中國干眼專家共識：藥物相關(guān)性干眼（2021年）

眼局部和全身用藥均有可能導(dǎo)致藥物相關(guān)性干眼，已成為干眼的重要病因之一，臨床易漏診、誤診。為引起眼科醫(yī)師對此類干眼的重視，亞洲干眼協(xié)會中國分會等相關(guān)學(xué)術(shù)組織的專家在《干眼臨床診療專家共識（2013年）》的基礎(chǔ)上，結(jié)合該領(lǐng)域新的研究進(jìn)展及臨床實踐經(jīng)驗，在其名稱、定義與分類、危險因素、相關(guān)藥物種類、發(fā)病機制、診斷及鑒別診斷、治療原則、預(yù)防措施等方面形成共識意見，以提高我國藥物相關(guān)性干眼的規(guī)范化診療水平。（中華眼科雜志，2021，57：734-742）【關(guān)鍵詞】干眼綜合征；藥物相關(guān)性副作用和不良反應(yīng)；診療準(zhǔn)則；多數(shù)贊同Chinese expert consensus on dry eye:dry eye related to drugs(2021)Chinese Branch of the Asian Dry Eye Society,Ocular Surface and Tear Film diseases Group ofOphthalmologyCommitteeofCross?StraitsMedicineExchangeAssociation,Ocular Surface and Dry EyeGroup of Chinese Ophthalmologist AssociationCorresponding author:Liu Zuguo,Department of Ophthalmology,Xiang′an Hospital and Xiamen EyeCenter affiliated to Xiamen University,Eye Institute of Xiamen University,Fujian Provincial KeyLaboratory of Ophthalmology and Visual Science,Fujian Engineering and Research Center of EyeRegenerative Medicine,Xiamen361102,China,Email:[email protected]【Abstract】Ocularlocalorsystemicmedicationmaycausedrug?relateddryeye,which hasbecome one of the important types of dry eye.A missed diagnosis or misdiagnosis of this type of dryeye is easy to occur clinically.To arouse the attention of ophthalmologists,experts from the ChineseBranch of the Asian Dry Eye Society and other related academic organizations have combined thenew research progress and clinical practice associated with this specific disease,in terms of itsdefinition,classification,risk factors,related drug types,pathogenesis,diagnosis,differentialdiagnosis,treatment principles and preventive measures,to form expert consensus opinions,hopingto promote the standardized diagnosis and treatment of drug?related dry eye in China.(Chin JOphthalmol,2021,57:734-742)【Key words】Dry eye syndromes;Drug?related side effects and adverse reactions;Practice guideline;Consensus在臨床工作中，患者個體因素、藥物自身因素或藥物不合理使用等，可造成部分眼局部或全身藥物的應(yīng)用成為導(dǎo)致干眼的常見原因［1］。2013年中華醫(yī)學(xué)會眼科學(xué)分會角膜病學(xué)組在其制定的《干眼·標(biāo)準(zhǔn)與規(guī)范探討·DOI：10.3760/cma.j.cn112142-20210726-00350收稿日期2021-07-26本文編輯黃翊彬引用本文：亞洲干眼協(xié)會中國分會,海峽兩岸醫(yī)藥衛(wèi)生交流協(xié)會眼科學(xué)專業(yè)委員會眼表與淚液病學(xué)組,中國醫(yī)師協(xié)會眼科醫(yī)師分會眼表與干眼學(xué)組.中國干眼專家共識：藥物相關(guān)性干眼（2021年）[J].中華眼科雜志,2021,57(10):734-742.DOI:10.3760/cma.j.cn112142-20210726-00350.··734