国际眼科纵览

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结膜松弛症泪液学及治疗研究进展

贾元玲 张兴儒 项敏泓   

  1. 200062 上海中医药大学附属普陀医院眼科
  • 收稿日期:2016-05-06 出版日期:2017-02-22 发布日期:2017-02-20
  • 通讯作者: 项敏泓,Email: xiangminhong@sohu.com
  • 基金资助:

    上海市普陀区自主创新科研基金(2013PTKW009);上海中医药大学预算内项目(2015YSN50)

Progress of research on tear change and treatment in conjunctivochalasis

JIA Yuan-ling, ZHANG Xing-ru, XIANG Min-hong   

  1. Department of Ophthalmology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China
  • Received:2016-05-06 Online:2017-02-22 Published:2017-02-20
  • Contact: XIANG Min-hong, Email: xiangminhong@sohu.com
  • Supported by:

    Independent Innovation Research Fund of Putuo District, Shanghai(2013PTKW009); Shanghai Traditional Chinese Medicine University Budget(2015YSN50)

摘要:

结膜松弛症是与年龄相关的常见眼表疾病。松弛结膜堆积在睑缘内外眦部之间,引起泪液分泌、排泄、成分的改变,导致泪液学异常,泪河残缺、泪膜不稳定,出现眼干涩、视物模糊等症状,降低眼视觉质量和生活质量。目前的治疗包括局部眼液对症治疗、中药保守治疗以及手术。常用的手术方式有结膜新月形切除术、结膜缝线固定术、双极电凝治疗术、下睑缘张力减弱术等,均可以不同程度改善患者的泪液学症状和体征。(国际眼科纵览, 2017,  41:  38-42)

Abstract:

Conjunctivochalasis is a common age-related ocular surface change. The loose conjunctiva accumulates between the eyelid, causing changes of tear secretion, excretion and tear components, leading to tear film instability and incomplete tear river. Dry and blurred symptoms appear. The visual quality and life quality reduced. The current treatments include local eye drops, traditional Chinese medicine and surgery. The common used surgical methods include crescent-shaped resection, conjunctival suture fixation, bipolar coagulation, lower eyelid tension reducing and so on. These methods improve patients' lacrimal symptoms and signs in varying degrees.  (Int Rev Ophthalmol,  2017,  41:   38-42)