临床眼科杂志2016，Vol.24Issue(6)：503-506,4.DOI:10.3969/j.issn.1006-8422.2016.06.007
1.8mm同轴微切口白内障超声乳化吸除术对眼表和泪膜的影响
Changes in ocular surface and tear film following 1. 8 mm coaxial microincision phacoemulsification
摘要
Abstract
Objective To observe and compare the changes in ocular surface and tear film in patients after clear corneal incision phacoemulsification with 1.8 mm and 3.2 mm incisions. Methods A prospective randomized controlled study. 117 eyes of 85 patients with age-related cataract in our hospital were divided into two groups:59 eyes in the 1. 8 mm microincision group and 58 eyes in 3. 2 mm small incision group. All patients received phacoemulsification and intraocular lens implantation. OSDI (Ocular Surface Disease Index),Schirmer I test without anesthesia (SIT),tear film break-up time (t-BUT) were assessed preoperatively and postoperatively at 1,7,30 and 90 days.Results Postoperativet-BUTde-creased but STI improved in both 1. 8 mm microincision group and 3. 2 mm small incision group 1 day after the surgery. At the 7th day,t-BUT and STI decreased,but OSDI improved in both groups. The difference was statistically significant (P<0. 05). Compared with 3. 2 mm small incision,t-BUT was better at 1d and 7d,OSDI was lower at 7d,and STI was higher at 7d in 1.8mm microincision group.The differences were statistically significant (P<0.05). Conclusions Coaxial 1. 8 mm microincision phacoemulsification has less impacts on ocular surface and tear film when compared to tradition-al 3. 2 mm small incision.关键词
微切口/白内障超声乳化吸除术/泪膜/眼表Key words
Microincision/Phacoemulsification/Tear film/Ocular surface引用本文复制引用
惠娜,喻磊,王从毅,杨新光..1.8mm同轴微切口白内障超声乳化吸除术对眼表和泪膜的影响[J].临床眼科杂志,2016,24(6):503-506,4.基金项目
陕西省科学技术研究发展计划项目[2012K16-11(5)] （5）
