论文部分内容阅读
目的评价和分析LASIK术后干眼不适主诉的影响因素。设计问卷调查。研究对象已行LASIK治疗的205例(398眼)患者。方法对205例接受LASIK手术患者在术后1周、1个月、3个月、半年进行干眼症主观问卷调查,常规进行角膜地形图、裂隙灯、验光等检查。利用多元逐步logistic回归方法分析干眼主诉的客观影响因素。主要指标性别、年龄、角膜染色、泪膜破裂时间、屈光度、角膜瓣厚、角膜地形图、沙尘反应等。结果LASIK患者术后主要主诉为“异物感、眼睛易充血、易疲劳”,术后1周干眼主诉未筛出有意义变量；术后1个月此症状主要与角膜染色阳性、泪膜破裂时间缩短有关；术后3个月和6个月与屈光参差有关。结论术后早期患者干眼主诉与手术损伤有关；晚期与屈光参差有关。(眼科,2006,15：315-317)
Objective To evaluate and analyze the influencing factors of dry eye discomfort after LASIK. Design Questionnaire. Subjects underwent LASIK treatment of 205 patients (398 eyes) patients. Methods A total of 205 patients undergoing LASIK underwent subjective questionnaires of dry eye at 1 week, 1 month, 3 months and 6 months after operation. Corneal topography, slit lamp and optometry were routinely performed. Analysis of the Objective Influencing Factors of Dry Eye Chief Complaints by Multiple Logistic Regression Method. The main indicators of gender, age, corneal staining, tear film rupture time, diopter, corneal flap thickness, corneal topography, dust reaction. Results The main complaints of LASIK patients were “foreign body sensation, easy eye congestion and fatigue”. One week after the operation, no significant variables were found in the dry eyes. One month after the operation, the symptoms were mainly corneal staining and tear film rupture Time related to shortening; 3 months and 6 months after surgery and anisometropia related. Conclusions The main complaint of dry eye in early postoperative patients is related to surgical injury. The late stage is related to anisometropia. (Ophthalmology, 2006,15: 315-317)