摘要
目的:观察糖尿病患者行白内障超声乳化手术后泪膜的变化,探讨其术后用药方案。方法:回顾性分析行白内障超声乳化手术的糖尿病患者32人(48眼),同时选取无糖尿病的患者36人(48眼)做为对照组,分别于术前,术后1周,术后1个月,术后3个月检查患者的泪膜破裂时间(tearfilm breakup time,BUT),泪液分泌试验(Schirmer test),手术由同一手术医师完成。结果:两组患者术前及术后1周、术后3个月泪膜状态差异无显著性(P>0.05),术后1个月时糖尿病组BUT和Schirmei test低于对照组(P<0.05)。结论:合并糖尿病的白内障患者行超声乳化手术后1个月泪液分泌量低,泪膜稳定性下降,于术后3个月时逐渐恢复,提示临床治疗中对于合并糖尿病的白内障患者可以于术后早期给予人工泪液以缓解糖尿病患者术后干眼症状。
Objective：To observe the change of tearfilm in cataract patients combined with diabetes mellitus after phaco emulcification procedure,and to probe post-operative medication.Method：Thirty-two cataract patients with diabetes mellitus（48 eyes）who underwent phaco emulcification procedure from February 2010 to August 2010 were reviewed（diabetic group）.And 36 cataract patients without diabetes mellitus（48 eyes） operated in the same period were chose as contrast group.Local inflammation and dryeye were rejected before operation.Tearfilm breakup time（BUT）and Schirmer test were performed before operation and 1 week,1 month,3 month after operaton respectively.And the operation were performed by the same surgeon.Result：The tearfilm conditions had no difference in two groups before operation and 1 week,3 month after operaton.BUT and Schirmer test were lower in diabetic group 1 month after operition compared to contrast group（P0.05）.Conclusion：The secretion and stability of tear decreased 1 month after phaco emulcification procedure,and would recover gradually 3 months after operation.It pointed out that artificial tear should be given to patients with diabetes mellitus to improve dryeyes from the early stage postoperatively.
出处
《沈阳医学院学报》
2012年第1期21-22,共2页
Journal of Shenyang Medical College
关键词
白内障
泪膜
糖尿病
泪膜破裂时间
泪液分泌试验
cataract
tearfilm
diabetes mellitus
tearfilm breakup time
Schirmer test
