Effect of tear film stability after vitrectomy combined with silicone oil tamponade_Chinese Journal of Ocular Fundus Diseases

Authors：

Fang Teng ,  Li Qiuming

Department of Ophthalmology, The People,s Hospital of Chongqing Kaizhou District, 405400 Chongqing, China (Fang Teng); Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Henan 450052, China (Li Qiuming);

Corresponding author：

Li Qiuming, Email: liqiuming63@163.com

Keywords：

Vitrectomy/adverse effects; Surgical procedures, minimally invasive; Tears/metabolism

DOI：

10.3760/cma.j.issn.1005-1015.2018.02.007

Video：

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Objective To observe the effect of vitrectomy (PPV) combined with silicone oil filling on the stability of the tear film. Methods A total of 72 eyes of 36 patients with vitreous hemorrhage and retinal detachment were enrolled in the study with PPV combined with silicone oil filling. The operation and contralateral eyes were set up in the operation group and the control group respectively, each had 36 eyes. The tear film rupture time (BUT), the base tear secretion test or Schirmer Ⅰ test (SⅠT) and corneal fluorescein staining (CFS) were performed at 7, 30, 60, and 90 days after operation. The difference of BUT, SⅠT and CFS at different time points after the operation of the two groups were compared. Results After operation 7, 30 days, SⅠT and CFS increased, BUT staining is shortened in the surgery group, the differences were statistically significant (t=1.78, P＜0.05); after operation 60, 90 days, SⅠT, CFS, BUT were same between the surgery group and the contralateral eyes (t=12.39, P＞0.05). Conclusion PPV combined with silicone oil filling can affect the stability of the tear film, which can be recovered to the preoperative level at postoperative 60 days.

Citation： Fang Teng, Li Qiuming. Effect of tear film stability after vitrectomy combined with silicone oil tamponade. Chinese Journal of Ocular Fundus Diseases, 2018, 34(2): 136-138. doi: 10.3760/cma.j.issn.1005-1015.2018.02.007 Copy

