溢泪症的病因
Etiology of Epiphora.
作者信息
Lee Jeong Min, Baek Ji Sun
机构信息
Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea.
出版信息
Korean J Ophthalmol. 2021 Oct;35(5):349-354. doi: 10.3341/kjo.2021.0069. Epub 2021 Jul 8.
PURPOSE
This study aimed to analyze the common causes of epiphora in Korean patients and their response to subsequent management.
METHODS
We retrospectively analyzed the medical records of 180 patients who visited Kim's Eye Hospital for epiphora between December 2017 and January 2019. This study included 320 eyes of 180 patients.
RESULTS
In the 320 eyes of 180 patients, the most common etiology of epiphora was reflex tearing due to dry eye syndrome, which occurred in 167 eyes (52.19%). The other etiologies of epiphora included anatomical abnormality (68 eyes, 21.25%), multifactorial (60 eyes, 18.75%), functional epiphora (14 eyes, 4.38%), ocular surface disease (seven eyes, 2.19%), and eyelid abnormality (four eyes, 1.25%).
CONCLUSIONS
The most common etiology of epiphora in Korean patients was reflex tearing due to dry eye syndrome, followed by lacrimal passage abnormality, multifactorial, functional epiphora, anterior segment disease, and eyelid malposition. Most patients with reflex tearing reported improvement in their symptoms after lubrication.
目的
本研究旨在分析韩国患者溢泪的常见原因及其对后续治疗的反应。
方法
我们回顾性分析了2017年12月至2019年1月期间因溢泪到金氏眼科医院就诊的180例患者的病历。本研究纳入了180例患者的320只眼。
结果
在180例患者的320只眼中，溢泪最常见的病因是干眼综合征引起的反射性流泪，共167只眼（52.19%）。溢泪的其他病因包括解剖异常（68只眼，21.25%）、多因素（60只眼，18.75%）、功能性溢泪（14只眼，4.38%）、眼表疾病（7只眼，2.19%）和眼睑异常（4只眼，1.25%）。
结论
韩国患者溢泪最常见的病因是干眼综合征引起的反射性流泪，其次是泪道异常、多因素、功能性溢泪、眼前段疾病和眼睑位置异常。大多数反射性流泪患者在润滑治疗后症状有所改善。
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