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目的分析比较干眼症患者行白内障超声乳化术(Phaco)与白内障囊外摘除术(ECCE)术后的泪膜功能和并发症情况。方法38例(45眼)干眼症患者行Phaco手术(A组),28例(30眼)行ECCE手术(B组)。对患者术后1～90d进行定期随访,收集术前与术后泪膜功能、并发症与终视力情况,并对数据进行统计学处理。结果66例患者中,56例为年龄相关性,10例为Sjo¨gren综合征。75眼中,60眼主要表现为水样液缺乏性干眼症(SchirmerⅠ5.0mm),15眼为6.0～9.0mm;63眼BUT5s,12眼介于6～9s。Phaco术后32眼出现浅层点状角膜病变,27眼出现角膜上皮缺损。40眼终视力为1.0,22眼0.8～0.5,13眼0.4～0.1。两组间差异均有统计学意义(P<0.05)。结论对伴发或不伴发系统组织疾病的干眼症患者,选择白内障超声乳化手术方式较囊外摘除术式更为安全,其术后并发症少。
Objective To compare and analyze the tear film function and complications after phacoemulsification and phacoemulsification in patients with dry eye. Methods 38 patients (45 eyes) underwent Phaco operation (group A) and 28 patients (30 eyes) underwent ECCE operation (group B). The patients were regularly followed up from 1 to 90 days after operation, and the preoperative and postoperative tear film function, complications and final visual acuity were collected, and the data were statistically analyzed. Results Of the 66 patients, 56 were age-related and 10 were Sjo¨gren syndrome. Among the 75 eyes, 60 eyes mainly showed SchirmerⅠ5.0mm, 15 eyes 6.0 ~ 9.0mm; 63 eyes BUT5s, 12 eyes 6 ~ 9s. There were 32 cases of shallow punctate keratopathy after Phaco operation and 27 cases of corneal epithelial defect. 40 eyes had a final visual acuity of 1.0, 22 eyes of 0.8 to 0.5 and 13 eyes of 0.4 to 0.1 eyes. The differences between the two groups were statistically significant (P <0.05). Conclusion For patients with dry eye with or without systemic diseases, the phacoemulsification method is more safe than extracapsular cataract extraction, and the postoperative complications are few.