国际眼科杂志Issue(1)：80-83,4.DOI:10.3980/j.issn.1672-5123.2016.1.21
不同透明角膜切口白内障超声乳化术后眼表和泪膜的变化
Changes of the ocular surface and tear film after clear corneal incision phacoemulsification with different incision sizes
摘要
Abstract
AIM:To study the changes of tear fiIm and ocuIar surface after cIear corneaI incision phacoemuIsification with different incision sizes. METHODS:Ninety patients (90 eyes) from May 2013 to May 2014 in our hospitaI were enroIIed. The patients were randomIy divided into two groups. Forty-five patients (45 eyes) in group A: coaxiaI 2. 2mm micro - incision phacoemuIsification cataract extraction and intraocuIar Iens(IOL) impIantation; forty-five patients (45 eyes) in group B: the conventionaI coaxiaI 3. 0mm smaII incision phacoemuIsification cataract extraction and IOL impIantation. The dry eye symptom ( DES) score, break up time ( BUT ) , Schirmer’s I test ( SIt ) and corneaI fIuorescein staining ( CFS ) score were assessed preoperativeIy and postoperativeIy. RESULTS: At 10, 20 and 30d postoperativeIy, the DES score in two groups increased, the DES score of group B was significantIy higher than those of group A and the differences were statisticaIIy significant ( t= -9. 501,-10. 070,-7. 961; aII P<0. 05). The BUT in two groups decreased after operations, and the BUT of group B was significantIy Iower than those of group A, the differences were statisticaIIy significant (t=3. 110, 4. 477, 4. 331;aII P<0. 05). The SIt in two groups increased after operations, the SIt of group B was significantIy higher than those of group A and the differences were statisticaIIy significant ( t=-6. 288, -4. 012, -3. 277; aII P<0. 05). The CFS score in two groups increased after operations, the CFS score of group B was significantIy higher than those of group A and the differences were statisticaIIy significant (t=-11. 672,-5. 851, -4. 677; aII P<0. 05). At 90d postoperativeIy, compared with the preoperative data, the DES score, BUT, SIt and CFS score in group A showed no statisticaIIy significant differences (t=1. 290, 0. 606, 0. 559, 0. 178;P>0. 05). The DES score, BUT, SIt and CFS score in group B showed statisticaIIy significant differences ( t=7. 321, 4. 071, 3. 620, 4. 214;aII P<0. 05). CONCLUSION:OcuIar surface has Iess damage and tear fiIm has IittIe infIuence at earIy stage after the coaxiaI 2. 2mm micro incision phacoemuIsmcation, compared with the conventionaI coaxiaI 3. 0mm incision phacoemuIsification surgery.关键词
白内障超声乳化术/角膜切口大小/眼表/泪膜Key words
phacoemuIsification surgery/size of corneaI incision/ocuIar surface/tear fiIm引用本文复制引用
李科,林再雄,李雷..不同透明角膜切口白内障超声乳化术后眼表和泪膜的变化[J].国际眼科杂志,2016,(1):80-83,4.基金项目
海南省卫生厅科研项目(No.琼卫2012PT-28)@@@@Scientific Research Project of Hainan Public Health Department(No.2012PT-28) （No.琼卫2012PT-28）
