Role of Tear Osmolarity in Dry Eye Symptoms After Cataract Surgery

González-Mesa, Ana; Moreno-Arrones, J. Paz; Ferrari, Daniele; Teus, Miguel A.

doi:10.1016/j.ajo.2016.08.002

Cited by 32 publications

(27 citation statements)

References 17 publications

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“…While iatrogenic causes of DED from cataract treatment have been shown, the strong association between the 2 diseases may also arise from the increasing incidence and prevalence of both conditions with age. 40,60 Glaucoma proportions were also higher in the DED groups than in the non-DED groups. Ophthalmic treatments for glaucoma often include the preservative BAK, which can cause ocular surface inflammation and an increased risk of DED.…”

Section: In the Current Analysis Of The Mhs Claims Databasementioning

confidence: 88%

Comorbidities and Prescribed Medications in Patients With or Without Dry Eye Disease: A Population-Based Study

Dana

Bradley

Guérin

et al. 2019

American Journal of Ophthalmology

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To assess the proportion of comorbidities in patients with dry eye disease (DED) compared with matched patients without DED in a comprehensive US population. DESIGN: Retrospective case-control study. METHODS: Healthcare records for insurance claims data, detailing medical services incurred by military personnel and their families and dependents in military and civilian facilities across the United States from January 1, 2003, to March 31, 2015, were obtained from the Department of Defense (DOD) Military Health System (MHS). Diagnostic and procedural codes related to DED from selected International Classification of Diseases, Ninth Revision (ICD-9) Current Procedural Terminology codes and prescriptions for cyclosporine A ophthalmic emulsion were used to identify patients with newly diagnosed and prevalent DED in the MHS database. Age, sex, and geographically matched patients without DED were also identified from healthcare claims records. Medication use and comorbidities in these patient populations were assessed and compared. RESULTS: In both the newly diagnosed and prevalent DED samples, the most common comorbidities were hypertension, cataracts, thyroid disease, type 2 diabetes, and glaucoma. All comorbidities were significantly higher in the DED vs non-DED groups (P < .001). Medication use (including, but not limited to, ophthalmic agents and drugs to treat comorbidities) was also significantly higher in the DED than in the non-DED groups (P < .001). CONCLUSIONS: The high proportions of patients with DED with a range of comorbidities and prescribed medications highlight the need for a multidisciplinary approach to the management of these patients.

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Section: In the Current Analysis Of The Mhs Claims Databasementioning

confidence: 88%

Comorbidities and Prescribed Medications in Patients With or Without Dry Eye Disease: A Population-Based Study

Dana

Bradley

Guérin

et al. 2019

American Journal of Ophthalmology

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“…MCLs demonstrated to be a good choice as they provide good visual quality [18,21,22] the desired independency from spectacles and, no less important, the aesthetic benefit (desirable mostly by women). Despite all the reported benefits, the prescription rate is still quite low.…”

Section: Discussionmentioning

confidence: 99%

“…The ocular surface changes related to ageing may adversely affect the optical quality of the eye and could have a detrimental effect on the success of these treatments. For example, in the case of IOL implantation, optimal pre-surgical ocular conditions are required in order to avoid risks such as severe DED, inaccurate IOL power estimation [20] and ocular discomfort after IOL [21]. Despite the fact that most of the research studies conducted until now have demonstrated that MCLs provide good visual quality results [17,[22][23][24][25][26][27], the prescription rate [28,29]) is low.…”

Section: Introductionmentioning

confidence: 99%

The effect of ageing on the ocular surface parameters

Rico-del-Viejo

Lorente‐Velázquez

Hernández-Verdejo

et al. 2018

Contact Lens and Anterior Eye

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“…6 In patients with a history of dry eye, it is important to take it into account, the osmolarity prior to surgery as a reference, since its increase generates more chances to present post-operative discomfort. 7 Medical attention should be given to reduce the risks and control factors that induce dry eye such as toxic substances, systemic drugs, contact lenses, environmental factors, systemic diseases, nutritional parameters, anxiety and chronic stress. The tear film stability needs to be improved with the use of lacrimal occlusions, artificial tears improving the lipid layer, a lid margin exfoliation and meibomian gland probing.…”

mentioning

confidence: 99%

Dry Eye Post Surgery Update

Scorsetti¹

2017

Ophthalmol Open J

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CitationThe prevalence of dry eye in the USA is around 11-33% and is directly proportional to age. 3 The main objective to reduce or eliminate dry eye symptoms completely is by implementing new strategies of pre-surgical diagnosis and management.Recent advances in the field of refractive surgery have prioritized visual quality as a primary clinical parameter in the treatment of these patients. Dry eye symptoms are one of the most frequent causes of complaints of those patients who undergo refractive or cataract surgery, most often in the immediate post-operative phase. The patients who undergo cataract surgery show relatively higher chances to present dry eye symptoms following surgery, and most commonly disappears within a short span of time.For this reason, it is important to consider the detection for dry eye syndrome prior to any ocular surgery. In cases where this is confirmed, an appropriate treatment should be performed prior to the proposed surgical procedure, because otherwise one runs the risk of suffering associated complications, for example, error calculation for intraocular lenses in cataract surgery or low post-operative visual quality in refractive surgeries. 4 Patients who already experienced dry eyes before surgery underwent greater discomfort and slower recovery. For some of these patients, most frequently the elderly, who already suffered from dry eyes before surgery, the use of peri-surgery medication, intensive treatment with antibiotics, anti-inflammatory drugs and other highly used drops can result in toxic effects to the ocular surface and consequently lead to dry eye.On the other hand, the inflammatory processes generated during the surgery can lead to tear accessories gland damage, which can be further aggravated in prolonged surgeries (the complicated ones or surgeries performed by residents in training who lack adequate experience) based on the application of photolysis for extensive thermic impact on the ocular surface following an exposure to the light microscope.During phacoemulsification the neurological damage is relatively lesser due to refractive surgeries.On the basis of our knowledge, the cornea is densely populated by sensory nerves originating from the trigeminal ganglion ophthalmic division and the autonomic nervous system; parasympathetic fibers and lesser number of sympathetic nerves arising from the superior cervical ganglion. Corneal nerves are divided into branches in the peripheral cornea.Some of these branches are connected with each other creating the stromal neural net-

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Role of Tear Osmolarity in Dry Eye Symptoms After Cataract Surgery

Cited by 32 publications

References 17 publications

Comorbidities and Prescribed Medications in Patients With or Without Dry Eye Disease: A Population-Based Study

Comorbidities and Prescribed Medications in Patients With or Without Dry Eye Disease: A Population-Based Study

The effect of ageing on the ocular surface parameters

Dry Eye Post Surgery Update

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