标准与规范探讨
ENGLISH ABSTRACT
中国干眼专家共识:眼手术相关性干眼(2021年)
亚洲干眼协会中国分会
海峡两岸医药卫生交流协会眼科学专业委员会眼表与泪液病学组
中国医师协会眼科医师分会眼表与干眼学组
作者及单位信息
·
DOI: 10.3760/cma.j.cn112142-20210429-00196
Expert consensus on dry eye in China: dry eye related to eye surgery (2021)
Chinese Branch of the Asian Dry Eye Society
Ocular Surface and Tear Film Diseases Group of Ophthalmology Committee of Cross-Straits Medicine Exchange Association
Ocular Surface and Dry Eye Group of Chinese Ophthalmologist Association
Liu Zuguo
Authors Info & Affiliations
Chinese Branch of the Asian Dry Eye Society
Ocular Surface and Tear Film Diseases Group of Ophthalmology Committee of Cross-Straits Medicine Exchange Association
Ocular Surface and Dry Eye Group of Chinese Ophthalmologist Association
Liu Zuguo
Department of Ophthalmology, Xiang′an Hospital and Xiamen Eye Center affiliated to Xiamen University, Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen 361102, China
·
DOI: 10.3760/cma.j.cn112142-20210429-00196
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摘要

干眼是眼手术后常见并发症,是影响手术质量的重要因素之一,近年来受到眼科手术医师的高度关注。为降低眼手术后干眼的发生率,提高手术治疗效果,亚洲干眼协会中国分会等相关学术组织的专家对眼手术相关性干眼进行深入探讨,在其定义、危险因素、发病机制、临床特点、诊断、治疗与预防等方面形成专家共识意见以供临床工作参考。该共识将更深入规范和促进我国干眼防治工作发展,提高眼手术质量。 (中华眼科杂志,2021,57:564-572)

干眼综合征;眼外科手术;手术后并发症;多数赞同
ABSTRACT

Dry eye is a common complication after eye surgery and one of the important factors affecting the quality of surgery. It has attracted great attention from ophthalmologists in recent years. In order to reduce the incidence of dry eye after eye surgery and improve the effect of surgical treatment, experts from the Chinese Branch of the Asian Dry Eye Society and other related academic organizations have conducted in-depth discussions on the dry eye related to eye surgery, in terms of its definition, risk factors, pathogenesis, clinical characteristics, diagnosis, treatment and prevention, to form expert consensus opinions for reference in clinical work. This consensus further standardizes and promotes the prevention and treatment of dry eye in China, and thus improves the quality of eye surgery. (Chin J Ophthalmol, 2021, 57: 564-572)

Dry eye syndromes;Ophthalmologic surgical procedures;Postoperative complications;Consensus
Liu Zuguo, Department of Ophthalmology, Xiang′an Hospital and Xiamen Eye Center affiliated to Xiamen University, Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen 361102, China, Email: nc.defudabe.umxuilouguz
引用本文

亚洲干眼协会中国分会,海峡两岸医药卫生交流协会眼科学专业委员会眼表与泪液病学组,中国医师协会眼科医师分会眼表与干眼学组. 中国干眼专家共识:眼手术相关性干眼(2021年)[J]. 中华眼科杂志,2021,57(08):564-572.

