門診病患乾眼症之發生率

Prevalence of Dry Eye in Ophthalmic Outpatients

劉秀雯(Shiow-Wen Liou) ； 陳威呈(Wei-Cheng Chen)

《中華民國眼科醫學會雜誌》 36卷4期 (1997/12) Pp. 356-360

https://doi.org/10.30048/ACTASOS.199712.0003

摘要

本研究共取683名初診患者以統計乾眼症之發生率。診斷乾眼症的標準包括：類似慢性結膜炎之症狀如眼睛乾澀、異物感、眼疲勞、癢……等；淚液層崩解時間(Tear film break-up time)≤15秒；第一型Schirmer氏淚液試驗≤10mm,Schirmer氏基礎淚液試驗≤5mm。共143名患者被診斷為乾眼症，占門診患者之21.2%(143/683)，其中具慢性結膜炎類似症狀者最後被診斷為乾眼症之比例更高達38.8%(132/340)，可見有慢性結膜炎症狀者更不可忽略其有乾眼症之可能性。在各類標準中，以Schirmer氏基礎淚液試驗對於乾眼症的診斷最具敏感度，因此建議為節省門診看診時問，可將其列為篩檢乾眼症的首項必要檢查。

並列摘要

683 consecutive new patients were evaluated for the presence of dry eye. Parameters of this study included symptoms, Schirmer's I & basic secretion tests, and the tear film break up time measurement. The incidence of dry eye among ophthalmic outpatients was 21.2% (143/683). Among all the patients with mimic symptoms of chronic conjunctivitis, 38.8% (132/340) of them were diagnosed as dry eye syndrome. The results of Schirmer's basic test in the majority of dry eye patients were compatible. These findings suggested that there is a strong correlation between chronic conjunctivitis and dry eye syndrome; Besides, Schirmer's basic test might be used as a sceening test for diagnosis of dry eye.

並列關鍵字

Dry eye syndrome ； Chronic conjunctivitis ； Schirmer's test ； Tear film break-up time