目的：观察强脉冲光(IPL)联合睑板腺按摩治疗伴有睑板腺功能障碍(MGD)的白内障患者术后干眼的疗效。

方法：回顾性分析。纳入2022-06/2023-06我院诊治的伴有MGD的白内障术后干眼患者100例100眼，根据不同治疗方法分为观察组50眼采取IPL联合睑板腺按摩治疗； 对照组50眼采取睑板腺按摩治疗。比较两组患者治疗前，治疗后1 wk，1、3 mo泪膜破裂时间(BUT)、泪液分泌试验(SⅠt)、睑板腺分泌物评分、眼表疾病指数(OSDI)评分、眼表染色(OSS)评分和疗效。

结果：两组患者治疗后1 wk，1、3 mo BUT、SⅠt均高于治疗前，睑板腺分泌物、OSS评分、OSDI评分均低于治疗前(均P<0.05)； 观察组治疗后1 wk，1、3 mo BUT、SⅠt较对照组更高(均P<0.05)，睑板腺分泌物、OSS评分、OSDI评分较对照组更低(均P<0.05)； 观察组治疗有效率86.0%高于对照组68.0%(P<0.05)。

结论：IPL联合睑板腺按摩用于伴有MGD的白内障术后干眼患者治疗，可促进BUT延长，增加泪液分泌量，并降低OSS、OSDI评分，治疗有效率高。

METHODS: A retrospective analysis was conducted on the general data of 100 patients(100 eyes)with cataract and postoperative dry eye syndrome accompanied by MGD treated in our hospital from June 2022 to June 2023. They were divided into a control group(n=50)and an observation group(n=50)according to different treatment methods, and received meibomian gland massage and meibomian gland massage combined with IPL treatment, respectively. The tear film break-up time(BUT), Schirmer I test(S I t), meibomian gland secretion score, ocular surface disease index(OSDI), ocular staining score(OSS), and treatment efficacy of the two groups of patients were compared before treatment and at 1 wk and 1 and 3 mo after treatment.

RESULTS: The BUT and SIt in both groups after treatment were higher than those before treatment, while the secretion of meibomian gland, OSS score, and OSDI score were lower than those before treatment(all P<0.05); the observation group had higher levels of BUT and SIT at 1 wk, 1 and 3 mo compared to the control group(all P<0.05), and lower levels of meibomian gland secretion, OSS score, and OSDI score compared to the control group(all P<0.05); the effective rate of treatment in the observation group was 86.0%, which was higher than that in the control group(68.0%; P<0.05).

CONCLUSION: IPL combined with meibomian gland massage for treating postoperative dry eye in cataract patients with MGD can promote the extension of BUT, increase tear secretion, and reduce OSS and OSDI scores.