DOI:10.3760/cma.j.cn112142-20210429-00196

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眼部手术可能导致术眼发生干眼或使原有干眼症状和体征加重,严重者可造成眼表损伤,甚至影响视功能,这已成为导致术后患者满意度下降的重要原因之一 1 , 2。国内外研究结果显示,眼手术相关性干眼是众多眼手术后常见并发症之一,近年来逐步得到广大眼科医师重视,其病理机制、诊断、预防和治疗方面的研究取得了较大进展 3 , 4
为进一步提高临床医师对眼手术相关性干眼的重视,降低其发生率,尽可能避免其导致眼表结构和功能损伤及对患者生活质量造成影响,亚洲干眼协会中国分会、海峡两岸医药卫生交流协会眼科专委会眼表与泪液疾病学组以及中国医师协会眼科分会眼表与干眼学组根据我国眼科手术开展情况,结合国内外眼手术相关性干眼的研究进展 35 , 6 , 7,并汇集国内专家的临床经验,讨论制定了我国关于眼手术相关性干眼的专家共识,以供临床医师在工作中参考。
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参考文献
1
Levinson BA , Rapuano CJ , Cohen EJ ,et al. Referrals to the Wills Eye Institute Cornea Service after laser in situ keratomileusis: reasons for patient dissatisfaction[J]. J Cataract Refract Surg, 2008,34(1):32-39. DOI: 10.1016/j.jcrs.2007.08.028 .
返回引文位置Google Scholar
百度学术
万方数据
2
刘祖国,李炜. 与眼科手术相关的干眼[J]. 中华眼科杂志, 2009,45(6):483-485. DOI: 10.3760/cma.j.issn.0412-4081.2009.06.002 .
返回引文位置Google Scholar
百度学术
万方数据
3
Gomes J , Azar DT , Baudouin C ,et al. TFOS DEWS Ⅱ iatrogenic report[J]. Ocul Surf, 2017,15(3):511-538. DOI: 10.1016/j.jtos.2017.05.004 .
返回引文位置Google Scholar
百度学术
万方数据
4
Denoyer A , Landman E , Trinh L ,et al. Dry eye disease after refractive surgery: comparative outcomes of small incision lenticule extraction versus LASIK[J]. Ophthalmology, 2015,122(4):669-676. DOI: 10.1016/j.ophtha.2014.10.004 .
返回引文位置Google Scholar
百度学术
万方数据
5
Li M , Zhao J , Shen Y ,et al. Comparison of dry eye and corneal sensitivity between small incision lenticule extraction and femtosecond LASIK for myopia[J]. PLoS One, 2013,8(10):e77797. DOI: 10.1371/journal.pone.0077797 .
返回引文位置Google Scholar
百度学术
万方数据
6
Wang B , Naidu RK , Chu R ,et al. Dry eye disease following refractive surgery: a 12-month follow-up of smile versus FS-LASIK in high myopia[J]. J Ophthalmol, 2015,2015:132417. DOI: 10.1155/2015/132417 .
返回引文位置Google Scholar
百度学术
万方数据
7
Yu Y , Hua H , Wu M ,et al. Evaluation of dry eye after femtosecond laser-assisted cataract surgery[J]. J Cataract Refract Surg, 2015,41(12):2614-2623. DOI: 10.1016/j.jcrs.2015.06.036 .
返回引文位置Google Scholar
百度学术
万方数据
8
李学民,赵欣,胡力中,. 白内障患者手术前后干眼的临床观察[J]. 中华眼科杂志, 2007,43(1):10-13. DOI: 10.3760/j:issn:0412-4081.2007.01.005 .
返回引文位置Google Scholar
百度学术
万方数据
9
刘祖国,罗丽辉,张振平,. 超声乳化白内障吸除术后泪膜的变化[J]. 中华眼科杂志, 2002,38(5):274-277. DOI: 10.3760/j:issn:0412-4081.2002.05.007 .
返回引文位置Google Scholar
百度学术
万方数据
10
De Paiva CS , Chen Z , Koch DD ,et al. The incidence and risk factors for developing dry eye after myopic LASIK[J]. Am J Ophthalmol, 2006,141(3):438-445. DOI: 10.1016/j.ajo.2005.10.006 .
返回引文位置Google Scholar
百度学术
万方数据
11
Salomão MQ , Ambrósio R , Wilson SE . Dry eye associated with laser in situ keratomileusis: mechanical microkeratome versus femtosecond laser[J]. J Cataract Refract Surg, 2009,35(10):1756-1760. DOI: 10.1016/j.jcrs.2009.05.032 .
返回引文位置Google Scholar
百度学术
万方数据
12
Ishrat S , Nema N , Chandravanshi S . Incidence and pattern of dry eye after cataract surgery[J]. Saudi J Ophthalmol, 2019,33(1):34-40. DOI: 10.1016/j.sjopt.2018.10.009 .
返回引文位置Google Scholar
百度学术
万方数据
13
Shao D , Zhu X , Sun W ,et al. Effects of femtosecond laser-assisted cataract surgery on dry eye[J]. Exp Ther Med, 2018,16(6):5073-5078. DOI: 10.3892/etm.2018.6862 .
返回引文位置Google Scholar
百度学术
万方数据
14
Jiang D , Xiao X , Fu T ,et al. Transient tear film dysfunction after cataract surgery in diabetic patients[J]. PLoS One, 2016,11(1):e0146752. DOI: 10.1371/journal.pone.0146752 .
返回引文位置Google Scholar
百度学术
万方数据
15
Pacella SJ , Codner MA . Minor complications after blepharoplasty: dry eyes, chemosis, granulomas, ptosis, and scleral show[J]. Plast Reconstr Surg, 2010,125(2):709-718. DOI: 10.1097/PRS.0b013e3181c830c7 .
返回引文位置Google Scholar
百度学术
万方数据
16
何夏怡,植瑞东,胡超雄. 小梁切除术前后干眼的临床观察[J]. 眼科研究, 2008,26(10):770-772. DOI: 10.3760/cma.j.issn.2095-0160.2008.10.013 .
