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Dry eye is one of the most common complications after photorefractive keratectomy and laser in-situ keratomileusis. Keratorefractive surgery is known to cause damage to the corneal sensory nerves. Several studies have demonstrated a decrease in corneal sensation, tear secretion, and tear film stability several months after keratorefractive surgery. For patients with preoperative dry eye, the ocular surface must be treated accordingly prior to surgery.

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Non-steroidal anti-inflammatory drugs versus corticosteroids for controlling inflammation a er uncomplicated cataract surgery (Review)Juthani VV, Clearfield E, Chuck RS Juthani VV, Clearfield E, Chuck RS. Non-steroidal anti-inflammatory drugs versus corticosteroids for controlling inflammation a er uncomplicated cataract surgery.

HAF was superior to HS and artificial tears for improving corneal staining within 2 weeks of therapy in this induced mouse model of keratoconjunctivitis sicca. Clinical studies are needed to ascertain the benefits of these therapies in patients with ocular surface disorders associated with dry eye.

To compare the effects of different concentrations of topical human amniotic fluid (HAF) in a mouse model of dry eye, forty C57BL/6 mice were divided into 4 treatment groups: 20 % HAF, 50 % HAF, 100 % HAF, and isotonic salt solution (control). Dry eye was induced by an injection of botulinum toxin B into the lacrimal gland. Tear production, ocular surface fluorescein staining, and blink rate were evaluated in each mouse at 5 time points during a 4-week period. Goblet cell density was assessed in stained histological sections. Regarding tear production, 20, 50, and 100 % HAF groups were all different from the control group (P < 0.001) at week 1. However, there were no statistically significant differences between the 20, 50, and 100 % HAF groups. At week 2, 20, 50, and 100 % HAF groups had significant improvement in staining score and were significantly different from the control group (P = 0.047, P = 0.005, and P = 0.001, respectively). No difference in spontaneous blink rate was observed between groups, at any time point. Goblet cell density was significantly decreased in the control group compared to the HAF treatment groups. All tested concentrations of topical HAF were effective and superior than the control in this keratoconjunctivitis sicca-induced mouse model. Further studies are needed to evaluate the effects of HAF on the human ocular surface.

The argon (blue-green) laser is currently used for vaporization of sutures during ophthalmic surgery. However, previous studies have reported more effective laser suture lysis and a lower rate of complications using the krypton (red) laser. Red wavelengths are selectively absorbed by the nylon sutures, but are minimally absorbed by adjacent tissue, and not absorbed by hemoglobin, unlike the argon laser wavelengths. More compact and less expensive red diode lasers have recently become commercially available for surgical applications. This study explores the use of a compact, lowpower, red diode laser for selective laser suture lysis. A 225 mW, 660-nm diode laser was used to vaporize 10-0 nylon sutures in human cornea samples with a single laser pulse, pulse energy of 150 mJ, pulse duration of 100 ms, and spot diameter of 55 mum. The red diode laser may represent an inexpensive, compact, and safer alternative laser for use in laser suture lysis during ophthalmic surgery.

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