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Changes of tear film and tear secretion after phacoemulsification in diabetic patients

查看全文 作  者:Xi LIU Yang-shun GU Ye-sheng [1]XU 高影响力作者 机构地区:[1]Ophthalmology Center, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China高影响力机构 出  处:《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》索引2008年第9卷第4期,共5页高影响力期刊 摘  要:Objective: To evaluate tear film stability and tear secretion in patients with diabetes after phacoemulsification. Methods: Twenty-five diabetic cataract patients and 20 age-matched non-diabetic cataract patients as control underwent pha- coemulsification. Tear film break-up time (TFBUT), Schirmer I test (SIT), corneal fluorescein staining, and dry eye symptoms were measured pre- and postoperatively. Results: Diabetics had a decreased preoperative TFBUT and SIT. TFBUT was reduced on Day 1 and recovered on Day 180 postoperatively in both groups. SIT was increased after phacoemulsification, but returned to preoperative levels by Day 180 in non-diabetics, whereas it was lower than preoperative level in diabetics. Positive corneal fluo- rescein staining was elevated in both groups, and returned to preoperative levels only in controls. Dry eye symptoms were similar to fluorescein staining in both groups. Conclusion: Tear secretion was reduced in diabetic cataract patients after phacoe- mulsification, which worsened dry eye symptoms and predisposed those patients to ocular damage. 关 键 词:晶状体乳化法 超声波 白内障 眼泪
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