摘要
目的研究患儿的眨眼原因与眼表状况的相关程度。方法选取56例(102眼)就诊的眨眼患儿,门诊所有患儿治疗前均需检查最佳矫正视力、眼压、裂隙灯显微镜、眼底等,同时排除斜视、过敏性结膜炎、倒睫、角膜疾患和故意挤眼引起家长注意的患儿。排除相关疾病后进一步行眼表综合分析仪检查。眼表综合分析仪检查相关检查项目包括泪河高度、非侵入性泪膜破裂时间、睑板腺拍摄等。眼表综合分析仪检查结果异常的患儿均采用局部热敷、玻璃酸钠滴眼液(海露)0.2 ml,3次/d,点眼治疗,同时避免应用手机、电视等视频终端行为,并平衡饮食结构,治疗后1个月、3个月分别行最佳矫正视力、裂隙灯检查、眼底检查及眼表综合分析仪检查。结果治疗后1个月的总有效率为94.12%,治疗后3个月的总有效率为98.04%,治疗前后总有效率比较差异有统计学意义(P<0.05),治疗后患儿的症状及体征明显改善。结论瞬目异常可能是儿童干眼症的临为床表现之一,眼表综合分析仪因其非侵入、无创伤、客观和可重复性强等特点为儿童干眼的早期发现、积极防治起到积极作用。
Objective To study the degree of correlation between the causes of blinking and ocular surface condition in children.Methods 56 patients(102 eyes)with eye blink were selected from our hospital.Before treatment,all the children in the outpatient department needed to be examined:best corrected vision,intraocular pressure,slit lamp microscope,fundus,etc.,and the children with strachismus,allergic conjunctivitis,trichiasis,corneal diseases and intentional eye winking were excluded.After the exclusion of related diseases,a further examination of Ocular Surface Analyzer was performed.The relevant examination items include:the height of lacrimal river,non-invasive tear film rupture time,meibomian gland photography,etc.Children with ocular surface analyzer test results of abnormal adopt local hot compress,sodium hyaluronate eye drops(sea dew)0.2 ml,three times a day,the eye treatment,at the same time avoid applications such as mobile phones,TV video terminal behavior,and balance diet,one month,three months after treatment,respectively do best corrected vision,slit-lamp examination,fundus examination and ocular surface composite analyzer examination.Results The total effective rate was 94.12%in the first month after treatment,and 98.04%in the third month after treatment.The difference between the total effective rate before and after treatment was statistically significant(P<0.05),and the symptoms and signs of children significantly improved after treatment.Conclusions Transient eye abnormalities may be one of the clinical manifestations of children with xerophthalmia.The ocular surface analyzer plays a positive role in the early detection and active prevention and treatment of children with xerophthalmia due to its ocular surface analysis function,non-invasive,non-invasive,objective and repeatable features.
作者
勾晓梅
李雪丽
隋源
周丽霞
GOU Xiaomei;LI Xueli;SUI Yuan(Harbin 242 Hospital,Harbin 150066,China)
出处
《航空航天医学杂志》
2020年第10期1169-1171,共3页
Journal of Aerospace medicine
关键词
儿童眨眼
眼表综合分析仪
干眼
blinking in children
a Non-Invasive Ocular Surface Analyzer
dry eye
