Evaluation of dry eye after femtosecond laser–assisted cataract surgery

Yu, Yinhui; Hua, Huixia; Wu, Mingyan; Yu, Yi; Yu, Wangshu; Lai, Kairan; Yao, Ke

doi:10.1016/j.jcrs.2015.06.036

Cited by 74 publications

(62 citation statements)

References 21 publications

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“…Keywords: cataract surgery, glaucoma, pharmacological support, ocular surface, 0.09 % bromfenac For citation: Катарактальная хирургия, включая ультразвуковую факоэмульсификацию (ФЭК) и фемтолазер-ассистированную ФЭК, является высокоэффективным и безопасным вмешательством [1,2]. Вместе с тем в послеоперационном периоде у части пациентов возможно появление или отягощение клинических проявлений синдрома «сухого глаза» (ССГ), снижающих удовлетворенность результатами лечебного воздействия [3][4][5][6][7]. Развитие этого варианта ССГ обусловлено следующими механизмами: снижением роговичной чувствительности (за счет частичного пересечения нервных волокон при выполнении разрезов); воспалением и потерей бокаловидных клеток; нерациональным местным фармакологическим сопровождением [3,4,8,9].…”

Section: Discussionunclassified

“…Полученные нами результаты соотносятся с данными ряда исследований, продемонстрировавших увеличение субъективного дискомфорта и снижение стабильности слезной пленки после катарактальной хирургии у пациентов как с наличием, так и с отсутствием фоновых изменений глазной поверхности [4][5][6][7][8]. Вместе с тем в исследовании Y.K.…”

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Effectiveness and Safety of Cataract Surgery Pharmacological Support in Glaucoma Patients

et al. 2018

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Purpose:To evaluate effectiveness and safety of cataract surgery pharmacological support (which include 0.5 % levofloxacin, 0.09 % bromfenac and preservative free polyvinylpyrrolidone and polyvinyl alcohol fixed combination instillations) in glaucoma patients.Patients and Methods:Standard ophthalmological examination, subjective discomfort level evaluation, tear film break up time, tear meniscus height measurement, index of xerosis, evaluation and ocular surface condition photoregistration were performed in 40 II «A» primary open-angle glaucoma patients, receiving hypotensive therapy, before and after phacoemulsification (Ph). All patients in the postoperative period received instillations: 0.5 % levofloxacin (4 times a day, 7 days), 0.1 % dexamethasone (3 times a day, 7 days), 0.09 % bromfenac (once a day, 30 days) and preservative free polyvinylpyrrolidone and polyvinyl alcohol fixed combination (3 times a day, 30 days). Control points were: examination before Ph, on 1, 7 and 30 days after Ph. Results: None cases of infectious or inflammatory surgery complications were recorded. The SD level was significantly increased on the 1 and 7 days after Ph, by the 30 day the SD level was significantly decreased, compared with a state on the 1 and 7 days. On the 1, 7, 30 days after Ph TFBUT significantly decreased. By the 30 day after Ph the TFBUT was significantly increased in compare with 1 and 7 days after operation. TMH changes after Ph had multidirectional character and in general were not significant throughout the observation, with a tendency to increase on the 1 and 30 days after surgery and to decrease on the 7th day. IX dynamics in compare with a state before Ph was not significant in all control points with a tendency to its increase on the 1 and 7 days after operation and to decrease on the 30th day. In general, pharmacological support of Ph was assessed by all patients as comfortable, there was no intolerance.Conclusion:The cataract surgery pharmacological support in glaucoma patients (including 0.5 % levofloxacin, 0.09 % bromfenac and preservative free polyvinylpyrrolidone and polyvinyl alcohol fixed combination instillations) showed: high efficiency (in prevention of infectious and inflammatory complications); safety by influence on the ocular surface; comfort of use.

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Effectiveness and Safety of Cataract Surgery Pharmacological Support in Glaucoma Patients

et al. 2018

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“…There is common consent that quality of vision is strongly related to ocular surface quality. [21][22][23] Sufficient non-invasive tear film break-up Cataract Pre-OP Display, developed by Naoyuki Maeda from Japan, is a good example for this. He suggests a four-step screening routine, prior to premium cataract surgery (see Table 3).…”

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Progress in Modern Cataract Surgery – New Steps and Algorithms for Precise Measuring and Intraocular-lens Calculations

Hengerer¹,

Conrad-Hengerer²

2017

European Ophthalmic Review

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In standard cataract surgery, one of the major goals is to reach target refraction. Based on keratometry measurements, axial length and anterior chamber depth, most of the intraocular lens calculation formulae are suitable to achieve this aim. Further evaluation of corneal refractive parameters like anterior and posterior corneal surface by Scheimpflug devices led to a significant enhancement of precision in astigmatic and post-refractive surgery cases.

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“…2 Improving technologies in cataract surgery are focused on minimizing postsurgical complications that may result from biomechanical damage. 3 The development of femtosecond (FS) laser technology offers a major paradigm shift in cataract surgery. 4,5 The FS laser allows improved incision precision, thus limiting destruction of surrounding normal tissue.…”

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Leak-Free Clear Corneal Incisions in Human Cadaver Tissue: Femtosecond Laser–Created Multiplanar Incisions

Hill

Binder

Li-min

2017

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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The FS laser-created incisions corresponded well with the treatment plans, as evidenced by true multiplanar architecture. Incisions were sharply demarcated and demonstrated limited cell damage. No postprocedure leaking at extreme IOP or postcataract surgery-simulated conditions was noted. The FS laser may potentially reduce postoperative complications, such as infections that may be associated with CCI.

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Evaluation of dry eye after femtosecond laser–assisted cataract surgery

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 74 publications

References 21 publications

Effectiveness and Safety of Cataract Surgery Pharmacological Support in Glaucoma Patients

Effectiveness and Safety of Cataract Surgery Pharmacological Support in Glaucoma Patients

Progress in Modern Cataract Surgery – New Steps and Algorithms for Precise Measuring and Intraocular-lens Calculations

Leak-Free Clear Corneal Incisions in Human Cadaver Tissue: Femtosecond Laser–Created Multiplanar Incisions

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