论文部分内容阅读
探讨干眼症患者白内障手术后应进行的观察及治疗。方法 :2 2例干眼症患者中 4例伴口腔干燥及类风湿因子阳性的患者为A组 ,18例单纯角结膜干燥的患者为B组。所有术眼均进行白内障囊外摘除联合人工晶状体植入。术后给予典必殊目水 (Tobredex ,0 3 %妥布霉素 +0 1%地塞米松 )及泪然目水(TearsNaturaleⅡ ,0 3 %羟丙基甲基纤维素 ,Alcon公司 )。结果 :两组术眼术后都出现了角膜上皮缺损 ,A组较B组上皮缺损严重且持续时间长 ,恢复慢。结论 :干眼症患者白内障手术后易出现角膜上皮缺损 ,尤其是伴类风湿因子阳性的患者。因此术后应密切观察角膜情况及伤口恢复情况 ,并及时给予积极治疗。
To investigate the observation and treatment of dry eye patients after cataract surgery. Methods: Four of 22 patients with dry eye had dry mouth and rheumatoid factor positive in group A, and 18 patients with simple keratoconjunctival dryness were in group B. All eyes were cataract extracapsular cataract extraction with intraocular lens implantation. After the procedure, we gave Tobredex (0 3% tobramycin + 0 1% dexamethasone) and Tears Naturale II (0 3% hydroxypropyl methylcellulose, Alcon). Results: Corneal epithelial defects occurred in both groups after surgery. The defect of epithelial defect in group A was longer and longer than that in group B, and recovered slowly. Conclusions: Corneal epithelial defects are prone to occur in patients with dry eye after cataract surgery, especially those with rheumatoid factor positive. Therefore, the cornea should be closely observed after surgery and wound recovery, and promptly give active treatment.