角膜屈光术后的隐忧：干眼症的发生、发展与干预
Hidden Concerns after Corneal Refractive Surgery: Onset, Progression, and Intervention of Dry Eye Syndrome
DOI: 10.12677/acm.2025.151023, PDF,   
作者: 蔡杰清：山东第一医科大学研究生学院，山东 济南；田明霞*：济宁市第一人民医院眼科，山东 济宁
关键词: 干眼综合症；角膜屈光手术；并发症防治；发病机制；Dry Eye Syndrome； Corneal Refractive Surgery； Prevention and Treatment of Complications； Pathogenesis
摘要: 随着日益增长的摘镜需求及医疗水平的不断发展，安全性及有效性得到大量验证的角膜屈光手术已在临床上获得广泛应用，但其仍存在一些术后并发症，干眼是角膜屈光术后最常见的并发症之一，也是影响术后视觉质量及满意度的重要因素之一。干眼的定义走向推陈出新，与干眼尚未完全阐明的发病机制及病理生理过程密不可分，角膜屈光术后干眼的发病机制同样值得进一步探讨与研究。干眼症病因及发病机制的复杂性，使得眼科医生对该疾病的诊疗工作面临现实挑战，加之角膜屈光术后眼表结构和功能的特殊状态，围手术期干眼的诊断与治疗应在单纯干眼诊疗的基础上加以考量与优化。现就角膜屈光术后干眼防治的最新研究进展和其目前在实际临床工作中的应用展开综述。
Abstract: With the increasing demand for lens removal and the continuous development of the medical level, corneal refractive surgery with a large number of verified safety and efficacy has been widely used in clinical practice, but there are still some postoperative complications. Dry eye is one of the most common complications after corneal refractive surgery, and it is also one of the important factors affecting postoperative visual quality and satisfaction. The definition of dry eye is evolving, closely linked to the still incompletely understood pathophysiological processes and pathogenesis of its development. The pathogenesis of dry eye after corneal refractive surgery is also worthy of further exploration and research. The complexity of the etiology and pathogenesis of dry eye makes the diagnosis and treatment of this disease a practical challenge for ophthalmologists, and the special state of ocular surface structure and function after corneal refractive surgery should be considered and optimized on the basis of simple dry eye diagnosis and treatment. This article reviews the latest research progress in the prevention and treatment of dry eye after corneal refractive surgery and its current application in practical clinical work.
文章引用：蔡杰清, 田明霞. 角膜屈光术后的隐忧：干眼症的发生、发展与干预[J]. 临床医学进展, 2025, 15(1): 146-153. https://doi.org/10.12677/acm.2025.151023

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