斜视手术中角膜保护眼表的临床意义

中国实用眼科杂志 Pub Date : 2017-07-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.07.010

M. Pan, Mei Yang, Ren-yi Xie, Huan He, Haiyan Wang

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引用次数: 0

摘要

目的探讨斜视手术中角膜保护对眼表的影响及其临床意义。方法选取7 ~ 45岁斜视患者，根据角膜保护程度的不同分为3组。在不同时间点测量首次无创撕裂膜破裂时间、平均无创撕裂膜破裂时间、撕裂半月板高度，并评价角膜荧光素染色。术后第1天观察畏光症状。最后对所有数据进行统计分析。结果泪膜破裂时间不受手术影响。与其他两组相比，B组畏光症状发生率及角膜荧光素染色阳性发生率较低，B组术后1天撕裂半月板高度无明显升高，术后1周撕裂半月板高度下降至术前水平。结论斜视手术中应用2%羟丙基甲基纤维素保护角膜可使患者术后更舒适。在手术中这样做既简单又有意义。关键词:角膜保护;斜视手术;角膜荧光素染色;畏光

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The clinical significance of corneal protection to the ocular surface in strabismus surgery

Objective To study the influence of corneal protection on the ocular surface and its clinical significance in strabismus surgery. Methods Strabismus patients aged from 7 to 45 years old were collected and divided into 3 groups according to the difference of corneal protection. At different time points, the first noninvasive tear film break-up time, average noninvasive tear film break-up time, and tear meniscus height were measured and the cornea fluorescein staining was evaluated. On the first day after surgery, the symptom of photophobia was observed. Finally, all the data were analyzed by statistics. Results The tear film break-up time wasn’t influenced by the surgery. Against other two groups,the occurrence rate of the symptom of photophobia and the positive cornea fluorescein staining were lower in the group B. The tear meniscus height of the group B increased little at 1 day after surgery and decreased to the preoperative level at one week after surgery. Conclusions Protecting the cornea in strabismus surgery by the 2% hydroxypropyl methycellulose can make patients more comfortable after operation.It’s simple and meaningful to do this during the surgery. Key words: Corneal protection; Strabismus surgery; The cornea fluorescein staining; Photophobia

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来源期刊

中国实用眼科杂志

自引率

0.00%

发文量

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.