1.	宋颖, 周绍荣, 张琳.干眼的诊治及其在眼科手术中的影响[J]. 国外医学眼科学分册, 2004, 28(3): 157-161. DOI: 10.3760/cma.j.issn.1673-5803.2004.03.004.Song Y, Zhou SR, Zhang L. The diagnosis and treatment of dry eye and its effect in eye operation[J]. Int Rev Ophthalmol, 2004, 28(3): 157-161. DOI: 10.3760/cma.j.issn.1673-5803.2004.03.004.
2.	Marcozzi G, Liberati V, Madia F, et al. Age- and gender-related differences in human lacrimal fluid peroxidase activity[J]. Ophthalmologica, 2003, 217(4): 294-297. DOI: 10.1159/000070638.
3.	高韶晖, 栗占荣, 裴晗, 等.微创玻璃体切割手术对绝经后增生型糖尿病视网膜病变患者眼表功能的影响[J]. 中华眼底病杂志, 2017, 33(3): 252-256. DOI: 10.3760/cma.j.issn.1005-1015.2017.03.008.Gao SH, Li ZR, Pei H, et al. Changes in ocular surface following minimal vitreoretinal surgery in postmenopausal women patients with proliferative diabetic retinopathy [J]. Chin J Ocul Fundus Dis, 2017, 33(3): 252-256. DOI: 10.3760/cma.j.issn.1005-1015.2017.03.008.
4.	朱姝, 贾卉.糖尿病角膜上皮和泪膜改变的研究进展[J]. 眼科新进展, 2007, 27(4): 318-320. DOI: 10.3969/j.issn.1003-5141.2007.04.025.Zhu S, Jia H.Advanced study on the changes of corneal epithelium and tear film in diabetes mellitus[J]. Rec Adv Ophthalmo, 2007, 27(4): 318-320. DOI: 10.3969/j.issn.1003-5141.2007.04.025.
5.	陈春丽, 宋宗明, 孙敏, 等.高血压患者微创玻璃体视网膜手术后泪膜变化观察[J]. 中华眼底病杂, 2012, 28(2): 145-148. DOI: 10.3760/cma.j.issn.1005-1015.2012.02.010.Chen CL, Song ZM, Sun M, et al. Changes in tear film after minimal vitreoretinal surgery in patients with hypertension[J]. Chin J Ocul Fundus Dis, 2012, 28(2): 145-148. DOI: 10.3760/cma.j.issn.1005-1015.2012.02.010.
6.	Dias AC, Batista TM, Roma LP.Insulin replacement restores the vesicular secretory apparatus in the diabetic rat lacrimal gland[J]. Arq Bras Oftalmol, 2015, 78(3): 158-163. DOI: 10.5935/0004-2749.20150041.
7.	Han KE, Yoon SC, Ahn JM, et al. Evaluation of dry eye and meibomian gland dysfunction after cataract surgery[J]. Am J Ophthalmol, 2014, 157(6): 1144-1150. DOI: 10.1016/j.ajo.2014.02.036.
8.	Horwath-Winter J, Vidic B, Schwantzer G, et al. Early changes in corneal sensation, ocular surface integrity, and tear-film function after laser -assisted subepithelial keratectomy [J]. J Cataract Refract Surg, 2004, 30(11): 2316-2321. DOI: 10.1016/j.jcrs.2004.03.042.
9.	Chang YH, Yoon JS, Chang JH, et al. Changes in corneal and conjunctival sensitivity, tear film stability and tear secretion after strabismus surgery[J]. J Pediatr Ophthalmol Strabismus, 2006, 43(2): 95-99.
10.	Kampitak K, Tansiricharernkul W, Leelawongtawun W.A comparison of precorneal tear film pre and post pterygium surgery[J]. J Med Assoc Thai, 2015, 98 Suppl 2: S53-55.
11.	陈家祺, 袁进.重视手术源性干眼及其治疗[J]. 眼科, 2008, 17(3): 151-153.Chen JQ, Yuan J.Attach more importances to dry eye correlated with operation [J]. Ophthalmol CHN, 2008, 17(3): 151-153.
12.	Cho P, Brown B.The effect of benoxinate on the tear stability of Hong Kong-Chinese[J]. Ophthalmic Physiol Opt, 1995, 15(4): 299-304.
13.	黄惠春, 林世斌, 张少斌.不同种类的结膜囊冲洗液对眼表泪膜功能的影响[J]. 国际眼科杂志, 2009, 9(7): 1305-1306. DOI: 10.3969/j.issn.1672-5123.2009.07.029.Huang HC, Lin SB, Zhang SB.Effects of different kinds of conjunctival sac eyewash on ocular surface tear film function[J]. Int Eye Sci, 2009, 9(7): 1305-1306. DOI: 10.3969/j.issn.1672-5123.2009.07.029.
14.	宁琳, 孔珺, 张劲松.角膜散光对干眼患者泪膜的影响[J]. 眼科新进展, 2008, 28(11): 860-862.Ning L, Kong J, Zhang JS.Effect of astigmatism on lacrimal film in dry eye[J]. Rec Adv Ophthalmol, 2008, 28(11): 860-862.
15.	张君敏, 李虹霓, 张少冲, 等.玻璃体视网膜手术对泪膜的影响[J]. 中华眼底病杂志, 2010, 26(2): 528-531. DOI: 10.3760/cma.j.issn.1005-1015.2010.06.08.Zhang JM, Li HN, Zhang SC, et al. The effect of vitreoretinal surgery on tear film[J]. Chin J Ocul Fundus Dis, 2010, 26(2): 528-531. DOI: 10.3760/cma.j.issn.1005-1015.2010.06.08.

