|
|
Effect of Corneal Protectants Combined with Meibomian Gland Massage in Patient after Cataract Surgery |
DAI Guolin, PAN Qingyuan, LIANG Xiaoqing |
Department of Ophthalmology, Wujin Hospital Affiliated to Jiangsu University/Wujin Clinical College of Xuzhou Medical University, Changzhou Jiangsu 213017 |
|
|
Abstract 【Objective】To investigate the effect of corneal protectants combined with meibomian gland massage in patients after cataract surgery.【Methods】A total of 108 patients who underwent phacoemulsification combined with intraocular lens implantation in our hospital from January 2021 to April 2022 were selected and randomly divided into the control group and the observation group, with 54 cases in each group. The control group was given meibomian gland massage 1 week before surgery, while the observation group was combined with corneal protectants in addition to the way of the control group. objective scatter index (OSI), schirmer test (SIt), signs and symptoms score, meibomian gland opening score and lacrimal river height were compared between the two groups.【Results】After treatment, OSI in observation group was lower than that in the control group, while SIt was higher than control group (P<0.05). The scores of sensory symptoms and ocular surface signs in the observation group were lower than those in the control group (P<0.05). The meibomian gland opening score of the observation group was lower than that of the control group, while the lacrimal river height was higher than that of the control group (P<0.05).【Conclusion】Meibomian gland massage combined with corneal protectants can effectively improve OSI, SIt, and dry eye symptoms and signs in patients treated with cataract surgery.
|
Received: 22 September 2023
|
|
|
|
|
[1] 马春,王霞,何丽华. 睑板腺按摩护理在年龄相关性白内障术后干眼患者中的应用[J].齐鲁护理杂志,2019,25(10):56-58. [2] 左建霞,冯艳霞,孙朝晖,等. 睑板腺按摩联合角膜保护剂预防白内障术后干眼症的临床观察[J].河北医药,2022,44(5):719-722. [3] 左建霞,冯艳霞,孙朝晖,等. 中药熏眼联合睑板腺按摩治疗白内障术后干眼症疗效观察[J].现代中西医结合杂志,2021,30(15):1637-1641. [4] CAGINI C, TORRONI G, MARINIELLO M, et al. Trehalose/sodium hyaluronate eye drops in post-cataract ocular surface disorders[J].Int Ophthalmol,2021,41(9):3065-3071. [5] 中华医学会眼科学分会白内障及人工晶状体学组. 中国白内障围手术期干眼防治专家共识(2021年)[J].中华眼科杂志,2021,57(1):17-22. [6] 陈慧琳,原公强,赵灿,等. 进口角膜保护剂与国产角膜保护黏弹剂对眼科手术患者角膜上皮的保护作用和安全性的对比分析[J].眼科新进展,2022,42(3):214-217. [7] 王伟,李甦雁,张正培,等. 角膜保护剂与平衡盐溶液在增生性糖尿病视网膜病变微创玻璃体手术中对眼表保护作用的比较[J].中华实验眼科杂志,2021,39(11):982-988. [8] DUAN Z H, TANG Y F. The clinical effects of sodium hyaluronate, polyethylene glycol, and dextran-70 eye drops in relieving dry eye after phacoemulsification[J].Medicine (Baltimore),2021,100(25):26358. [9] 许衍辉,董玮,刘彩娟,等. 老年白内障患者术前睑板腺不同处理方式对术后感染控制的效果[J].中国病原生物学杂志,2022,17(1):106-109. [10] 尹峥,谢文,李婷,等. 伴睑板腺功能障碍的白内障患者术前干眼治疗的意义[J].中华眼外伤职业眼病杂志,2020,42(12):946-950. [11] 姚帮桃,赵孝贵,董照阳. 白内障超声乳化术前睑板腺按摩对合并睑板腺功能障碍患者术后眼表的影响[J].国际眼科杂志,2016,16(6):1171-1173. [12] 沈滢滢,管怀进,王立新,等. 玻璃酸钠滴眼液联合兹润环孢素滴眼液对白内障术后中重度干眼症的疗效分析[J].海军医学杂志,2022,43(9):978-982. [13] 李彬,王晶,张苗苗. 角膜保护剂在白内障手术中应用的研究[J].中国实用眼科杂志,2016,34(2):164-166. |
|
|
|