Outcomes of phacoemulsification in patients with dry eye

Ram, Jagat; Gupta, Amit; Brar, Gagandeep; Kaushik, Sushmita; Gupta, Amod

doi:10.1016/s0886-3350(02)01387-1

Cited by 115 publications

(118 citation statements)

References 13 publications

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“…35 Nowadays, in the phacorefractive age, cataract surgeons must be interested in further improving the outcomes of cataract surgery by decreasing symptoms such as burning or foreign body sensation and by improving the quality of vision after surgery, which is associated to ocular dryness. By aggressively treating the ocular surface after surgery (particularly but not only in patients with previous problems 36 ), we provide better patient comfort and visual acuity. We must inform patients about the possibility of ocular dryness symptoms and visual fluctuation after surgery, in order to avoid patient complaints about cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

The effect of preservative-free HP-Guar on dry eye after phacoemulsification: a flow cytometric study

Sánchez

Arriola‐Villalobos

Torralbo-Jiménez³

et al. 2010

Eye

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Purpose To assess the effect of hydroxypropyl (HP)-Guar added to regular post-phacoemulsification treatment in dry eye signs and symptoms, and its influence on the expression of various inflammatory markers by flow cytometry (FCM) in impression cytology specimens. Methods This prospective, interventional, single-centre study included 48 eyes of 48 patients with age-related cataract. After phacoemulsification, patients were randomised to the usual treatment group (UT), with 21 patients who received tobramycin and dexamethasone eye drops (Tobradex, Alcon Cusí, Spain), and the HP-Guar group, with 27 patients who received the UT plus preservative-free artificial tears (Systane UD, Alcon Cusí, Spain). Corneal and conjunctival staining with fluorescein and lissamine green, tear film break-up time (TBUT), Schirmer's I test with anaesthesia (Jones test), tear clearance, and ocular surface disease index (OSDI) were assessed preoperatively and 1 month after surgery. Besides, conjunctival impression cytology was performed in order to investigate inflammatory markers (CD3, CD11b, and HLA-DR) using FCM.

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Section: Discussionmentioning

confidence: 99%

The effect of preservative-free HP-Guar on dry eye after phacoemulsification: a flow cytometric study

Sánchez

Arriola‐Villalobos

Torralbo-Jiménez³

et al. 2010

Eye

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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%

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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“…In moderate and severe cases, dry eye can impair the ability of patients to perform activities of daily living, impact work productivity, and influence mood and confidence (Friedman, 2010). Obviously, a high proportion of cataract patients who are candidates for cataract surgery have dry eye; furthermore, there are overwhelming evidences suggesting aggravation or Cataract Surgery 340 initiation of dry eye following cataract surgery (Cohen, 1982;Gharaee et al, 2009;Hardten, 2008;Insler et al, 1985;Jones and Maguire, 1992;Khanal et al, 2008;Ram et al, 2002;Ram et al, 1998;Roberts and Elie, 2007). So even following uneventful cataract extraction and vision improvement the patient could be unsatisfied.…”

Section: Introductionmentioning

confidence: 99%

Cataract Surgery and Dry Eye

Daneshvar¹

2013

Cataract Surgery

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Outcomes of phacoemulsification in patients with dry eye

Abstract: Phacoemulsification was safe and led to minimal complications in patients with age-related dry eye with or without associated systemic disorders.

Cited by 115 publications

References 13 publications

The effect of preservative-free HP-Guar on dry eye after phacoemulsification: a flow cytometric study

The effect of preservative-free HP-Guar on dry eye after phacoemulsification: a flow cytometric study

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

Cataract Surgery and Dry Eye

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