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中华眼科医学杂志(电子版) ›› 2020, Vol. 10 ›› Issue (02) : 65 -69. doi: 10.3877/cma.j.issn.2095-2007.2020.02.001

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重视围术期干眼的诊断、预防与治疗
李思源1, 张鹏2, 王滢珲3, 接英4,()   
  1. 1. 100730 首都医科大学附属北京同仁医院2018级硕士研究生
    2. 100730 首都医科大学附属北京同仁医院2019级硕士研究生
    3. 100020 首都医科大学附属北京朝阳医院2015级本科生
    4. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所 北京市眼视光与视觉科学重点实验室
  • 收稿日期:2020-05-08 出版日期:2020-04-28
  • 通信作者: 接英
  • 基金资助:
    国家自然科学基金项目(81970764); 北京市自然科学基金项目(7182037)

Pay attention to the diagnosis, prevention and treatment of perioperative dry eye

Siyuan Li1, Peng Zhang2, Yinghui Wang3, Ying Jie4,()   

  1. 1. Master′s degree 2018, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
    2. Master′s degree 2019, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
    3. Bachelor′s degree 2015, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
    4. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Ophthalmology, Beijing Ophthalmology and Visual Sciences Key Laboratory, Beijing 100730, China
  • Received:2020-05-08 Published:2020-04-28
  • Corresponding author: Ying Jie
引用本文:

李思源, 张鹏, 王滢珲, 接英. 重视围术期干眼的诊断、预防与治疗[J/OL]. 中华眼科医学杂志(电子版), 2020, 10(02): 65-69.

Siyuan Li, Peng Zhang, Yinghui Wang, Ying Jie. Pay attention to the diagnosis, prevention and treatment of perioperative dry eye[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2020, 10(02): 65-69.

近年来,随着眼科手术的广泛开展及患者对术后要求的不断提高,围术期干眼已成为影响患者满意度的主要问题。重视围术期干眼,需要临床医师了解手术对干眼可能造成的影响,遵循"术前发现干预,术中减少损伤,术后及时治疗"的原则进行检查和处理。本文中笔者就围术期干眼的诊断与治疗进行评述。

In recent years, postoperative dry eye disease (DED) has already become a major factor which seriously affected patients′ satisfaction with the extensive development of ophthalmic surgery and continuous improvement of patients′ requirements for vision and visual quality. Paying attention to the perioperative DED for clinical doctors was necessary for understanding the potential influence of the opeartion on DED and performing the examination according to "identify and intervene before surgery, reduce injuries during surgery, treat timely after surgery" . In this study, the perioperative diagnosis and management of DED were reviewed.

