miyake K, Hirano K, et al. Management of postoperative inflammation and dry eye after cataract surgery[J]. Cornea, 2019, 38(1): 25-33. doi:10.1097/ICO.0000000000002125.
[36] Garg P, Gupta A, Tandon N, et al. Dry eye disease after cataract surgery: study of its determinants and risk factors[J]. Turk J Ophthalmol, 2020, 50(3): 133-142. doi:10.4274/tjo.galenos.2019.45538.
[37] 姚克, 闫晨曦. 重视白内障围手术期干眼的防治管理[J]. 中华眼科杂志, 2020, 56(6): 409-413. doi:10.3760/cma.j.cn112142-20200130-00043. YAO Ke, YAN Chenxi. Emphasizing the prevention and management of dry eye during the perioperative period of cataract surgery[J]. Chinese Journal of Ophthalmology, 2020, 56(6): 409-413. doi:10.3760/cma.j.cn112142-20200130-00043.
[38] Labetoulle M, Rousseau A, Baudouin C. Management of dry eye disease to optimize cataract surgery outcomes: two tables for a daily clinical practice[J]. J Fr Ophtalmol, 2019, 42(8): 907-912. doi:10.1016/j.jfo.2019.03.032.
[39] Shimabukuro M, Maeda N, Koh S, et al. Effects of cataract surgery on symptoms and findings of dry eye in subjects with and without preexisting dry eye[J]. Jpn J Ophthalmol, 2020, 64(4): 429-436. doi:10.1007/s10384-020-00744-1.
[40] 中华医学会眼科学分会白内障及人工晶状体学组. 中国白内障围手术期干眼防治专家共识(2021年)[J]. 中华眼科杂志, 2021, 57(1): 17-22. doi:10.3760/cma.j.cn112142-20201013-00680.
[41] Oh T, Jung Y, Chang DJ, et al. Changes in the tear film and ocular surface after cataract surgery[J]. Jpn J Ophthalmol, 2012, 56(2): 113-118. doi:10.1007/s10384-012-0117-8.
[42] Igarashi T, Takahashi H, Kobayashi M, et al. Changes in tear osmolarity after cataract surgery[J]. J Nippon Med Sch, 2021, 88(3): 204-208. doi:10.1272/jnms.JNMS.2021_88-405.
[43] 杨军, 魏瑞华, 田芳. 白内障术后干眼的机制研究进展[J]. 天津医药, 2021, 49(9): 1000-1004. doi:10.11958/20211080. YANG Jun, WEI Ruihua, TIAN Fang. Research progress on the mechanism of dry eye after cataract surgery[J]. Tianjin Medical Journal, 2021, 49(9): 1000-1004. doi:10.11958/20211080.
[44] Lu Q, Lu Y, Zhu X. Dry eye and phacoemulsification cataract surgery: a systematic review and meta-analysis[J]. Front Med(Lausanne), 2021, 8: 649030. doi:10.3389/fmed.2021.649030.
[45] 朱天文, 黎海平. 白内障超声乳化术后干眼的研究进展[J]. 现代中西医结合杂志, 2016, 25(3): 336-339. doi:10.3969/j.issn.1008-8849.2016.03.043.
[46] 林震琳, 胡艳红. 白内障超声乳化术后视觉质量的影响因素[J]. 国际眼科杂志, 2017, 17(12): 2252-2255. doi: 10.3980/j.issn.1672-5123.2017.12.15. LIN Zhenlin, HU Yanhong. Influence factors of visual quality after phacoemulsification for cataract[J]. International Eye Science, 2017, 17(12): 2252-2255. doi: 10.3980/j.issn.1672-5123.2017.12.15.
[47] 邱煜焱, 康刚劲, 徐曼华, 等. 白内障超声乳化术后泪膜变化与视觉质量相关性研究[J]. 眼科新进展, 2020, 40(2): 148-152. doi:10.13389/j.cnki.rao.2020.0035. QIU Yuyan, KANG Gangjin, XU Manhua, et al. Correlation between tear film changes and visual quality after phacoemulsification[J]. Recent Advances in Ophthalmology, 2020, 40(2): 148-152. doi:10.13389/j.cnki.rao.2020.0035.
[48] 邱煜焱, 康刚劲, 李茂娇, 等. 白内障超声乳化术后泪膜变化与视觉质量相关性的早期研究[J]. 西南医科大学学报, 2018, 41(3): 246-250. doi: 10.3969/j.issn.2096-3351.2018.03.013. QIU Yuyan, KANG Gangjin, LI Maojiao, et al. An early study of the association between the change in tear film and visual quality after cataract phacoemulsification[J]. Journal of Southwest Medical University, 2018, 41(3): 246-250. doi: 10.3969/j.issn.2096-3351.2018.03.013.
[49] Inoue Y, Ochi S. Effects of 3% diquafosol sodium ophthalmic solution on higher-order aberrations in patients diagnosed with dry eye after cataract surgery[J]. Clin Ophthalmol, 2017, 11: 87-93. doi:10.2147/OPTH.S122542.
[50] Park DH, Chung JK, Seo DR, et al. Clinical effects and safety of 3% diquafosol ophthalmic solution for patients with dry eye after cataract surgery: a randomized controlled trial[J]. Am J Ophthalmol, 2016, 163: 122-131.e2. doi:10.1016/j.ajo.2015.12.002.
[51] Lee JH, Song IS, Kim KL, et al. Effectiveness and optical quality of topical 3.0% diquafosol versus 0.05% cyclosporine a in dry eye patients following cataract surgery[J]. J Ophthalmol, 2016: 8150757. doi:10.1155/2016/8150757.
[52] 霍伊明. 术前应用人工泪液对合并轻度干眼的白内障患者术后泪膜和视觉质量的影响[D]. 石家庄: 河北医科大学, 2021.
[53] Szakáts I, Sebestyén M, Tóth É, et al. Dry eye symptoms, patient-reported visual functioning, and health anxiety influencing patient satisfaction after cataract surgery[J]. Curr Eye Res, 2017, 42(6): 832-836. doi:10.1080/02713683.2016.1262429.
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