目的:观察LASIK围手术期干预治疗降低术后干眼症的临床效果。方法:行LASIK术近视及散光患者568例1124眼,采取术前筛选、围手术期干预治疗,分别观察术前及术后1wk;1,3mo干眼症状,并行泪液分泌试验、泪膜破裂时间、角膜荧光素染色检查。结果:术后1wk158眼(14.57%),1mo136眼(12.10%),3mo58眼(5.16%)符合干眼症诊断标准,且均为轻度。结论:重视术前对干眼症的筛查,合理的围手术期干预治疗是降低干眼症发生的重要措施。

·AIM:To observe the clinical effect of perioperative intervention treatment for dry eye in LASIK.·METHODS:Totally 568 patients 1124 eyes with myopia and astigmatism in LASIK surgery underwent preoperative screening and perioperative intervention.Dry eye symptoms were observed before and 1 week;1 month,3 months after operation.Tear secretion test,tear film break-up time and corneal fluorescein staining were performed.·RESULTS:Mild dry eye was found in 158 eyes(14.57%)1 week,136 eyes(12.10%)1 month,58 eyes(5.16%)3 months after operation.·CONCLUSION:The screening before surgery and reasonable perioperative intervention play on important role in reducing the occurrence of dry eye.·

R779.63