返回引文位置Google Scholar
百度学术
万方数据
17
李骏,庞琳. 抗青光眼滤过术中应用5-氟尿嘧啶和丝裂霉素C对泪膜的影响[J]. 中华眼科杂志, 2001,37(1):43-47.
返回引文位置Google Scholar
百度学术
万方数据
18
Ghasemi FK , Shaheen Y , Karimi MA ,et al. Schirmer test changes after 20 gauge and 23 gauge pars plana vitrectomy[J]. Rom J Ophthalmol, 2017,61(1):39-43. DOI: 10.22336/rjo.2017.7 .
返回引文位置Google Scholar
百度学术
万方数据
19
Lee JH , Na KS , Kim TK ,et al. Effects on ocular discomfort and tear film dynamics of suturing 23-gauge pars plana vitrectomies[J]. Arq Bras Oftalmol, 2019,82(3):214-219. DOI: 10.5935/0004-2749.20190038 .
返回引文位置Google Scholar
百度学术
万方数据
20
Tan J , Vollmer-Conna U , Tat L ,et al. Dry-eye disease in recurrent pterygium[J]. Ophthalmic Res, 2019,61(4):199-203. DOI: 10.1159/000493544 .
返回引文位置Google Scholar
百度学术
万方数据
21
Jeon S , Park SH , Choi JS ,et al. Ocular surface changes after lateral rectus muscle recession[J]. Ophthalmic Surg Lasers Imaging, 2011,42(5):428-433. DOI: 10.3928/15428877-20110630-02 .
返回引文位置Google Scholar
百度学术
万方数据
22
Li Q , Fu T , Yang J ,et al. Ocular surface changes after strabismus surgery with different incisions[J]. Graefes Arch Clin Exp Ophthalmol, 2015,253(3):431-438. DOI: 10.1007/s00417-014-2882-1 .
返回引文位置Google Scholar
百度学术
万方数据
23
黄彩虹,陈文生,陈永雄,. 苯扎氯铵的眼表毒性研究现状[J]. 中华眼科杂志, 2014,50(4):303-306. DOI: 10.3760/cma.j.issn.0412-4081.2014.04.017 .
返回引文位置Google Scholar
百度学术
万方数据
24
Zhang X , M VJ , Qu Y ,et al. Dry eye management: targeting the ocular surface microenvironment[J]. Int J Mol Sci, 2017,18(7)1398. DOI: 10.3390/ijms18071398 .
返回引文位置Google Scholar
百度学术
万方数据
25
Mathers WD , Jester JV , Lemp MA . Return of human corneal sensitivity after penetrating keratoplasty[J]. Arch Ophthalmol, 1988,106(2):210-211. DOI: 10.1001/archopht.1988.01060130220030 .
返回引文位置Google Scholar
百度学术
万方数据
26
Turu L , Alexandrescu C , Stana D ,et al. Dry eye disease after LASIK[J]. J Med Life, 2012,5(1):82-84.
返回引文位置Google Scholar
百度学术
万方数据
27
Garg P , Gupta A , Tandon N ,et al. Dry eye disease after cataract surgery: study of its determinants and risk factors[J]. Turk J Ophthalmol, 2020,50(3):133-142. DOI: 10.4274/tjo.galenos.2019.45538 .
返回引文位置Google Scholar
百度学术
万方数据
28
Sharma B , Soni D , Saxena H ,et al. Impact of corneal refractive surgery on the precorneal tear film[J]. Indian J Ophthalmol, 2020,68(12):2804-2812. DOI: 10.4103/ijo.IJO_2296_19 .
返回引文位置Google Scholar
百度学术
万方数据
29
Ji H , Zhu Y , Zhang Y ,et al. Dry eye disease in patients with functioning filtering blebs after trabeculectomy[J]. PLoS One, 2016,11(3):e0152696. DOI: 10.1371/journal.pone.0152696 .
返回引文位置Google Scholar
百度学术
万方数据
30
亚洲干眼协会中国分会,海峡两岸医药卫生交流协会眼科学专业委员会眼表与泪液病学组,中国医师协会眼科医师分会眼表与干眼学组. 中国干眼专家共识: 检查和诊断(2020年)[J]. 中华眼科杂志, 2020,56(10):741-747. DOI: 10.3760/cma.j.cn112142-20200714-00477 .
返回引文位置Google Scholar
百度学术
万方数据
31
亚洲干眼协会中国分会,海峡两岸医药卫生交流协会眼科学专业委员会眼表与泪液病学组,中国医师协会眼科医师分会眼表与干眼学组. 中国干眼专家共识: 治疗(2020年)[J]. 中华眼科杂志, 2020,56(12):907-913. DOI: 10.3760/cma.j.cn112142-20200925-00618 .
返回引文位置Google Scholar
百度学术
万方数据
32
Ge J , Liu N , Wang X ,et al. Evaluation of the efficacy of optimal pulsed technology treatment in patients with cataract and Meibomian gland dysfunction in the perioperative period[J]. BMC Ophthalmol, 2020,20(1):111. DOI: 10.1186/s12886-020-01357-5 .
返回引文位置Google Scholar
百度学术
万方数据
33
Mohammadpour M , Maleki S , Khorrami-Nejad M . The effect of tea tree oil on dry eye treatment after phacoemulsification cataract surgery: a randomized clinical trial[J]. Eur J Ophthalmol, 2020,30(6):1314-1319. DOI: 10.1177/1120672119867642 .
返回引文位置Google Scholar
百度学术
万方数据
备注信息
A
刘祖国,厦门大学附属翔安医院眼科及厦门眼科中心 厦门大学眼科研究所 福建省眼科与视觉科学重点实验室 361102,Email: nc.defudabe.umxuilouguz
B
厦门大学干眼基金资助声明
C
本文为专家意见,为临床医疗服务提供指导,不是在各种情况下都必须遵循的医疗标准,也不是为个别特殊个人提供的保健措施;本文内容与相关产品的生产和销售厂商无经济利益关系
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