Dry Eye Disease following LASIK, PRK, and LASEK: An Observational Cross-Sectional Study

Yahalomi, Tal; Achiron, Asaf; Arnon, Roee; Stanescu, Nir; Pikkel, Joseph

doi:10.3390/jcm12113761

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…Compared to PRK, there is a longer period of sensory denervation leading to the complication of dry eyes in LASIK 12 . A significant reduction in postoperative tear production as well as BUT time was seen with LASIK 13 , 14 , tear production was more reduced 6 months after LASIK than after PRK 15 . In a study by Lee et al, tear secretion and tear film stability were less at 3 months after LASIK than after PRK 15 .…”

Section: Introductionmentioning

confidence: 80%

Changes of dry eye parameters after small incision lenticule extraction surgery in patients with different ocular surface disease index scores

Cui,

Wang,

et al. 2024

Sci Rep

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To evaluate the changes of dry eye parameters after small incision lenticule extraction (SMILE) surgery in patients with different ocular surface disease index (OSDI) scores. Prospective research. Participants were divided into two groups: Group A, OSDI < 13; and Group B, OSDI ≥ 13. The OSDI scores, tear meniscus height (TMH), first non-invasive tear film break-up time (NIBUT-First), and meibomian gland loss (MGL, %) were recorded at postoperative 1 -week and 1-month.113 eyes (57 patients) were enrolled, 70 eyes in Group A, and 43 eyes in Group B. In Group A, the OSDI scores significantly increased at 1-week and 1-month postoperative (all P < 0.001); the TMH, NIBUT-First and lipid layer grade significantly decreased at postoperative 1-week (P = 0.003, 0.005, 0.007, 0.004, respectively), but returned to preoperative level at 1-month postoperative. In Group B, only the lipid layer grade significantly decreased at postoperative 1-week (P < 0.05). Patients with different preoperative OSDI scores may experience different changes early after SMILE surgery. Patients with OSDI scores < 13 may experience more dramatic changes in dry eye symptoms which would resolve, while subjective complains could still exists at 1 month after surgery.

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Section: Introductionmentioning

confidence: 80%

Changes of dry eye parameters after small incision lenticule extraction surgery in patients with different ocular surface disease index scores

Cui,

Wang,

et al. 2024

Sci Rep

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Clinical features of dry eye syndrome and evaluation of the effectiveness of artificial tear therapy in patients with anxiety and depression after cataract and keratorefractive surgery

Korneeva,

Strakhova,

Loskutov

2023

Medicinskij sovet

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Introduction. Dry eye syndrome (DES) is a common cause of blurred vision and discomfort in patients after eye surgery, which has a great impact on the on the patients’ mental state. Evaluation of the presence of DES during the preoperative examination is important not only for obtaining a high postoperative result, but also for the timely administration of therapy in order to improve the patient's quality of life.Aim. Thus, the aim of this study was to establish the features of the clinical course of dry eye syndrome and to determine the effectiveness of ultra-high viscosity hyaluronic acid therapy in patients with anxiety and depression after cataract and keratorefractive surgery.Materials and methods. The study involved 100 patients (150 eyes). Preoperative examination included DES diagnostic and psychotesting. DES in all studied subjects was treated with ultra-high viscosity hyaluronic acid 3 times a day for 3 months after surgery in combination with topical combination of glucocorticoids, antibacterial and non-steroidal anti-inflammatory drugs, which were administered within 1 week after surgery. There were no intraoperative complications in all studied cases.Results. It was found that patients with depressive and/or anxiety symptoms (46% of the subjects) had higher OSDI scores, while there were no differences in clinical and functional tests of dry eye syndrome between the studied groups. There was a significant improvement in the results of OCT meniscometry and Norn's test during therapy with ultra-high viscosity hyaluronic acid. The given clinical examples show the importance of timely diagnosis and treatment of DES.Conclusions. The study showed the importance of dry eye syndrome evaluation and timely artificial tear therapy prescribing for both to achieve a high postoperative result and to reduce the patients’ subjective discomfort and improve patients’quality of life.

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Dry Eye Disease following LASIK, PRK, and LASEK: An Observational Cross-Sectional Study

Cited by 2 publications

References 30 publications

Changes of dry eye parameters after small incision lenticule extraction surgery in patients with different ocular surface disease index scores

Changes of dry eye parameters after small incision lenticule extraction surgery in patients with different ocular surface disease index scores

Clinical features of dry eye syndrome and evaluation of the effectiveness of artificial tear therapy in patients with anxiety and depression after cataract and keratorefractive surgery

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