白内障术后角膜上皮功能障碍治疗的疗效分析

doi:10.6040/j.issn.1673-3770.0.2015.366

摘要/Abstract

摘要： 目的观察自体血清联合不含防腐剂的人工泪液治疗白内障术后角膜上皮功能障碍的临床疗效。方法选取29例表面麻醉下行白内障超声乳化联合人工晶体植入术后发生角膜上皮功能障碍患者为研究对象,采取自体血清联合不含防腐剂的人工泪液点眼综合治疗。观察患者临床表现,采用裂隙灯检查及角膜荧光染色观察结膜充血、角膜上皮修复、上皮水肿消退及荧光素染色情况,并比较治疗前后视功能恢复情况。结果治疗后1~2周,29例患者眼痛、眼部异物感、畏光流泪等眼部刺激症状逐渐减轻、消失。裂隙灯检查显示,结膜充血逐渐减轻,角膜上皮愈合,愈合时间为(12.60±3.91)d。29例患者视力均有不同程度提高。结论自体血清联合不含防腐剂的人工泪液治疗可促进白内障术后角膜上皮功能障碍患者角膜上皮愈合,改善视功能。

关键词: 白内障, 角膜上皮功能障碍, 自体血清

Abstract: Objective To observe the clinical efficacy of autologous serum combined with artificial tears without preservative in the treatment of corneal epithelial dysfunction after cataract surgery. Methods Twenty-nine patients with corneal epithelial dysfunction after phacoemulsification combined with intraocular lens implantation under topical anesthesia were selected as research objects, and treated with autologous serum combined with artificial tears without preservative. The clinical manifestations of patients were observed. Slit-lamp examination and fluorescein vital staining were used to observe the conditions of conjunctival congestion, corneal epithelial repair, recession of epithelial edema and fluorescein staining, and visual function repair was compared before and after treatment. Results About 1 to 2 weeks after treatment, eye irritation symptoms of 29 patients, including ophthalmodynia, foreign body sensation in the eye and photophoby, gradually alleviated and disappeared. Slit-lamp examination revealed that conjunctival congestion improved gradually; Corneal epithelium healed, and the mean healing time was(12.60±3.91)d. Vision improved in varying degree in all cases. Conclusion Autologous serum combined with artificial tears without preservative can promote corneal epithelial healing of patients with corneal epithelial dysfunction after cataract surgery and improve the visual function.

Key words: Cataract, Corneal epithelial dysfunction, Autologous serum

中图分类号:

R772.2

林莉,杨旭. 白内障术后角膜上皮功能障碍治疗的疗效分析[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 84-86.

LIN Li, YANG Xu. Analysis on efficacy of treatment of corneal epithelial dysfunction after cataract surgery.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 84-86.

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