国际眼科纵览 ›› 2023, Vol. 47 ›› Issue (1): 58-61.doi: 10.3760/ cma.j.issn.1673-5803.2023.01.011

• 综述 • 上一篇    下一篇

绝经对女性干眼的影响

王亚彤1 张磊1 高洪莲2   

  1. 1 滨州医学院附属医院眼科,山东滨州 256603;2 滨州医学院附属医院医学研究中心,山东滨州 256603
  • 收稿日期:2022-09-14 出版日期:2023-02-22 发布日期:2023-03-11
  • 通讯作者: 张磊,Email:zhangleisd@263.net E-mail:zhangleisd@263.net

Effects of menopause on dry eye in women

Wang Yatong1, Zhang Lei1, Gao Honglian2   

  1. 1 Department of Ophthalmology, Binzhou Medical University Hospital, Binzhou Shandong 256603, China; 2 Medical Research Center, Binzhou Medical University Hospital, Binzhou Shandong 256603, China
  • Received:2022-09-14 Online:2023-02-22 Published:2023-03-11
  • Contact: Zhang Lei, Email: zhangleisd@263.net E-mail:zhangleisd@263.net

摘要: 干眼是一种多因素眼表疾病,引起眼部疼痛、不适和视力下降,严重影响患者的生活质量。女性是干眼发生的重要危险因素,尤其是绝经过渡期和绝经后女性,提示性激素水平改变在干眼的发病中起着重要作用。性激素,包括雌激素、孕激素和雄激素,影响泪液所有成分的产生,包括水液、脂质和黏蛋白。各种机制如性激素水平的降低、反馈机制的改变,以及受体接受性的变化相互作用,改变眼表稳态,从而导致干眼。一些研究已经表明绝经激素治疗在绝经过渡期和绝经后干眼中的潜在作用。(国际眼科纵览,2023, 47:58-61)

关键词: 绝经, 干眼, 绝经激素治疗

Abstract: Dry eye is a multifactorial ocular surface disease that causes ocular pain, discomfort and vision loss, which seriously affects the quality of life of patients.Female is an important risk factor for dry eye, especially menopausal and postmenopausal women, suggesting that changes in level of sex hormone play an important role in the pathogenesis of dry eye. Sex hormones (estrogen, progesterone and androgen) affect the production of all components of tear, including water, lipids and mucins.Various mechanisms such as reduced level of sex hormone, altered feedback mechanisms, and changes in receptor receptivity interact to alter ocular surface homeostasis, resulting in dry eye. Several studies have shown the potential role of menopausal hormone therapy in dry eye among the menopausal and postmenopausal women. (Int Rev Ophthalmol, 2023, 47: 58-61)

Key words: menopause, dry eye, menopause hormone therapy