1. 宋颖, 周绍荣, 张琳.干眼的诊治及其在眼科手术中的影响[J]. 国外医学眼科学分册, 2004, 28(3): 157-161. DOI: 10.3760/cma.j.issn.1673-5803.2004.03.004.Song Y, Zhou SR, Zhang L. The diagnosis and treatment of dry eye and its effect in eye operation[J]. Int Rev Ophthalmol, 2004, 28(3): 157-161. DOI: 10.3760/cma.j.issn.1673-5803.2004.03.004.
2. Marcozzi G, Liberati V, Madia F, et al. Age- and gender-related differences in human lacrimal fluid peroxidase activity[J]. Ophthalmologica, 2003, 217(4): 294-297. DOI: 10.1159/000070638.
3. 高韶晖, 栗占荣, 裴晗, 等.微创玻璃体切割手术对绝经后增生型糖尿病视网膜病变患者眼表功能的影响[J]. 中华眼底病杂志, 2017, 33(3): 252-256. DOI: 10.3760/cma.j.issn.1005-1015.2017.03.008.Gao SH, Li ZR, Pei H, et al. Changes in ocular surface following minimal vitreoretinal surgery in postmenopausal women patients with proliferative diabetic retinopathy [J]. Chin J Ocul Fundus Dis, 2017, 33(3): 252-256. DOI: 10.3760/cma.j.issn.1005-1015.2017.03.008.
4. 朱姝, 贾卉.糖尿病角膜上皮和泪膜改变的研究进展[J]. 眼科新进展, 2007, 27(4): 318-320. DOI: 10.3969/j.issn.1003-5141.2007.04.025.Zhu S, Jia H.Advanced study on the changes of corneal epithelium and tear film in diabetes mellitus[J]. Rec Adv Ophthalmo, 2007, 27(4): 318-320. DOI: 10.3969/j.issn.1003-5141.2007.04.025.
5. 陈春丽, 宋宗明, 孙敏, 等.高血压患者微创玻璃体视网膜手术后泪膜变化观察[J]. 中华眼底病杂, 2012, 28(2): 145-148. DOI: 10.3760/cma.j.issn.1005-1015.2012.02.010.Chen CL, Song ZM, Sun M, et al. Changes in tear film after minimal vitreoretinal surgery in patients with hypertension[J]. Chin J Ocul Fundus Dis, 2012, 28(2): 145-148. DOI: 10.3760/cma.j.issn.1005-1015.2012.02.010.
6. Dias AC, Batista TM, Roma LP.Insulin replacement restores the vesicular secretory apparatus in the diabetic rat lacrimal gland[J]. Arq Bras Oftalmol, 2015, 78(3): 158-163. DOI: 10.5935/0004-2749.20150041.
7. Han KE, Yoon SC, Ahn JM, et al. Evaluation of dry eye and meibomian gland dysfunction after cataract surgery[J]. Am J Ophthalmol, 2014, 157(6): 1144-1150. DOI: 10.1016/j.ajo.2014.02.036.
8. Horwath-Winter J, Vidic B, Schwantzer G, et al. Early changes in corneal sensation, ocular surface integrity, and tear-film function after laser -assisted subepithelial keratectomy [J]. J Cataract Refract Surg, 2004, 30(11): 2316-2321. DOI: 10.1016/j.jcrs.2004.03.042.
9. Chang YH, Yoon JS, Chang JH, et al. Changes in corneal and conjunctival sensitivity, tear film stability and tear secretion after strabismus surgery[J]. J Pediatr Ophthalmol Strabismus, 2006, 43(2): 95-99.
10. Kampitak K, Tansiricharernkul W, Leelawongtawun W.A comparison of precorneal tear film pre and post pterygium surgery[J]. J Med Assoc Thai, 2015, 98 Suppl 2: S53-55.
11. 陈家祺, 袁进.重视手术源性干眼及其治疗[J]. 眼科, 2008, 17(3): 151-153.Chen JQ, Yuan J.Attach more importances to dry eye correlated with operation [J]. Ophthalmol CHN, 2008, 17(3): 151-153.
12. Cho P, Brown B.The effect of benoxinate on the tear stability of Hong Kong-Chinese[J]. Ophthalmic Physiol Opt, 1995, 15(4): 299-304.
13. 黄惠春, 林世斌, 张少斌.不同种类的结膜囊冲洗液对眼表泪膜功能的影响[J]. 国际眼科杂志, 2009, 9(7): 1305-1306. DOI: 10.3969/j.issn.1672-5123.2009.07.029.Huang HC, Lin SB, Zhang SB.Effects of different kinds of conjunctival sac eyewash on ocular surface tear film function[J]. Int Eye Sci, 2009, 9(7): 1305-1306. DOI: 10.3969/j.issn.1672-5123.2009.07.029.
14. 宁琳, 孔珺, 张劲松.角膜散光对干眼患者泪膜的影响[J]. 眼科新进展, 2008, 28(11): 860-862.Ning L, Kong J, Zhang JS.Effect of astigmatism on lacrimal film in dry eye[J]. Rec Adv Ophthalmol, 2008, 28(11): 860-862.
15. 张君敏, 李虹霓, 张少冲, 等.玻璃体视网膜手术对泪膜的影响[J]. 中华眼底病杂志, 2010, 26(2): 528-531. DOI: 10.3760/cma.j.issn.1005-1015.2010.06.08.Zhang JM, Li HN, Zhang SC, et al. The effect of vitreoretinal surgery on tear film[J]. Chin J Ocul Fundus Dis, 2010, 26(2): 528-531. DOI: 10.3760/cma.j.issn.1005-1015.2010.06.08.

Chinese Journal of Ocular Fundus Diseases

Effect of tear film stability after vitrectomy combined with silicone oil tamponade

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