Changes in the tear film and ocular surface after cataract surgery

Oh, Tae Hoon; Jung, Younhea; Chang, Dong Jin; Kim, Jaeryun; Kim, Hyun Seung

doi:10.1007/s10384-012-0117-8

Cited by 156 publications

(145 citation statements)

References 20 publications

(23 reference statements)

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“…Cataract surgery can improve the visual acuity largely. However, a significant number of patients complain of postoperative dry eye symptoms such as dry, foreign body sensation and shorttime but frequent blurred vision [1][2][3][4][5]. From our experience, the patients may blame the surgery (and their surgeon) for the apparently new development of dry eye symptoms and generally do not realize that their problem stems from ocular surface disease rather than the surgical procedure.…”

Section: Introductionmentioning

confidence: 89%

Long-term impact of dry eye symptoms on vision-related quality of life after phacoemulsification surgery

Xue

Zhu

et al. 2018

Int Ophthalmol

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Purpose To observe the long-term changes in dry eye symptoms and vision-related quality of life in agerelated cataract patients after phacoemulsification. Methods A total of 101 cataract patients after phacoemulsification combined with IOL implantation (Ph-IOL) in one eye were enrolled. Visual acuity, tear film breakup time (BUT), and Schirmer test 1 (ST1) were measured before and 1, 3, and 6 months after surgery. Ocular Surface Disease Index (OSDI) scores were used to evaluate the severity of dry eye symptoms. Utility values were assessed by the time trade-off (TTO), standard gamble for death (SGD), standard gamble for blindness (SGB) and rating scale (RS). Results The average LogMAR visual acuity in the operated eye was 1.35 ± 0.50 and increased rapidly after Ph-IOL, approaching a peak at 3 months (0.26 ± 0.15). The BUT and ST1 results decreased abruptly 1 month after surgery and gradually recovered until 6 months. OSDI scores increased significantly after surgery and gradually decreased until 6 months. Utility values evaluated by TTO, SGD, SGB and RS before surgery were 0.67 ± 0.19, 0.75 ± 0.15, 0.67 ± 0.20 and 0.2 ± 0.18, respectively, and increased to 0.91 ± 0.06, 0.98 ± 0.04, 0.92 ± 0.52 and 0.91 ± 0.06, 6 months after. Utility values measured with TTO, SGB or RS correlated significantly (P \ 0.05) with visual acuity and OSDI scores pre-and postoperatively. Conclusions Dry eye symptoms persist more than 3 months after Ph-IOL. Utility values were negatively influenced by dry eye symptoms.

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Section: Introductionmentioning

confidence: 89%

Long-term impact of dry eye symptoms on vision-related quality of life after phacoemulsification surgery

Xue

Zhu

et al. 2018

Int Ophthalmol

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“…Most surgical procedures, especially surgical incisions that cause denervation of the cornea, also result in impaired epithelial wound healing, increased epithelial permeability, decreased epithelial metabolic activity and loss of cytoskeletal structures associated with cellular adhesion [5]. The changes in tBUT and Schirmer tests have been reported in previous studies [1,2,4,[9][10][11]. In our study, compared with before surgery, tBUT was markedly decreased at 3 days and slightly improved up to 3 months, but it was still lower than baseline at 3 months.…”

Section: Discussionmentioning

confidence: 75%

“…Sitompul et al [9] reported that the corneal sensitivity decreased at the incision site and at other sites on days 1, 7, 15 after manual small-incision cataract surgery, however the change was not found statistically significant. Oh et al [10] reported that the corneal sensitivity decreased significantly at 1 day postoperatively at the center and temporal incision sites, and returned to preoperative levels at 3 months after phacoemulsification with 2.8 mm corneal tunnel incision. The change in the corneal sensitivities at the other areas of the cornea was not found statistically significant.…”

Section: Discussionmentioning

confidence: 98%

“…Oh et al [10] reported a decrease in the number of goblet cells in eyes with longer operative times because of more exposure to operating microscope light. We observed that for eyes which have longer operative times, dry eye-associated symptoms according to OSDI score were more severe.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, temporary dry eye symptoms might develop until the nerves regenerate again [2,10]. Most surgical procedures, especially surgical incisions that cause denervation of the cornea, also result in impaired epithelial wound healing, increased epithelial permeability, decreased epithelial metabolic activity and loss of cytoskeletal structures associated with cellular adhesion [5].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of dry eye-associated symptoms and signs after microincision cataract surgery

Özyol

2016

Eur Res J

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Objectives. To evaluate the effects of microincision cataract surgery on dry eye-associated symptoms and signs. Methods. This prospective study included 40 eyes of 32 patients. Microincision cataract surgery was performed to eyes through 2.2 mm superior clear corneal incision. Dry eye-associated symptom scoring, corneal sensitivity test, Schirmer 1 test, tear break-up time (tBUT) were measured at 3 days before and 3 days, 10 days, 1 month, 3 months after surgery. 'One way ANOVA for repeated measures', and Pearson correlation tests were used for statistical analysis. Results. The postoperative symptom scores were significantly different from preoperative value at all consecutive examinations (p<0.01). The decrease in superior corneal sensitivity was significant at 3 and 10 days (p<0.001), and recovery to preoperative level had occured at 1 month. The decrease in tBUT was significant up to 1 month (p=0.007 for 3 days, p=0.008 for 10 days, and p=0.018 for 1 month). The difference in Schirmer 1 test between pre-and postoperative each visit was not significant (p=0.32, p=0.12, p=0.092 and p=0.088; respectively). Symptom score was highly correlated with operative time (r=0.72, p<0.01), and there was an inverse correlation between operative time and postoperative mean tBUT values (r=-0.52, p<0.01). Conclusions. Despite microincision cataract surgery, an aggravation of dry-eye associated symptoms, and temporary dry eye-associated signs might develop. Operative time and exposure to operating microscope light seem to an important factor on symptoms and tear film stability.

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Corneal Complications and Management Associated with Cataract Surgery

Grüterich¹

2023

Cataract and Lens Surgery

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Changes in the tear film and ocular surface after cataract surgery

Cited by 156 publications

References 20 publications

Long-term impact of dry eye symptoms on vision-related quality of life after phacoemulsification surgery

Long-term impact of dry eye symptoms on vision-related quality of life after phacoemulsification surgery

Evaluation of dry eye-associated symptoms and signs after microincision cataract surgery

Corneal Complications and Management Associated with Cataract Surgery

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