眼表微环境与泪膜稳态对视觉质量影响的新认识

2020年发布的中国干眼专家共识第一次将眼表微环境的概念新增到了干眼的定义中。强调了泪膜不稳定和眼表微环境失衡在干眼发病机制中的重要地位，并将视功能障碍作为干眼病情发展的重要结局之一。为了加强对新共识的认识，推动相关的基础与临床研究的开展及转化，为广大干眼患者提供更为细致的诊疗建议，专家组于2021年3年26日在江西吉安召开讨论会，对眼表微环境和泪膜稳态这两方面的研究现状及存在的问题进行分析，主要围绕干眼的这两个核心机制的新认识、与视觉质量的关系、临床的评估和治疗手段的建议和未来发展新方向等提出建议和推荐意见。

New Understanding of the Influence of Ocular Surface Microenvironment and Tear Film Homeostasis on Visual Quality

The Chinese Dry Eye Expert Consensus released in 2020 added the concept of ocular surface microenvironment to the definition of dry eye for the first time. The tear film instability and ocular surface microenvironmental imbalance was emphasized to play a critical role in the pathogenesis of dry eye, and visual dysfunction was defined as one of the important outcomes of dry eye. In order to strengthen the understanding of the new consensus, promote the development and transformation of related basic and clinical research, and provide more detailed diagnosis and treatment recommendations for dry eye patients, many experts in the field of dry eye held a panel discussion in Ji'an on March 26, 2021 and analyzed the current research status and existing problems of the ocular surface microenvironment and tear film homeostasis. In that meeting, opinions and recommendations were put forward based on new understandings of the two key factors in the mechanism of dry eye, the relationship with visual quality, clinical methods of evaluation and treatment, and new directions for future development.