Dry Eye After LASIK with a Femtosecond Laser or a Mechanical Microkeratome

Sun, Chi-Chin; Chang, Chao-Kai; Hui‐Kang, David; Lin, Yi-Fang; Chen, Kuan‐Jen; Sun, Ming‐Hui; Hsiao, C.C.W.; Wu, Pei-Hsuan

doi:10.1097/opx.0b013e31829d9905

Cited by 34 publications

(44 citation statements)

References 34 publications

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“…Other options for astigmatism correction mainly include excimer-laser correction as a second intervention after IOL implantation. As patients with cataract are usually at an age with a higher risk for dry-eye syndrome,22 those procedures can be associated with an even higher incidence of dry-eye problems23 which reduce the functionality of multifocal IOLs effectively 24…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes and surgeon assessment after implantation of a new diffractive multifocal toric intraocular lens

Kretz

Bastelica

Carreras³

et al. 2014

Br J Ophthalmol

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Section: Discussionmentioning

confidence: 99%

Clinical outcomes and surgeon assessment after implantation of a new diffractive multifocal toric intraocular lens

Kretz

Bastelica

Carreras³

et al. 2014

Br J Ophthalmol

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“…Iatrogenic conditions include eyelid/facial surgery and corneal refractive surgery. Specific to laser in situ keratomileusis (LASIK), although pre-existing dry eye may be subclinical, a sizable portion of LASIK patients may develop reduced basal tear flow, [ 13 ] attributed to surgical severing of the nerves by the creation of the LASIK flap, [ 14 , 15 ] and/or by the excimer laser ablation [ 16 ]. Environmental conditions include aridity, cold/windy air, and repetitive occupational tasks that require increased concentration that affect blinking [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

In pursuit of objective dry eye screening clinical techniques

Kanellopoulos

Asimellis

2016

Eye and Vis

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Dry eye is a multifactorial, progressive, and chronic disease of the tears and ocular surface. The disease is multi-factorial and has intermittent symptoms. Discomfort, visual disturbance, tear film instability with potential damage to the ocular surface, and increased tear film osmolarity are known associates.Dry eye is a common clinical problem for eye-care providers worldwide and there is a large number of clinical investigative techniques for the evaluation of dry eye. Despite this, however, there is no globally accepted guideline for dry eye diagnosis and none of the available tests may hold the title of the ‘gold standard’. The majority of the techniques involved in the diagnosis of the disease, particularly for its early stages, has a large degree of subjectivity.The purpose of this article is to review existing dry eye investigative techniques and to present a new objective dry eye screening technique based on optical coherence tomography.

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“…[ 13 18 20 ] Compared to PRK, LASIK is associated with more rapid recovery of vision, less postoperative discomfort, less corneal haze formation, and less need for prolonged steroid use. [ 33 ] However, PRK is more suitable for patients with preexisting dry eye syndrome, decreased corneal thickness, and/or irregular astigmatism. [ 7 20 ] In addition, although generally safe, several complications may still occur during or after LASIK, including flap-related complications such as opaque bubble layer, flap buttonholes, free flaps or incomplete flaps, as well as diffuse lamellar keratitis, flap striae, flap displacement, epithelial ingrowth, and stromal wrinkles.…”

Section: Discussionmentioning

confidence: 99%

Photorefractive keratectomy for correcting residual refractive error following cataract surgery with premium intraocular lens implantation

Fan

Sun

Chen

et al. 2018

Taiwan J Ophthalmol

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PURPOSE:The aim of this study is to evaluate the effectiveness and predictability of photorefractive keratectomy (PRK) for correcting residual refractive error following cataract surgery with premium intraocular lens (IOL) implantation.METHODS:We conducted a retrospective review of the medical records of patients who received PRK for correcting residual hyperopia, myopia, and/or astigmatism due to unsatisfied uncorrected distance visual acuity (UDVA) after cataract extraction with implantation of aspheric, diffractive multifocal, or toric IOL from September 2011 to December 2017. Pre-cataract surgery, pre- and post-PRK data including UDVA, best-corrected distance visual acuity, and refractive status were analyzed.RESULTS:A total of 18 consecutive eyes in 17 patients were included in this study. The UDVA after PRK improved 1 line or more in 10 eyes, remained unchanged in five eyes, and decreased in three eyes. The overall improvement in the logarithm of minimal angle of resolution (logMAR) UDVA after PRK was significant (P < 0.05). While dividing patients into subgroups based on IOL type, significant improvement in logMAR UDVA was found in patients with aspheric IOL or diffractive multifocal IOL implantation (P < 0.05). No significant improvement of UDVA was found in patients with toric IOL implantation. All eyes achieved ± 1.00 D of the attempted spherical correction, demonstrating good predictability of PRK.CONCLUSIONS:PRK was a safe and effective procedure to correct residual refractive error following cataract extraction with premium IOL implantation. Although satisfactory for all patients, the outcome is better and more predictable in patients with aspheric and diffractive multifocal IOL implantation and is less satisfactory and unpredictable in patients with toric IOL implantation.

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Dry Eye After LASIK with a Femtosecond Laser or a Mechanical Microkeratome

Abstract: Both FS- and MK-assisted LASIK reduced CS and TBUT and increased corneal staining and OSDI scores. However, TBUT was significantly higher in the FS group than in the MK group after operation.

Cited by 34 publications

References 34 publications

Clinical outcomes and surgeon assessment after implantation of a new diffractive multifocal toric intraocular lens

Clinical outcomes and surgeon assessment after implantation of a new diffractive multifocal toric intraocular lens

In pursuit of objective dry eye screening clinical techniques

Photorefractive keratectomy for correcting residual refractive error following cataract surgery with premium intraocular lens implantation

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