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Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery

PURPOSE: Dry eye symptoms after conventional cataract surgery are a very common problem. Until now, only few data are available on objective tear film parameters in regard to femtosecond laser-assisted cataract surgery (LCS). Aim of this study was therefore to analyze and compare tear film parameter...

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Autores principales: Schargus, Marc, Ivanova, Svetlana, Stute, Gesa, Dick, H. Burkhard, Joachim, Stephanie C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7550384/
https://www.ncbi.nlm.nih.gov/pubmed/32748181
http://dx.doi.org/10.1007/s10792-020-01532-z
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author Schargus, Marc
Ivanova, Svetlana
Stute, Gesa
Dick, H. Burkhard
Joachim, Stephanie C.
author_facet Schargus, Marc
Ivanova, Svetlana
Stute, Gesa
Dick, H. Burkhard
Joachim, Stephanie C.
author_sort Schargus, Marc
collection PubMed
description PURPOSE: Dry eye symptoms after conventional cataract surgery are a very common problem. Until now, only few data are available on objective tear film parameters in regard to femtosecond laser-assisted cataract surgery (LCS). Aim of this study was therefore to analyze and compare tear film parameter changes between LCS and conventional cataract surgery. METHODS: A consecutive group of 34 patients, scheduled for cataract surgery, were randomly selected for either LCS or conventional cataract surgery (17 patients/group). Tear film assessments including tear film osmolarity, Schirmer test, MMP-9 analysis via quantitative ELISA, corneal sensitivity, corneal fluorescein staining, and conjunctival fluorescein staining were sequentially evaluated pre- as well as 1 and 3 months postoperatively. RESULTS: Both groups showed no significant difference in baseline characteristics. All surgeries were performed without any complications. After 1 and 3 months, there was no statistically significant difference in regard to tear film osmolarity (1 month: p = 0.81, 3 months: p = 1.0), Schirmer test (1 month: p = 0.35, 3 month: p = 0.08), and MMP-9 concentration (1 month: p = 0.36, 3 month: p = 0.28) between the two groups. CONCLUSIONS: Neither LCS nor conventional cataract surgery affected objective tear film parameters significantly during our 3-month postoperative observation period. Hence, both surgical techniques can be equally used to treat patients without prior dry eye symptoms.
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spelling pubmed-75503842020-10-19 Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery Schargus, Marc Ivanova, Svetlana Stute, Gesa Dick, H. Burkhard Joachim, Stephanie C. Int Ophthalmol Original Paper PURPOSE: Dry eye symptoms after conventional cataract surgery are a very common problem. Until now, only few data are available on objective tear film parameters in regard to femtosecond laser-assisted cataract surgery (LCS). Aim of this study was therefore to analyze and compare tear film parameter changes between LCS and conventional cataract surgery. METHODS: A consecutive group of 34 patients, scheduled for cataract surgery, were randomly selected for either LCS or conventional cataract surgery (17 patients/group). Tear film assessments including tear film osmolarity, Schirmer test, MMP-9 analysis via quantitative ELISA, corneal sensitivity, corneal fluorescein staining, and conjunctival fluorescein staining were sequentially evaluated pre- as well as 1 and 3 months postoperatively. RESULTS: Both groups showed no significant difference in baseline characteristics. All surgeries were performed without any complications. After 1 and 3 months, there was no statistically significant difference in regard to tear film osmolarity (1 month: p = 0.81, 3 months: p = 1.0), Schirmer test (1 month: p = 0.35, 3 month: p = 0.08), and MMP-9 concentration (1 month: p = 0.36, 3 month: p = 0.28) between the two groups. CONCLUSIONS: Neither LCS nor conventional cataract surgery affected objective tear film parameters significantly during our 3-month postoperative observation period. Hence, both surgical techniques can be equally used to treat patients without prior dry eye symptoms. Springer Netherlands 2020-08-03 2020 /pmc/articles/PMC7550384/ /pubmed/32748181 http://dx.doi.org/10.1007/s10792-020-01532-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Paper
Schargus, Marc
Ivanova, Svetlana
Stute, Gesa
Dick, H. Burkhard
Joachim, Stephanie C.
Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery
title Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery
title_full Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery
title_fullStr Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery
title_full_unstemmed Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery
title_short Comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery
title_sort comparable effects on tear film parameters after femtosecond laser-assisted and conventional cataract surgery
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7550384/
https://www.ncbi.nlm.nih.gov/pubmed/32748181
http://dx.doi.org/10.1007/s10792-020-01532-z
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