Analysis Of Clinical Feature Of Middle-and Old-age Patients With Dry Eye Syndrome In Yanbian Area

Objective: To explore the morbidity characteristics and clinical feature of middle-and old-age patients with dry eye syndrome in Yanbian area.Methods: 60 patients (120eyes) aged over 45 years, complaining eye uncomfortable, were analyzed in Yanbian University Hospital from August 2007 to February 2008.Results: A total of 60 patients, 18 cases of the patients were male and 42 cases were female. The average age was 56.2±10.7 years. 44 cases (79eyes), were diagnosed dry eye syndrome (DES), the morbidity was 73.3%. Among DES, 12cases (17 eyes) were male which morbidity was 66.7%, 32 cases (62 eyes) were female, which morbidity was 76.2%. There was no significant difference of morbidity between male and female (P<0.05), and the DES morbidity was obviously increased with ages. The most common symptoms of DES were dryness, foreign body sensation and asthenopia. As ages increasing, the result of Shirmer test I and break up time (BUT) were obviously decreased, and there was no significant difference in groups (P>0.05). The DES could be severed by the environment of working and living, the ocular chronic inflammation, and the syatemic diseases. Ametropia (especially far sightedness ) and presbyopia could exacerbate the symptoms.Conclusion: The morbidity of DES was 73.3% in the people over 45 years. AS age increased, the basal secretion of tear fluid and stability of tear film are decreased, and the degree of ocular epithelium defection is aggravated. A lot of symptoms are related with ametropia (especially far sight) and presbyopia. Therefore, we pay attention to the examination of refraction. There is an obviously increase of DES morbidity in postmenopausal women. Dryness, foreign body sensations are the most common symptoms of DES.