国际眼科纵览 ›› 2026, Vol. 50 ›› Issue (1): 8-14.doi: 10.3760/cma.i.cnl15500-20251020-26102

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大气颗粒物对眼部的影响

刘桐  高雯   

  1. 1 蚌埠医科大学,安徽蚌埠 233000;2 安徽省眼科医院 安徽省第二人民医院眼科,合肥 230000
  • 收稿日期:2025-10-20 出版日期:2026-02-22 发布日期:2026-02-22
  • 通讯作者: 高雯,Email:gwahyk@126.com

Effect of particulate matter on the eye

Liu Tong, Gao Wen   

  1. 1 Bengbu Medical University, Bengbu Anhui 233000, China; 2 Anhui Eye Hospital; Department of Ophthalmology, Anhui NO.2 Provincial People's Hospital, Hefei 230000, China
  • Received:2025-10-20 Online:2026-02-22 Published:2026-02-22
  • Contact: Gao Wen, Email: gwahyk@126.com

摘要: 大气颗粒物(particulate matter,PM)污染是严峻的公共健康问题,眼部作为直接暴露于环境的器官,极易受到侵害。PM通过氧化应激、炎症反应及细胞死亡方式等多种机制,在不同眼部组织中引发一系列病变。PM在眼表可导致睑板腺功能障碍与结膜炎,破坏泪膜稳定。在角膜可直接损害角膜上皮屏障功能。随着病变的深入,PM通过激活炎症小体等途径干扰房水流出,增加青光眼风险;通过触发铁死亡,导致白内障的发生;PM还能突破血-视网膜屏障,造成视网膜结构与功能的损伤。PM暴露以多机制、多靶点的方式对眼部造成从眼表至眼底的多方位损害。因此需关注PM的化学成分特异性毒性,并加强个人与公共防护措施以降低眼部相关疾病的发病风险。

关键词: 大气颗粒物, 大气污染, 眼部疾病

Abstract: Particulate matter (PM) pollution is a severe public health issue. As an organ directly exposed to the environment, the eye is highly susceptible to damage. PM induces a range of pathological changes in different ocular tissues through multiple mechanisms such as oxidative stress, inflammatory responses, and modes of cell death. On the ocular surface, PM can lead to meibomian gland dysfunction and conjunctivitis, disrupting tear film stability. In the cornea, PM can directly impair the barrier function of the corneal epithelium.As the lesion progresses, PM can interfere with the outflow of aqueous humor through pathways such as activating inflammatosomes, increasing the risk of glaucoma. It can also trigger ferroptosis to cause cataracts and break through the blood-retinal barrier to cause damage to the structure and function of the retina.PM exposure causes comprehensive damage to the eye from the ocular surface to the fundus through multiple mechanisms and targets. Attention should be paid to the component-specific toxicity of PM, and personal and public protective measures should be strengthened to reduce the risk of eye-related diseases.

Key words: Particulate matter, Air pollution, Ocular diseases