绷带隐形眼镜联合人工泪液治疗上睑下垂矫正术后角膜上皮损伤的临床观察

中华医学美学美容杂志 Pub Date : 2019-06-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.03.003

Wang Jingxian, Yang Yuan, Liu Wenying

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引用次数: 0

摘要

目的探讨带式隐形眼镜联合人工泪液治疗上睑下垂患者角膜上皮损伤的疗效。方法2013年5月至2018年5月，本随机对照试验纳入35例（56眼）患者，随机分为观察组（绷带隐形眼镜与人工泪液联合使用）和对照组（红霉素眼膏与人工泪剂联合使用），随访3个月。记录角膜伤口愈合、角膜荧光染色（FL）、Schirmer试验（Slt）、破裂时间（BUT）和眼痛的严重程度，并用统计学方法进行比较。结果观察组FL评分降低（t=-3.211，P＜0.05；眼痛评分t=-1.800，P＞0.05；角膜创伤愈合率χ2=1.018，P＞0.01；BUT评分t=1.661，P＜0.01），以减轻眼部症状并促进角膜伤口愈合。关键词：眼睑下垂；角膜损伤；Ptosis；角膜上皮损伤；隐形眼镜

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Clinical effect of combined bandage contact lenses and artificial tears on corneal epithelial injury due to correction of blepharoptosis

Objective To explore the effect of the combination of bandage contact lenses and artificial tears on corneal epithelial injury, due to correction of blepharoptosis in patients. Methods Thirty-five patients (56 eyes) were included in this randomized controlled trial during May 2013 to May 2018, and randomly divided into observation group (combination of bandage contact lenses and artificial tears) and control group (combination of erythromycin eye ointment and artificial tears), and followed up for 3 months. The corneal wound healing, corneal fluorescent staining (FL), Schirmer test (Slt), break-up time (BUT) and the severity of eye pain were documented and compared by statistical method. Results The scores of FL in the observation group were reduced (t=-3.211, P 0.05; the scores of eye pain, t=-1.800, P>0.05; the corneal wound healing, χ2=1.018, P>0.05; the BUT score, t=1.661, P>0.05). Conclusions The combination of bandage contact lenses and artificial tears is recommended for the early use after correction of blepharoptosis, to alleviate eye symptoms and promote corneal wound healing. Key words: Blepharoptosis; Corneal injuries; Ptosis; Corneal epithelial injury; Contact lens

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来源期刊

中华医学美学美容杂志

自引率

0.00%

发文量

4641

期刊介绍： "Chinese Journal of Medical Aesthetics and Cosmetology" is a high-end academic journal focusing on the basic theoretical research and clinical application of medical aesthetics and cosmetology. In March 2002, it was included in the statistical source journals of Chinese scientific and technological papers of the Ministry of Science and Technology, and has been included in the full-text retrieval system of "China Journal Network", "Chinese Academic Journals (CD-ROM Edition)" and "China Academic Journals Comprehensive Evaluation Database". Publishes research and applications in cosmetic surgery, cosmetic dermatology, cosmetic dentistry, cosmetic internal medicine, physical cosmetology, drug cosmetology, traditional Chinese medicine cosmetology and beauty care. Columns include: clinical treatises, experimental research, medical aesthetics, experience summaries, case reports, technological innovations, reviews, lectures, etc.