国际眼科纵览 ›› 2023, Vol. 47 ›› Issue (2): 186-191.doi: 10.3760/cma.j.issn.1673-5803.2023.02.016

• 综述 • 上一篇    下一篇

过敏性结膜炎相关性干眼的发病机制

焦溪婷  高宁  杨瑞波   

  1. 天津医科大学眼科医院 天津医科大学眼视光学院 天津医科大学眼科研究所 国家眼耳鼻喉疾病临床医学研究中心天津市分中心 天津市视网膜功能与疾病重点实验室 300384
  • 收稿日期:2022-07-25 出版日期:2023-04-22 发布日期:2023-04-22
  • 通讯作者: 杨瑞波,Email: yangruibo771@163.com
  • 基金资助:
    北京白求恩公益基金项目(BJ-GY2021008J);天津市医学重点学科(专科)建设项目(TJYXZDXK-037A)

Pathogenesis of allergic conjunctivitis-associated dry eye

Jiao Xiting, Gao Ning, Yang Ruibo   

  1. Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China
  • Received:2022-07-25 Online:2023-04-22 Published:2023-04-22
  • Contact: Yang Ruibo, Email: yangruibo771@163.com
  • Supported by:
    Beijing Bethune Charitable Foundation Project (BJ-GY2021008J); Tianjin Key Medical Discipline (Specialty) Construction Project (TJYXZDXK-037A)

摘要: 过敏性结膜炎是临床常见的眼表疾病,也是引发或加重干眼的重要危险因素之一。过敏性结膜炎和干眼相互促进,互为因果。前者可通过损害眼表上皮屏障、引起泪膜不稳定、睑板腺功能障碍及眼睑刷上皮病变等机制诱发或加重干眼。同时,干眼可因泪液量(相对)不足、眼表上皮屏障受损及神经源性炎性反应等促进并加重眼部过敏。此外,眼表菌群失调和焦虑抑郁等精神障碍也是两者并存或相互转化的桥梁。(国际眼科纵览,2023, 47:186-191)

关键词: 干眼, 过敏性结膜炎

Abstract: Allergic conjunctivitis is a common ocular surface disease in clinics and one of the important risk factors for triggering or aggravating dry eye. Allergic conjunctivitis and dry eye are mutually reinforcing and causal. The former can induce or exacerbate dry eye through mechanisms such as damaging the epithelial barrier of the ocular surface, causing tear film instability, meibomian gland dysfunction, and lid-wiper epitheliopathy. Meanwhile, dry eye can promote and aggravate ocular allergy due to (relatively) insufficient tear volume, injury to the ocular surface epithelial barrier, and neurogenic inflammatory responses. In addition, dysbiosis of the ocular surface and mental disorders such as anxiety and depression also bridge the coexistence or interconversion of the two.(Int Rev Ophthalmol, 2023, 47: 186-191)

Key words: dry eye disease, allergic conjunctivitis