掌中视频性角膜炎的临床观察和分析
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Clinical observation and analysis of palm video keratitis
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    摘要:

    目的:观察掌中视频性角膜炎的临床特点,并研究分析其发病原因和机制,为临床治疗和预防寻找方法。

    方法:随机选取就诊前1mo内使用掌中视频设备的门诊患者591例1182眼,调查患者使用智能手机、平板电脑等掌中视频设备的强度,行裂隙灯下角膜荧光染色观察泪膜破裂时间(break-up time,BUT),描述该病的临床特点,并分析其发病率与泪膜破裂时间和患者用眼强度之间的相关性。

    结果:掌中视频性角膜炎好发于20~40岁的中青年人,无明显性别差异。其发病与微生物感染和免疫性炎症无关。发病率随患者用眼强度的增加而明显上升,且与患者的用眼强度呈强正性相关,而随患者泪膜破裂时间的延长而下降,与患者的泪膜破裂时间呈强负性相关。

    结论:双眼长时间地向前下方注视掌中视频设备,造成眼表泪膜性状改变,是发病的重要原因。减少掌中视屏的使用可积极治疗和预防本病。

    Abstract:

    AIM:To observe the clinical characteristics of palm video keratitis and analyze the pathogeny. And to explore methods to cure and prevent it.

    METHODS:A total of 591 patients were randomly selected. Firstly, the frequency of staring at palm video equipment were investigated and break-up time of tear film with slit-lamp were observed. Then the data were calculated and the clinical characteristics were described. Finally, the correlation between incidence rate and the two factors were analyzed by SPSS13.0 respectively.

    RESULTS:The incidence rate of palm video keratitis increased along with the frequency of staring at palm video equipment and decreased along with break-up time. There was significant relationship between incidence rate and the two factors respectively.

    CONCLUSION:It is the most important pathogeny that staring at palm video equipment ahead and down for a long time which cause the change of tear film. That can reduce the frequency of using palm equipment and drop artificial tears to prevent and cure the disease.

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喻箭.掌中视频性角膜炎的临床观察和分析.国际眼科杂志, 2016,16(11):2118-2120.

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  • 收稿日期:2016-05-20
  • 最后修改日期:2016-10-10
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  • 在线发布日期: 2016-10-25
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