基于OQAS评价泪膜对白内障围手术期病人视觉质量的影响

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[关键词]白内障；干眼病；视觉，眼；泪膜光学质量；评价研究[中图分类号］R776.1 [文献标志码］A [文章编号] 2096-5532（2025）05-0665-04doi：10.11712/jms.2096-5532.2025.61.148 [开放科学（资源服务）标识码（OSID）][网络出版]https：//link.cnki.net/urlid/37.1517.R.20251101.1907.001; 2025-11-03 15：53：34

Efectof tearfilmonthevisualqualityofpatientsintheperioperativeperiodofcataractsurgerybasedonteopticalqualityanalysis system I YANG Naifu，DUAN Lian，MENG Fanlan，WEI Wen，XI Shicong，DANG Guangfu （International School of Ophthalmology and Optometry，Shandong University of Traditional Chinese Medicine，Jinan 25020o，China）

[Abstract]ObjectiveToinvestigatetheefectof tearfilmonthe visualqualityof patientsintheperioperative periodof cataract surgeryusing thedual-channeloptical qualityanalysis system II.MethodsAtotalof114 patients withcataractand xerophthalia who were treatedin Shandong ProvincialQianfoshan Hospitalfrom September2022 toJune2023 wereenroledand randomlydividedintocontrol groupandtrialgroup，with57patients（57eyes）ineach group.During preoperativepreparation，the patients inthecontrol group were given levofloxacin eye drops，and thosein the trial group were given sodium hyaluronate combinedwithlevofloxacineyedrops.Visualqualityindicators werecomparedbetweenthe two groups.ResultsBeforesurgery，the control group had a significant reduction in modulation transfer function （MTF）（ Z=2.015，P<0.05 ）and significant increases in objective scattering index （OSI），mean OSI，and tear film OSI （TF-OSI） Z=3.391-6.567，P<0.05） after the application of eye drops，while the trial group had a significant increase in MTF （ Z=2.665，P<0.05） and significant reductions in OSI，mean OSI， and TF-OSI （ Z=2.106-6.333，P<0.05） . On day 1 before surgery，after the application of eye drops，the trial group had a significantly higher MTF （ Z=2.106，P<0.05） and significantly lower OSI，mean OSI，and TF-OSI compared with the control group （Z=2.301-7.730，P<0.05） . At1 week after surgery，the trial group had significantly lower OSI，mean OSI，and TF-OSI than the control group （Z=2.673-5.183，P<0.05） .Conclusion For patients with cataract and xerophthalmia，the addition of sodiumhyaluronateduring preoperativepreparationcanimproveocularmicroenvironment，intraocularscatering，visualquality，and tear film optical quality.

[Key words] cataract；xerophthalmia；vision，ocular；tear film optical quality；evaluation study

白内障是常见的眼科致盲性疾病之一， 50% 的白内障病人术前有干眼病[]。（剩余6860字）