Kim Tae Hyung, Moon Nam Ju
Department of Ophthalmology, Chung-Ang University Hospital, Seoul, Korea.
J Pediatr Ophthalmol Strabismus. 2013 Mar-Apr;50(2):124-7. doi: 10.3928/01913913-20130108-01. Epub 2013 Jan 15.
Clinical patterns in pediatric patients with dry eye syndrome and allergic conjunctivitis were investigated.
Children aged 6 to 15 years with dry eye symptoms were included. Slit-lamp examinations including tear film break-up time, Schirmer's test, and fluorescent staining were performed, and subjective symptoms were investigated. Patients with allergic conjunctivitis were subjected to skin prick tests.
Tear film break-up time was shorter and the number of symptoms related to dry eyes was higher in pediatric patients with allergic conjunctivitis than in those without allergic conjunctivitis. Patients with allergic conjunctivitis who had higher numbers of positive allergens on the skin prick test also had shorter tear film break-up time.
Because pediatric patients with dry eye syndrome tend to complain less about their symptoms than adult patients, dry eye syndrome is commonly overlooked. This study showed that dry eyes tended to be more severe with the presence of allergic conjunctivitis; the more allergens present, the more severe the dry eyes. More attention should be paid to the treatment of pediatric patients with dry eyes accompanied by allergies.
研究小儿干眼症和过敏性结膜炎患者的临床特征。
纳入6至15岁有干眼症状的儿童。进行裂隙灯检查,包括泪膜破裂时间、泪液分泌试验和荧光素染色,并调查主观症状。对过敏性结膜炎患者进行皮肤点刺试验。
过敏性结膜炎小儿患者的泪膜破裂时间比无过敏性结膜炎的小儿患者短,且与干眼相关的症状数量更多。皮肤点刺试验阳性变应原数量较多的过敏性结膜炎患者,其泪膜破裂时间也较短。
由于小儿干眼症患者往往比成年患者更少抱怨自身症状,干眼症常被忽视。本研究表明过敏性结膜炎的存在会使干眼症状更严重;变应原越多,干眼越严重。对于伴有过敏的小儿干眼症患者的治疗应给予更多关注。