经常刷视频看电脑的你，眼睛干涩怎么办？
李琳副主任医师（科主任）
擅长专业
眼表疾病，眼色素膜病，各种类型的青光眼以及白内障的诊断与治疗，尤其是对小儿各种类...
专家简介
副主任医师，洛阳新里程医院眼科主任，毕业于河南医科大学，大学本科。从事眼科临床工作20余年。经验丰富。曾在北大医院眼科和...
盯着屏幕的你，是否正经历这些"灵魂拷问"：刷短视频时眼睛像撒了辣椒粉？打游戏时仿佛有沙粒在眼皮里翻滚？熬夜追剧后视线像蒙了层雾？这时你是不是本能地摸向那瓶网红眼药水？住手！这个动作可能正在摧毁你的双眼。。
为什么会干眼？有什么症状？
干眼症不是简单的“眼睛缺水”，而是泪膜系统的全面失衡。
健康的眼睛表面覆盖着三层泪膜：
1、油脂层（睑板腺分泌）：像保鲜膜锁住水分，防止泪液蒸发
2、水液层（泪腺分泌）：含抗菌成分的“营养液”，负责滋润眼球
3、黏蛋白层（结膜杯状细胞分泌）：让泪水均匀涂布在眼球表面
当这三层任意一层出问题，就会引发角结膜干燥症——也就是干眼症。
干眼症的主要症状包括：眼睛干涩、异物感、灼热感、眼痒、疼痛、眼红、视疲劳、视物模糊以及视力波动等。
这8类人最容易被盯上！
根据门诊数据统计，高危人群TOP8：
1、屏幕党：每天看电子屏＞6小时（泪液蒸发速度加快70%）
2、隐形眼镜族：连续佩戴＞8小时/周戴＞5天（角膜缺氧率↑83%）
3、更年期女性：雌激素下降导致泪液分泌减少（患病率是男性2倍）
4、美妆达人：长期画内眼线/贴假睫毛（睑板腺堵塞率↑65%）
5、慢性病患者：糖尿病/类风湿/甲亢患者（神经损伤影响泪腺）
6、药物依赖者：长期用抗抑郁药/降压药/激素类药物（抑制泪液分泌）
7、空调房打工人：湿度＜40%的环境持续工作（泪膜破裂时间缩短50%）
8、眼药水滥用者：长期用含防腐剂眼药水（角膜上皮损伤风险↑90%）
如何预防得干眼症？
俗话说，预防胜于治疗。在日常生活中，我们可以通过以下几点来预防干眼症：
✅保持环境湿润：避免长时间待在空调房内。
✅改善用眼习惯：减少长时间看电子屏幕的时间。
✅适当休息：保证充足的睡眠，避免过度疲劳。
✅改善生活方式：保持饮食均衡，多进行锻炼，减少吸烟和饮酒。
分级治疗：给眼睛定制修复方案
轻度干眼（偶发症状）：
治疗组合：热敷（早晚各1次）+人工泪液（每天≤4次）+Omega-3补充剂（每天1000mg）
禁忌：停用含薄荷醇的眼药水，避免化浓眼妆
中度干眼（持续不适）：
门诊治疗：
✔️ 强脉冲光治疗（IPL）：疏通堵塞的睑板腺
✔️ 泪道栓塞术：植入可吸收栓子减少泪液流失
✔️ 自体血清滴眼液：严重角膜损伤时使用
重度干眼（伴视力下降）：
联合治疗：
✔️ 夜间佩戴湿房镜（锁住眼部湿度）
✔️ 免疫抑制剂（环孢素A滴眼液）：抑制炎症反应
✔️ 唾液腺移植术（终末期患者）
门诊常见Q&A
Q：干眼症会瞎吗？
A：别自己吓自己！只要及时治疗，95%的人不会影响视力。但出现持续眼红、畏光、视力下降，马上去医院！
Q：眼睛干能戴美瞳吗？
A：每周不超过3天，每天<6小时
选择透氧量>24DK/t的美瞳，下午滴1次人工泪液
Q：干眼症能**吗？
A：干眼是一种慢性、多因素的眼表疾病，发病与年龄、生活环境、全身疾病和眼部疾病有关。由于这些原因大多无法完全根除，干眼很难完全**，需要患者接受长期、规律的治疗，且治疗期间病情可能会反复。这并不意味着干眼无法治疗。很多患者因眼部不适、病情反复而产生烦躁、抑郁、焦虑等心理，严重影响正常工作和生活。过度担心和焦虑反而会加重症状。因此，积极了解干眼相关知识，改善不良用眼习惯，积极配合医生进行规律治疗，会大大改善病情。
温馨提醒：
你的眼睛值得更好呵护！如果出现持续不适，请及时到正规医院眼科进行：
✅ 泪液分泌试验（Schirmer test）
✅ 角膜荧光素染色检查
✅ 睑板腺功能评估
早发现、早干预，别让干眼偷走你的清晰视界！
声明：本材料部分来自网络仅供科普使用，无意提供任何医疗建议或**具体治疗方案，与您个体疾病状况有关的任何治疗方案或其他医疗相关问题，请咨询您的主治医生。
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