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

Abstract

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.

New Therapeutic Strategy and Innovative Lubricating Ophthalmic Solution in Minimizing Dry Eye Disease Associated with Cataract Surgery: A Randomized, Prospective Study

“…A recent report by DEWS recommends non-invasive diagnostic tests [19]. Nevertheless, TBUT, together with the OSDI scores and Schirmer I test, is still the most commonly used parameter to ascertain the presence of DED and monitor its changes over time [20,21]. Our study population undergoing cataract surgery had similar features to that of previous studies [20,21].…”

“…Nevertheless, TBUT, together with the OSDI scores and Schirmer I test, is still the most commonly used parameter to ascertain the presence of DED and monitor its changes over time [20,21]. Our study population undergoing cataract surgery had similar features to that of previous studies [20,21]. Of the whole study population, individuals with normal ocular surfaces (TBUT [ 7 s) and no relevant DED symptoms (OSDI B 12) were just 38% at baseline.…”

The assessment of the impact of glistening on visual performance in relation to tear film quality

“…Tear film instability and inappropriate quality is known to adversely affect image quality [ 45 , 46 ]. Xue et al found that vision-related quality of life negatively correlates with dry eye symptoms and positively correlates with visual acuity after phacoemulsification [ 47 ]. The tear film has a high impact on optical performance.…”

Evaluation of the Protective Effect of an Ophthalmic Viscosurgical Device on the Ocular Surface in Dry Eye Patients during Cataract Surgery

“…Dry eye symptoms and signs were evaluated at postoperative 1 week and 1 month, however previous studies have shown that dry eye syndrome significantly deteriorated for 1 month after surgery and gradually improved over 6 months. We consider that evaluation for a longer follow-up period may yield more accurate results [33]. In addition, the evaluation of dry eye symptoms and signs according to presence or absence of preoperative dry eye syndrome could be assessed by further studies.…”