[1]
Craig JP, Nichols KK, Akpek EK, et al. TFOS DEWS Ⅱ definition and classification report[J]. Ocul Surf, 2017, 15(3): 276-283.
[2]
Jie Y, Xu L, Wu YY, et al. Prevalence of dry eye among adult Chinese in the Beijing Eye Study[J]. Eye (Lond), 2009, 23(3): 688-693.
[3]
Wong AHY, Cheung RKY, Kua WN, et al. Dry eyes after SMILE[J]. Asia Pac J Ophthalmol (Phila), 2019, 8(5): 397-405.
[4]
Shoja MR, Besharati MR. Dry eye after LASIK for myopia: incidence and risk factors[J]. Eur J Ophthalmol, 2007, 17(1): 1-6.
[5]
De Paiva CS, Chen Z, Koch DD, et al. The incidence and risk factors for developing dry eye after myopic LASIK[J]. Am J Ophthalmol, 2006, 141(3): 438-445.
[6]
Sambhi RDS, Sambhi GDS, Mather R, et al. Dry eye after refractive surgery: a meta-analysis[J]. Canadian Journal of Ophthalmology, 2020, 55(2): 99-106.
[7]
Han T, Xu Y, Han X, et al. Quality of life impact of refractive correction (QIRC) results three years after SMILE and FS-LASIK[J]. Health Qual Life Outcomes, 2020, 18(1): 107.
[8]
Wang B, Naidu RK, Chu R, et al. Dry eye disease following refractive surgery: a 12-month follow-up of SMILE versus FS-LASIK in high myopia[J]. J Ophthalmol, 2015: 132417.
[9]
Yu EY, Leung A, Rao S, et al. Effect of laser in situ keratomileusis on tear stability[J]. Ophthalmology, 2000, 107(12): 2131-2135.
[10]
Rabina G, Boguslavsky II, Mimouni M, et al. The The association between preoperative dry eye symptoms and postoperative discomfort in patients underwent photorefractive keratectomy[J]. J Ophthalmol, 2019: 7029858.
[11]
Albietz JM, Lenton LM, McLennan SG. Dry eye after LASIK: comparison of outcomes for Asian and Caucasian eyes[J]. Clin Exp Optom, 2005, 88(2): 89-96.
[12]
Murakami Y, Manche EE. Prospective, randomized comparison of self-reported postoperative dry eye and visual fluctuation in LASIK and photorefractive keratectomy[J]. Ophthalmology, 2012, 119(11): 2220-2224.
[13]
Contreras-Ruiz L, Ryan DS, Sia RK, et al. Polymorphism in THBS1 gene is associated with post-refractive surgery chronic ocular surface inflammation[J]. Ophthalmology, 2014, 121(7): 1389-1397.
[14]
Cohen E, Spierer O. Post-laser-assisted in situ keratomileusis: major review and latest updates[J]. J Ophthalmol, 2018: 4903831.
[15]
曲景灏. 角膜上皮层基底细胞及其基底膜的研究进展[J]. 中华眼科杂志201652(9):703-707.
[16]
赵波. 不同角膜瓣位置对飞秒激光术后干眼的影响[J]. 中国实用眼科杂志201634(2):139-142.
[17]
郭锐. 不同手术切口设计的SMILE术后角膜知觉的变化[J]. 国际眼科杂志201919(5):874-877.
[18]
Gao S, Li S, Liu L, et al. Early changes in ocular surface and tear inflammatory mediators after small-incision lenticule extraction and femtosecond laser-assisted laser in situ keratomileusis[J]. PLoS One, 2014, 9(9): e107370.
[19]
Zhang H, Wang Y. Dry eye evaluation and correlation analysis between tear film stability and corneal surface regularity after small incision lenticule extraction[J]. Int Ophthalmol, 2018, 38(6): 2283-2288.
[20]
祁颖,周滨. 中原地区白内障术后干眼的发病危险因素分析[J]. 中华眼外伤职业眼病杂志201840(6): 406-410.
[21]
Kasetsuwan N, Satitpitakul V, Changul T, et al. Incidence and pattern of dry eye after cataract surgery[J]. PLoS One, 2013, 8(11): e78657.
[22]
Cetinkaya S, Mestan E, Acir NO, et al. The course of dry eye after phacoemulsification surgery[J]. BMC Ophthalmol, 2015, 15: 68.
[23]
Park Y, Hwang HB, Kim HS. Observation of influence of cataract surgery on the ocular surface[J]. PLoS One, 2016, 11(10): e0152460.
[24]
Han KE, Yoon SC, Ahn JM, et al. Evaluation of dry eye and meibomian gland dysfunction after cataract surgery[J]. American Journal of Ophthalmology, 2014, 157(6): 1144-1150.
[25]
Kim JS, Lee H, Choi S, et al. Assessment of the tear film lipid layer thickness after cataract surgery[J]. Seminars in Ophthalmology, 2018, 33(2): 231-236.
[26]
洪莲花,李英俊. 干眼对年龄相关性白内障患者人工晶状体度数测量和计算准确性的影响[J]. 中华实验眼科杂志201634(2):170-174.
[27]
Epitropoulos AT, Matossian C, Berdy GJ, et al. Effect of tear osmolarity on repeatability of keratometry for cataract surgery planning[J]. Journal of Cataract & Refractive Surgery, 2015, 41(8): 1672-1677.
[28]
毛祖红,王乐,邵毅,等. 不同方位切口对角膜神经损伤及泪膜功能影响相关性研究[J]. 眼科新进展2013, 33(12):1143-1147.
[29]
章成芝,徐青. 同轴微切口白内障超声乳化术后泪膜及角膜规则性的研究[J]. 眼科新进展201636(6):559-562.
[30]
Baudouin C, Labbe A, Liang H, et al. Preservatives in eyedrops: the good, the bad and the ugly[J]. Prog Retin Eye Res, 2010, 29(4): 312-334.
[31]
Cho YK, Kim MS. Dry eye after cataract surgery and associated intraoperative risk factors[J]. Korean Journal of Ophthalmology, 2009, 23(2): 65.
[32]
许荣,赵少贞. 飞秒激光辅助与微切口超声乳化白内障摘出术对眼表功能影响的比较[J]. 中华实验眼科杂志201937(11): 907-913.
