山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (5): 1-2.

• 山东省第七届视光学学术研讨会专栏 •    下一篇

不同厚度角膜瓣对准分子激光原位角膜磨镶术后干眼症的影响

朱伟1,牟国营2   

  1. 1.山东大学附属济南市中心医院眼科, 济南 250013;
    2.山东大学附属省立医院眼科, 济南 250021
  • 收稿日期:2012-07-20 发布日期:2012-10-16
  • 通讯作者: 牟国营,主任医师。 E-mail:mgyeyes@163.com
  • 作者简介:朱伟,主治医师。 E-mail:zxyzhuwei@163.com

Effect of different depth of corneal flap on dry eye syndrome after corneal refractive operation

ZHU Wei1,  MU Guo-ying2   

  1. 1. Department of Ophthalmology, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, China; 2. Department of Ophthalmology, Provincial Hospital  Affiliated to Shandong University, Jinan 250021, China
  • Received:2012-07-20 Published:2012-10-16

摘要:

目的    探讨准分子激光原位角膜磨镶术(LASIK)后干眼症的发生情况。方法    将80例(160眼)行LASIK手术的近视患者分为常规瓣组和薄瓣组,分别于术后1周、1个月、3个月、6个月观察患者角膜荧光素染色情况、泪膜破裂时间(BUT)和泪液分泌试验的变化。结果    术后各个时间点两组角膜荧光染色结果无统计学差异(P>0.05),术后3个月BUT有统计学差异(P<0.05),术后1个月、3个月泪液分泌试验结果有统计学差异(P<0.05)。结论    干眼症是角膜屈光手术的常见并发症。角膜瓣的厚度不同,患者干眼症的发生情况也有差异。

关键词: 干眼症;准分子激光原位角膜磨镶术;泪膜;角膜

Abstract:

Objective    To explore the dry eye condition after laser in situ keratomileusis (LASIK). Methods    80 patients (160 eyes) who underwent bilateral LASIK for the correction of myopia were divided into routine valva group and thin valva group. Fluorescein stainings, tear breakup time(BUT) and Schirmer I test value were recorded 1 week, 1 month,3 months and 6 months after operation. Results    There were no obvious differences in fluorescein staining at different times between the two groups (P>0.05). There were statistical differences in BUT in the third month and in Schirmer I test in the first and third months (P<0.05). Conclusion    Dry eye syndrome is a common complication of corneal refractive surgery. The occurrence of dry eyes is related with the thickness of the corneal flap.

Key words: Dry eye syndromes; Laser in situ keratomileusis;Tear film; Cornea

中图分类号: 

  • R778
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