Effect of different suture conjunctiva flap on early tear film function after trabeculectomy

中国实用眼科杂志 Pub Date : 2017-11-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.11.008

Peijian Miao, Xueling Zhang, Xiaoya Chen, J. Cui, Su-mei Li

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Abstract

Objective To observe the roles of exposed and embeded threads in the head of sutures conjunctiva flap on early tear film function after trabeculectomy. Methods A 100 glaucoma patients (136 eyes) with fornix based conjunctival flap in trabecula resection at Eye Institute of Xuzhou from December 2012 to October 2014 were randomly divided into two groups. Group A: 50 cases (67 eyes) of conjunctival suture thread exposed; group B: 50 cases (69 eyes) of conjunctival suture implanting head bag. The symptoms and signs of dry eye disease, tear break-up time (BUT), Schirmer I test and corneal fluorescein staining of tear film function were analyzed. Results Between the two groups, in foreign body sensation at 1 day and 1 week, dryness at 1 day and 1 month and photophobia at 1 day, 1 week and 2 weeks after surgery, the differences were statistically significant (P 0.05). Between the two groups, BUT after surgery showed no significant difference (P >0.05), While in schirmer I after surgery and corneal fluorescein staining, the differences were statistically significant (P <0.05). Conclusions There are differences on early tear function at the fornix based conjunctival flap by exposed thread and implanting head of suture methods. Effects of the embedding suture method on early tear film function is relatively small. Key words: Adjustable suture; Trabeculectomy; Suture; Tear film

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不同缝合结膜瓣对小梁切除术后早期泪膜功能的影响

目的观察缝合结膜瓣头部外露线和内埋线对小梁切除术后早期泪膜功能的影响。方法选取2012年12月至2014年10月在徐州市眼科研究所行穹窿型结膜瓣小梁切除术的青光眼患者100例(136只眼)，随机分为两组。A组:结膜缝线外露50例(67眼);B组:结膜缝合植入头袋50例(69眼)。分析干眼病的症状体征、泪液破裂时间(BUT)、Schirmer I试验及泪膜功能荧光素染色。结果两组患者术后1天、1周异物感、术后1天、1月干涩、术后1天、1周、2周畏光，差异均有统计学意义(P < 0.05)。两组术后BUT差异无统计学意义(P >0.05)，术后schirmer I、角膜荧光素染色差异有统计学意义(P <0.05)。结论暴露线缝合与植入头缝合对穹窿结膜瓣早期撕裂功能的影响存在差异。埋线方法对早期泪膜功能的影响相对较小。关键词:可调缝线;小梁切除术;缝合;眼泪的电影

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中国实用眼科杂志

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9101

期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.