[33]
万敏婕. 手术源性干眼的病因分析与防治[J]. 国际眼科杂志201010(4):727-729.
[34]
邓芳祝,邝国平. 翼状胬肉切除联合不同移植术式后干眼症的临床观察[J]. 国际眼科杂志201515(5):914-916.
[35]
Turkyilmaz K, Oner V, Sevim MS, et al. Effect of pterygium surgery on tear osmolarity[J]. J Ophthalmol, 2013: 863498.
[36]
许菲,戴鸿斌,覃银燕,等. 斜视术后的眼表评价[J]. 国际眼科杂志201818(4):765-768.
[37]
Li Q, Fu T, Yang J, et al. Ocular surface changes after strabismus surgery with different incisions[J]. Graefes Arch Clin Exp Ophthalmol, 2015, 253(3): 431-438.
[38]
Zhang SY, Yan Y, Fu Y. Cosmetic blepharoplasty and dry eye disease: a review of the incidence, clinical manifestations, mechanisms and prevention[J]. Int J Ophthalmol, 2020, 13(3): 488-492.
[39]
Bulat N, Cuşnir VV, Procopciuc V, et al. Diagnosing the dry eye syndrome in modern society and among patients with glaucoma: a prospective study[J]. Romanian Journal of Ophthalmology, 2020, 64(1): 35-42.
[40]
苗培建,张雪翎,陈霄雅,等. 小梁切除术结膜瓣缝合方式对早期泪膜功能影响[J]. 中国实用眼科杂志201735(11):1063-1067.
[41]
曾招荣. 青光眼小梁切除术前后干眼的临床观察[J]. 齐齐哈尔医学院学报201031(18):2880-2881.
[42]
Lam J, Wong TT, Tong L. Ocular surface disease in posttrabeculectomy-mitomycin C patients[J]. Clin Ophthalmol, 2015, 9: 187-191.
[43]
万敏婕,霍鸣. 玻璃体切割手术对泪膜功能的影响[J]. 实用医学杂志201127(5): 803-806.
[44]
张君敏,李虹霓,张少冲,等. 玻璃体视网膜手术对泪膜的影响[J]. 中华眼底病杂志201026(6):528-531.
[45]
Gupta PK, Drinkwater OJ, VanDusen KW, et al. Prevalence of ocular surface dysfunction in patients presenting for cataract surgery evaluation[J]. J Cataract Refract Surg, 2018, 44(9): 1090-1096.
[46]
Liang L, Zhang M, Zou W, et al. Aggravated dry eye after laser in situ keratomileusis in patients with sjögren syndrome[J]. Cornea, 2008, 27(1): 120-123.
[47]
Bower KS, Woreta F. Update on contraindications for laser-assisted in situ keratomileusis and photorefractive keratectomy[J]. Curr Opin Ophthalmol, 2014, 25(4): 251-257.
[48]
Schallhorn JM, Schallhorn SC, Hettinger KA, et al. Outcomes and complications of excimer laser surgery in patients with collagen vascular and other immune-mediated inflammatory diseases[J]. J Cataract Refract Surg, 2016, 42(12): 1742-1752.
[49]
Wolffsohn JS, Arita R, Chalmers R, et al. TFOS DEWS Ⅱdiagnostic methodology report[J]. Ocul Surf, 2017, 15(3): 539-574.
[50]
赵慧,刘祖国,杨文照,等. 我国干眼问卷的研制及评估[J]. 中华眼科杂志201551(9):647-654.
[51]
Starr CE, Gupta PK, Farid M, et al. An algorithm for the preoperative diagnosis and treatment of ocular surface disorders[J]. J Cataract Refract Surg, 2019, 45(5): 669-684.
[52]
Yokoi N, Georgiev GA, Kato H, et al. Classification of fluorescein breakup patterns: a novel method of differential diagnosis for dry eye[J]. Am J Ophthalmol, 2017, 180: 72-85.
[53]
Finis D, Pischel N, Schrader S, et al. Evaluation of lipid layer thickness measurement of the tear film as a diagnostic tool for meibomian gland dysfunction[J]. Cornea, 2013, 32(12): 1549-1553.
[54]
Ji YW, Lee J, Lee H, et al. Automated measurement of tear film dynamics and lipid layer thickness for assessment of non-sjögren dry eye syndrome with meibomian gland dysfunction[J]. Cornea, 2017, 36(2): 176-182.
[55]
Lemp MA, Bron AJ, Baudouin C, et al. Tear osmolarity in the diagnosis and management of dry eye disease[J]. Am J Ophthalmol, 2011, 151(5): 792-798.
[56]
Potvin R, Makari S, Rapuano CJ. Tear film osmolarity and dry eye disease: a review of the literature[J]. Clin Ophthalmol, 2015, 9: 2039-2047.
[57]
丁雯,杨炜,张奕霞,等. 术前应用人工泪液对白内障合并干眼患者术后眼表的影响[J]. 国际眼科杂志202020(5):838-841.
[58]
Ruan F, Zang Y, Sella R, et al. Intense pulsed light therapy with optimal pulse technology as an adjunct therapy for moderate to severe blepharitis-associated keratoconjunctivitis[J]. J Ophthalmol, 2019: 3143469.
[59]
Satjawatcharaphong P, Ge S, Lin MC. Clinical outcomes associated with thermal pulsation system treatment[J]. Optometry and Vision Science, 2015, 92(9): e334-341.
[60]
Lee H, Kim M, Park SY, et al. Mechanical meibomian gland squeezing combined with eyelid scrubs and warm compresses for the treatment of meibomian gland dysfunction[J]. Clin Exp Optom, 2017, 100(6): 598-602.
[61]
Keating GM. Diquafosol ophthalmic solution 3 %: a review of its use in dry eye[J]. Drugs, 2015, 75(8): 911-922.
[62]
López-García JS, García-Lozano I, Rivas L, et al. Effects of autologous serum eye drops on conjunctival expression of MUC5AC in patients with ocular surface disorders[J]. Cornea, 2016, 35(3): 336-341.
[63]
苏乐琪,张铁民,谭小波. 角膜绷带镜在眼表疾病防治中的临床研究进展[J]. 中华实验眼科杂志201836(2):156-160.
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