目的：观察不同屈光矫正方式对空中乘务员眼表的影响。

方法：回顾性分析，将2014-09/2016-09我院门诊就诊的空中乘务员42例84眼纳入研究。按屈光矫正方式的不同，分为4组：角膜屈光手术组、软性角膜接触镜配戴组、硬性角膜接触镜配戴组、对照组。分析就诊时的临床检查指标：OSDI调查问卷评分、睑缘形态评分、泪膜破裂时间(break-up time，BUT)、荧光素染色评分、泪河高度和泪液分泌试验(Schirmer's Ⅰ test，SⅠt)结果。

结果：相比对照组，软性角膜接触镜配戴组和角膜屈光手术矫正组的OSDI评分明显上升、泪河高度明显降低、BUT明显缩短、荧光素染色评分明显增高、泪液分泌明显减少，差异均有统计学意义(P<0.05)； 而硬性角膜接触镜配戴组的上述参数与对照组比较，差异均无统计学意义(P>0.05)。四组的睑缘评分相比，差异无统计学意义(F=3.82，P=0.45)。

结论：硬性透氧性角膜接触镜可以改善空中乘务员的眼表不适。

METHODS: Forty-two flight attendants(84 eyes)were enrolled in the study. Those flight attendants, who were followed up from September 2014 to September 2016, all followed the doctor's orders. According to different refractive corrections, those flight attendants were divided into 4 groups: corneal refractive surgery group, soft contact lens group, rigid gas permeable contact lens(RGP)group and control group without any refractive corrections. OSDI scores, tear meniscus heights, BUTs, fluorescein staining scores and Schirmer's tests were taken and analyzed.

RESULTS: Compared with the control group, OSDI scores were worse, tear meniscus heights(TMH)were reduced, BUTs were shortened, fluorescein staining(FS)scores were worse, Schirmer's Tests(SⅠt)were shorter in soft contact lens group and corneal refractive surgery group(P<0.05). However, the above parameters did not change significantly in RGP group(P>0.05). There was no significant difference in lid margin abnormalities among the four groups(F=3.82, P=0.45).

CONCLUSION: RGP can improve flight attendants' ocular surface micro-environment.