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目的分析干眼症的临床特征,探讨如何提高干眼症的确诊率、减少误诊。方法对102例临床干眼症患者进行回顾性临床分析,以临床症状及泪液分泌试验(Schirmer test I)、泪膜破裂时间(BUT)和角膜荧光素染色的检查结果为诊断标准。结果102例干眼症患者中,有干涩症状的86例(84%),注视后视力下降,瞬目后可恢复正常70例(67%),眼疲劳61例(60%),异物感55例(54%),视物模糊51例(50%),眼部疼痛者47例(46%),畏光38例(37%),眼内过多黏液感36例(35%),刺激性流泪29例(28%),眼部痒感16例(16%),眼红15例(15%)。结论临床症状是干眼症的诊断的重要依据和必要条件。
Objective To analyze the clinical features of dry eye and explore ways to improve the diagnosis of dry eye and reduce misdiagnosis. Methods A retrospective clinical analysis of 102 patients with clinical dry eye was conducted. The clinical symptoms and the results of Schirmer test I, BUT and corneal fluorescein staining were used as the diagnostic criteria. Results Of the 102 patients with dry eye, 86 (84%) had dry symptoms, decreased visual acuity after fixation, 70 (67%) returned to normal after blinking, 61 (60%) had eye fatigue, (54%), blurred vision in 51 (50%), ocular pain in 47 (46%), photophobia in 38 (37%) and intraocular hyperviscosity in 36 (35%), There were 29 cases (28%) of tearing tears, 16 cases (16%) of itchy eyes and 15 cases (15%) of jellied eyes. Conclusion Clinical symptoms are the important basis and necessary condition for the diagnosis of dry eye syndrome.