摘要
目的观察术前睑板腺功能障碍(meibomian gland dysfunction,MGD)对白内障病人术后视觉质量的影响。方法选取我院收治的术前合并MGD与未合并MGD白内障病人各30例,分别纳入观察组与对照组。比较2组术前及术后1周、3个月、6个月眼表疾病指数(ocular surface disease index,OSDI)、泪膜破裂时间、泪液分泌试验(Schimer I test,SIt)结果及视觉质量的变化。结果术前,观察组的OSDI评分、睑板腺分泌物评分明显高于对照组(P<0.01),泪膜破裂时间、SIt明显短于对照组(P<0.01);2组三叶草、总高阶像差、球差、慧差差异无统计学意义(P>0.05)。术后1周、3个月、6个月时,观察组的OSDI评分、睑板腺分泌物评分、三叶草、总高阶像差明显高于对照组(P<0.01),泪膜破裂时间、SIt明显短于对照组(P<0.01),2组球差差异无统计学意义(P>0.05)。术后1周,观察组慧差明显大于对照组(P<0.01);术后3、6个月时,2组慧差差异无统计学意义(P>0.05)。结论术前MGD可对白内障病人术后视觉质量恢复产生不良影响,建议术前积极采取MGD治疗措施,并在术后随访中有效处理眼表疾病、泪膜及睑板腺恢复问题,以促进视觉质量的恢复。
Objective To observe the effects of preoperative meibomian gland dysfunction(MGD)on postoperative visual quality in the patients with cataract.Methods Thirty patients with cataract combined with MGD and 30 patients without MGD before surgery were selected and divided into the observation group and the control group,respectively.The changes in ocular surface disease index(OSDI),tear film break-up time,results of Schimer I test(SIt)and visual quality before operation,1 week,3 months and 6 months after operation were compared between the two groups.Results Before surgery,the scores of OSDI and meibomian gland secretion in the observation group were significantly higher than those in the control group(P<0.01),and the tear film break-up time and SIt were significantly shorter(P<0.01).There were no significant differences in clover,total higher-order aberrations,spherical aberration or coma aberration between the two groups(P>0.05).1 week,3 months and 6 months after surgery,the scores of OSDI and meibomian gland secretion,clover and total high-order aberrations in the observation group were significantly higher than those in the control group(P<0.01),and the tear film break-up time and SIt were significantly shorter(P<0.01).There was no significant difference in spherical aberration between the two groups(P>0.05).1 week after surgery,the coma aberration in the observation group was significantly larger than that in the control group(P<0.01).There was no significant difference in coma aberration between the two groups 3 or 6 months after surgery(P>0.05).Conclusions Preoperative MGD can cause adverse effects on postoperative visual quality recovery in cataract patients.It is recommended that MGD should be treated before surgery,and ocular surface disease,tear film and meibomian gland recovery should be effectively handled in the follow-up,so as to promote the recovery of visual quality.
作者
金尚丽
曾锦
香淑媚
陈智慧
JIN Shang-li;XIANG Shu-mei;CHEN Zhi-hui;ZENG Jin(Department of Ophthalmology,Dongguan Changping Affiliated Hospital of Jinan University,Dongguan 523000,China;Department of Ophthalmology,Guangdong Provincial People's Hospital,Guangzhou 510080,China)
出处
《实用老年医学》
CAS
2020年第3期229-232,共4页
Practical Geriatrics
基金
东莞市社会科技发展项目(2016108101032)。
关键词
睑板腺功能障碍
白内障
视觉质量
meibomian gland dysfunction
cataract
visual quality
