[关键词]
[摘要]
干眼(DED)是一种全球范围内常见的眼表疾病,主要特征为泪膜稳态失衡,常伴有睑板腺功能障碍、泪膜稳定性下降、眼部不适及视觉障碍。近年来,随着电子设备的广泛使用、人口老龄化及环境变化,其全球患病率显著上升,已成为重要的公共卫生问题。红光疗法,亦称低水平激光治疗或光生物调节疗法,是一种利用低能量红光或近红外光照射组织,通过光生物调节作用促进细胞修复与功能恢复的非侵入性治疗手段。该疗法在眼病治疗中展现出广阔的应用前景。若能广泛应用于临床,可望提升疗效、减轻患者痛苦与经济负担,并节约社会医疗资源,具有显著的社会经济效益。文章系统综述了红光疗法治疗干眼的多重机制与应用前景,涵盖其抗炎、改善睑板腺功能、促进结膜杯状细胞修复、缓解视觉疲劳等多方面作用,以期为临床推广提供理论依据与实践参考。
[Key word]
[Abstract]
Dry eye disease(DED)is a common ocular surface disorder worldwide, primarily characterized by a loss of homeostasis of the tear film, and frequently associated with meibomian gland dysfunction(MGD), decreased tear film stability, ocular discomfort, and visual impairment. In recent years, factors such as the widespread use of digital devices,the aging population, and environmental changes have contributed to a significant increase in its global prevalence, making it a major public health concern. Red light therapy(RLT), also known as low-level laser therapy(LLLT)or photobiomodulation(PBM), is a non-invasive treatment that utilizes low-energy red or near-infrared light to irradiate tissues. It exerts photobiomodulatory effects to promote cellular repair and functional recovery. This therapy has demonstrated considerable potential in treating various ocular conditions. Its broader clinical application could improve therapeutic outcomes, alleviate patient discomfort and financial burden, and reduce the consumption of healthcare resources, thereby yielding significant socio-economic benefits. This paper systematically reviews the multifaceted mechanisms and application prospects of RLT in managing DED, including its anti-inflammatory effects, improvement of meibomian gland function, promotion of conjunctival goblet cell repair, and alleviation of visual fatigue, aiming to provide a theoretical foundation and practical reference for its clinical adoption.
[中图分类号]
[基金项目]
2023年度陕西省教育厅科学研究计划重点项目-重点实验室项目(No.23JS056); 西安医学院2024年度科技能力提升专项计划项目(No.2024NLTS022); 西安医学院2024年度“医臻基因育才计划”科研项目(No.2024YZ05); 2025 年校级大学生创新训练计划项目(No.121525035)