巩膜隧道切口和透明角膜切口对白内障超声乳化摘除术患者术后泪膜的影响

doi:10.6040/j.issn.1673-3770.0.2016.281

摘要/Abstract

摘要： 目的探究巩膜隧道切口和透明角膜切口对白内障超声乳化摘除术患者术后泪膜的影响。方法选取2014年2月至2015年10月接受白内障超声乳化摘除手术的白内障患者86例为研究对象,按手术切口不同分为实验组和对照组,每组43例。实验组患者采用透明角膜切口行白内障超声乳化摘除术,对照组患者采用巩膜隧道切口进行手术,分别于术后第1、7、15和30天观察两种切口白内障超声乳化摘除术对患者泪膜功能的影响。结果术后第1、7、15天,实验组患者的泪膜破裂时间均较术前缩短,且实验组患者的泪膜破裂时间显著短于对照组;术后第30天,两组患者的泪膜破裂时间均较术前明显延长,差异有统计学意义(P均<0.05);术后第1、7、15、30天,两组患者的泪液分泌量均较术前明显增多,且实验组患者的泪液分泌量明显多于对照组,差异均有统计学意义(P均<0.05)。结论与巩膜隧道切口行白内障超声乳化摘除术比较,透明角膜切口对患者术后泪膜功能的影响较小,是更值得在临床推广的白内障超声乳化摘除术的一种切口方式。

关键词: 泪膜, 透明角膜切口, 白内障超声乳化摘除术, 巩膜隧道切口

Abstract: Objective To investigate the impact of scleral tunnel incision and clear corneal incision phacoemulsification on tear film of patients with cataract. Methods Totally 86 patients with cataract who received phacoemulsification during February 2014-October 2015 were set enrolled and were divided into two groups according to the different operative insicion, 43 cases in each group. For experimental group, clear corneal incision was used. For control group, scleral tunnel incision was used., The effects of two kinds of phacoemulsification incision on the functions of tear film in each patient were observed 1, 7, 15 and 30 days after operation. Results The break-up time(BUT)in experimental group were obviously shortened compared with operation before, and experimental group were obviously shorter than those in the control group 1, 7 and 15 days after operation, 30 days after the operation, BUT of both groups were obviously longer compared with operation before, the differences were statistically significant(all P<0.05). The secretion levels in both groups were significantly improved compared with operation before, and the secretion level in experimental group were obviously higher than those of control group 1, 7, 15 and 30 days after operation, the differences were statistically significant(all P<0.05). Conclusion Impact on tear film after clear corneal incision phacoemulsification is significantly lower compared with scleral tunnel incision phacoemulsification. Therefore, clear corneal incision is more worthy of clinical pervasive application.

Key words: Scleral tunnel incision, Tear film, Phacoemulsification, Clear corneal incision

中图分类号:

R779.66

翁碧艳,柳灿. 巩膜隧道切口和透明角膜切口对白内障超声乳化摘除术患者术后泪膜的影响[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 80-83.

WENG Biyan, LIU Can. Impact of scleral tunnel incision and clear corneal incision on the tear film of patients with cataract after phacoemulsification.[J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(4): 80-83.

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