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白内障超声乳化术中使用羟丙基甲基纤维素对眼表的影响

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目的 探讨白内障超声乳化术中使用羟丙基甲基纤维素对眼表的影响.方法 前瞻性病例对照研究.2022年1月至2023年12月我院收治的30例(30只眼)年龄相关性老年性白内障患者,随机分为实验组(HPMC组)和对照组,对照组术中使用平衡盐溶液冲洗角膜,实验组术中使用2%羟丙基甲基纤维素.分别评估患者术前、术后1 d、1周、4周眼表疾病指数、泪膜破裂时间和角膜荧光素钠染色情况,对结果进行统计学分析.结果 眼表疾病指数评分术后1 d、1周、4周HPMC组低于对照组,差异均有统计学意义.术后1 d、1周、4周HPMC组泪膜破裂时间高于对照组,差异均有统计学意义.角膜荧光素染色术后1 d、1周HPMC组低于对照组,差异均有统计学意义.而4周时两组角膜荧光素钠染色评分差异无统计学意义.结论 白内障超声乳化手术中角膜表面使用羟丙基甲基纤维素能改善患者术后的眼表状态,增强对角膜的保护作用.
Effect of hydroxypropy l methylcellulose on the ocular surface during cataract phacoemulsification
Objective To explore the effect of hydroxypropyl methylcellulose(HPMC)on the ocular surface dur-ing cataract phacoemulsification.Methods A prospective case-control study.30 elderly cataract patients admitted to our hospital from January 2022 to December 2023 were randomly divided into an experimental group(HPMC group)and a con-trol group.The control group cornea was washed with balanced salt solution(BSS)during the surgery,while the experi-mental group was treated with 2%HPMC during the surgery.The ocular surface disease index(OSDI),breaking up time(BUT),and corneal fluorescence staining were evaluated beforeand at 1 day,1 week,and 4 weeks after the surgery,and a statistical analysis on was performed on the results.Results The OSDI score of the HPMC group was lower than that of the control group at 1 day,1 week,and 4 weeks after the surgery,and the difference was statistically significant.The BUT in the HPMC group was higher than that in the control group at 1 day,1 week,and 4 weeks after the surgery,and the dif-ference was statistically significant.1 day and 1 week after the surgery,the corneal fluorescein staining score of the HPMC group was lower than the control group with statistical differences.At 4 weeks after the surgery,there was no significant dif-ference in corneal fluorescein staining score between the two groups.Conclusions The use of HPMC on the cornea during cataract phacoemulsification surgery can improve the postoperative ocular surface condition of patients and enhance the protective effect on the cornea.

CataractUltrasonic emulsificationOcular surfaceHydroxypropyl methylcellulose

刘敏、李琳娜、方锦

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230001 合肥,安徽医科大学第一附属医院

230012 合肥,安徽省公共卫生临床中心

200040 上海市静安区彭浦镇第二社区卫生中心

白内障 超声乳化术 眼表 羟丙基甲基纤维素

安徽省公共卫生临床中心(安徽医科大学第一附属医院北区)院科研培育基金资助项目安徽医科大学校科学研究基金资助项目

2021YKJ0052019xkj064

2024

临床眼科杂志
安徽医科大学,安徽眼科研究所

临床眼科杂志

CSTPCD
影响因子:0.791
ISSN:1006-8422
年,卷(期):2024.32(5)