Wu Chen, Chen Qingzhong, Zhang Guangbin
Xiamen Eye Center Affiliated to Xiamen University, Xiamen, China.
Aier School of Ophthalmology, Central South University, Changsha, China.
Front Med (Lausanne). 2024 Jan 16;10:1247904. doi: 10.3389/fmed.2023.1247904. eCollection 2023.
To investigate the effects of the three-dimension visualization system on dry eye in patients after cataract phacoemulsification.
Seventy-one patients (104 eyes) were enrolled in this study and assigned to the conventional microscopic group (CM group) or three-dimension group (3D group). Ocular Surface Disease Index, The Schirmer I test (SIt), lipid layer thickness (LLT), noninvasive tear breakup time (NIBUT) and other factors associated with dry eye were recorded before and 1 week and 1 month after surgery. The operation time and intraoperative light intensity (ILI) were also recorded.
The ILI in the 3D group was significantly lower than that in the CM group (33% vs. 60%, < 0.01). There was an interaction (group and time) effect for first NIBUT (NIBUT-F), average NIBUT (NIBUT-Ave), tear meniscus height (TMH) and the score of eye redness ( < 0.05). The main effects of group on SIt, LLT, NIBUT-F, NIBUT-Ave and the score of eye redness were significant ( < 0.05). In the CM group, SIt, LLT, NIBUT-F, NIBUT-Ave, TMH were lower than those of the 3D group, the score of eye redness was higher than that of the 3D group at 1 week and 1 month after surgery (all < 0.05). The changes in NIBUT-F and NIBUT-Ave between before surgery and 1 week after surgery showed negative correlations with ILI ( < 0.01).
Compared with microscopic surgery, the 3D visualization system can provide better tear film stability for patients after cataract surgery.
探讨三维可视化系统对白内障超声乳化术后干眼患者的影响。
本研究纳入71例患者（104只眼），分为传统显微镜组（CM组）和三维组（3D组）。记录术前、术后1周和1个月时的眼表疾病指数、泪液分泌试验（SIt）、脂质层厚度（LLT）、非侵入性泪膜破裂时间（NIBUT）及其他与干眼相关的因素。同时记录手术时间和术中光照强度（ILI）。
3D组的ILI显著低于CM组（33%对60%，<0.01）。首次NIBUT（NIBUT-F）、平均NIBUT（NIBUT-Ave）、泪河高度（TMH）和眼红评分存在组间与时间的交互作用（<0.05）。组间对SIt、LLT、NIBUT-F、NIBUT-Ave和眼红评分的主效应显著（<0.05）。术后1周和1个月时，CM组的SIt、LLT、NIBUT-F、NIBUT-Ave、TMH均低于3D组，眼红评分高于3D组（均<0.05）。术前与术后1周NIBUT-F和NIBUT-Ave的变化与ILI呈负相关（<0.01）。
与显微镜手术相比，3D可视化系统可为白内障术后患者提供更好的泪膜稳定性。
