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细菌与干眼症:一篇叙述性综述

Bacteria and Dry Eye: A Narrative Review.

作者信息

Wang Yuchen, Ding Yi, Jiang Xiaodan, Yang Jiarui, Li Xuemin

机构信息

Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Department of Ophthalmology, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing 100191, China.

Capital Medical College Attached Beijing Shijitan Hospital, No. 10, Xi Toutiao, Youanmen Wai Street, Beijing 100069, China.

出版信息

J Clin Med. 2022 Jul 12;11(14):4019. doi: 10.3390/jcm11144019.

DOI:10.3390/jcm11144019
PMID:35887783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9319739/
Abstract

(1) Background: Dry eye is a multifactorial disease of the ocular surface, the incidence of which has been increasing sharply. The pathogenesis of dry eye, especially in terms of the bacterial flora, has drawn great attention. Additionally, the potential treatment methods need to be explored. (2) Methods: We reviewed more than 100 studies and summarized them briefly in a review. (3) Results: We summarized the bacterial communities found on the ocular surface in the general population and patients with dry eye and found a relationship between dry eye and antibiotic therapy. We identified the possible mechanisms of bacteria in the development of dry eye by discussing factors such as the destruction of the antibacterial barrier, infectious diseases, microbiome homeostasis, inflammatory factors on the ocular surface and vitamin deficiency. (4) Conclusion: We systematically reviewed the recent studies to summarize the bacterial differences between patients with dry eye and the general population and brought up several possible mechanisms and possible treatment targets.

摘要

(1)背景:干眼症是一种眼表多因素疾病,其发病率一直在急剧上升。干眼症的发病机制,尤其是在细菌菌群方面,已引起极大关注。此外,还需要探索潜在的治疗方法。(2)方法:我们查阅了100多项研究,并在一篇综述中对其进行了简要总结。(3)结果:我们总结了普通人群和干眼症患者眼表发现的细菌群落,并发现了干眼症与抗生素治疗之间的关系。通过讨论抗菌屏障破坏、传染病、微生物群稳态、眼表炎症因子和维生素缺乏等因素,我们确定了细菌在干眼症发生发展中的可能机制。(4)结论:我们系统地回顾了近期研究,以总结干眼症患者与普通人群之间的细菌差异,并提出了几种可能的机制和可能的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac4/9319739/f826ebca2557/jcm-11-04019-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac4/9319739/72fc3b6d4668/jcm-11-04019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac4/9319739/f826ebca2557/jcm-11-04019-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac4/9319739/72fc3b6d4668/jcm-11-04019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac4/9319739/f826ebca2557/jcm-11-04019-g002.jpg

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本文引用的文献

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Is dry eye disease the same in young and old patients? A narrative review of the literature.干眼病在年轻患者和老年患者中是否相同?文献综述。
BMC Ophthalmol. 2022 Feb 22;22(1):85. doi: 10.1186/s12886-022-02269-2.
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Comparison of the Ocular Microbiomes of Dry Eye Patients With and Without Autoimmune Disease.干眼症患者与自身免疫性疾病患者眼表微生物组的比较。
Front Cell Infect Microbiol. 2021 Sep 22;11:716867. doi: 10.3389/fcimb.2021.716867. eCollection 2021.
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Ocular Surface Microbiota in Diabetic Patients With Dry Eye Disease.
解决干眼管理中的差距:白内障与屈光手术医师台湾学会的共识报告。
BMC Ophthalmol. 2024 Jul 29;24(1):314. doi: 10.1186/s12886-024-03565-9.
4
Higher incidence of meibomian gland dysfunction in postmenopausal women with primary acquired nasolacrimal duct obstruction.绝经后女性原发性泪道阻塞患者中,睑板腺功能障碍的发生率较高。
Int Ophthalmol. 2024 Feb 13;44(1):70. doi: 10.1007/s10792-024-03041-9.
5
Infectious and Noninfectious Corneal Ulcers in Ocular Graft-Versus-Host Disease: Epidemiology, Clinical Characteristics, and Outcomes.眼部移植物抗宿主病中的感染性和非感染性角膜溃疡:流行病学、临床特征及预后
Am J Ophthalmol. 2024 Jan;257:236-246. doi: 10.1016/j.ajo.2023.09.018. Epub 2023 Sep 28.
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Type 1-type 2 interferon imbalance in dry eye disease.干眼症中 1 型-2 型干扰素失衡。
Indian J Ophthalmol. 2023 Apr;71(4):1526-1532. doi: 10.4103/IJO.IJO_2842_22.
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Invest Ophthalmol Vis Sci. 2021 Sep 2;62(12):13. doi: 10.1167/iovs.62.12.13.
4
Are there Clinical Ways to Assess Inflammation in Dry Eye Disease?干眼症的临床炎症评估方法有哪些?
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Nutrients. 2021 Jun 10;13(6):1998. doi: 10.3390/nu13061998.
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Medication use and dry eye symptoms: A large, hypothesis-free, population-based study in the Netherlands.药物使用与干眼症状:荷兰一项大型、无假设、基于人群的研究。
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