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眼表微环境与泪膜稳态对视觉质量影响的新认识

New Understanding of the Influence of Ocular Surface Microenvironment and Tear Film Homeostasis on Visual Quality

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2020年发布的中国干眼专家共识第一次将眼表微环境的概念新增到了干眼的定义中。强调了泪膜不稳定和眼表微环境失衡在干眼发病机制中的重要地位，并将视功能障碍作为干眼病情发展的重要结局之一。为了加强对新共识的认识，推动相关的基础与临床研究的开展及转化，为广大干眼患者提供更为细致的诊疗建议，专家组于2021年3年26日在江西吉安召开讨论会，对眼表微环境和泪膜稳态这两方面的研究现状及存在的问题进行分析，主要围绕干眼的这两个核心机制的新认识、与视觉质量的关系、临床的评估和治疗手段的建议和未来发展新方向等提出建议和推荐意见。 The Chinese Dry Eye Expert Consensus released in 2020 added the concept of ocular surface microenvironment to the definition of dry eye for the first time. The tear film instability and ocular surface microenvironmental imbalance was emphasized to play a critical role in the pathogenesis of dry eye, and visual dysfunction was defined as one of the important outcomes of dry eye. In order to strengthen the understanding of the new consensus, promote the development and transformation of related basic and clinical research, and provide more detailed diagnosis and treatment recommendations for dry eye patients, many experts in the field of dry eye held a panel discussion in Ji'an on March 26, 2021 and analyzed the current research status and existing problems of the ocular surface microenvironment and tear film homeostasis. In that meeting, opinions and recommendations were put forward based on new understandings of the two key factors in the mechanism of dry eye, the relationship with visual quality, clinical methods of evaluation and treatment, and new directions for future development.
The Chinese Dry Eye Expert Consensus released in 2020 added the concept of ocular surface microenvironment to the definition of dry eye for the first time. The tear film instability and ocular surface microenvironmental imbalance was emphasized to play a critical role in the pathogenesis of dry eye, and visual dysfunction was defined as one of the important outcomes of dry eye. In order to strengthen the understanding of the new consensus, promote the development and transformation of related basic and clinical research, and provide more detailed diagnosis and treatment recommendations for dry eye patients, many experts in the field of dry eye held a panel discussion in Ji'an on March 26, 2021 and analyzed the current research status and existing problems of the ocular surface microenvironment and tear film homeostasis. In that meeting, opinions and recommendations were put forward based on new understandings of the two key factors in the mechanism of dry eye, the relationship with visual quality, clinical methods of evaluation and treatment, and new directions for future development.

microenvironmenttear filmvisual qualityrecommendations

林琳、冯云、傅瑶、高华、顾正宇、郭年波、洪佳旭、胡亮、黄晓丹、接英、晋秀明、柯碧莲、李贵刚、李炜、陆成伟、潘志强、王辉、王林农、吴洁、徐建江、张弘、张运江、周文天、曾庆延、季魏红

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1浙江大学医学院附属第二医院眼科，杭州　310003

2北京大学第三医院眼科，北京　100191

3上海交通大学医学院附属第九人民医院眼科，上海　200011

4山东第一医科大学附属眼科医院，济南　250299

5安徽医科大学第一附属医院眼科，合肥　230022

6赣州启明星眼科医院，赣州　341001

7复旦大学附属眼耳鼻喉科医院眼科，上海　200126

8温州医科大学附属眼视光医院，温州　325027

9首都医科大学附属北京同仁医院眼科中心，北京　100005

10上海交通大学医学院附属第一人民医院眼科，上海　200080

11华中科技大学同济医学院附属同济医院眼科，武汉　430030

12厦门大学眼科研究所，厦门　361104

13吉林大学第一医院眼科，长春　130031

14赣南医学院第一附属医院眼科，赣州　341001

15南京医科大学附属南京医院眼科，南京　210006

16西安市第一医院眼科，西安　710002

17哈尔滨医科大学附属第一医院眼科，哈尔滨　150007

18吉安康明眼科医院，吉安　343099

19南昌大学附属眼科医院，南昌　330006

20武汉爱尔眼科医院汉口医院，武汉　430064

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微环境 泪膜 视觉质量 推荐意见

2022

10.3760/cma.j.cn115909-20220325-00111

中华眼视光学与视觉科学杂志
中华医学会

中华眼视光学与视觉科学杂志

CSTPCDCSCD
影响因子：0.783
ISSN：1674-845X
年,卷(期)：2022.24(12)
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