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The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease

This study investigates the effects of cataract surgery on dry eye parameters of patients with dry eye disease (DED) in the medium- to long-term post-surgical period (6 months to 5 years). A cross-sectional study was conducted on 438 eyes on first visit to a tertiary clinic (219 eyes with cataract s...

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Autores principales: Siew, Lei, Tong, Louis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8878219/
https://www.ncbi.nlm.nih.gov/pubmed/35207244
http://dx.doi.org/10.3390/jcm11040972
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author Siew, Lei
Tong, Louis
author_facet Siew, Lei
Tong, Louis
author_sort Siew, Lei
collection PubMed
description This study investigates the effects of cataract surgery on dry eye parameters of patients with dry eye disease (DED) in the medium- to long-term post-surgical period (6 months to 5 years). A cross-sectional study was conducted on 438 eyes on first visit to a tertiary clinic (219 eyes with cataract surgery within timeframe, i.e., pseudophakic dry eye group, 219 comparison eyes without such history, i.e., comparison dry eye group). Parameters evaluated include Ocular Surface Disease Index (OSDI) and standard examination for DED. A significantly greater proportion of pseudophakic dry eye group (50%) experienced frequent blurred vision (≥1 episode per week) compared to dry eye control group (38%) (OR = 1.66, 95%CI 1.13, 2.44). Those with ocular discomfort before surgery were more likely to experience blurring at least once a day. However, a significantly greater proportion of the pseudophakic dry eye group (34%) had Schirmer’s I >8mm compared to the comparison group (25%) (OR = 0.605, 95% CI 0.398, 0.921), though the difference was not clinically significant (7.51 mm versus 6.51 mm, p > 0.05). Other DED signs (e.g., overall OSDI score, Tear Break-up Time) were not found to be worse among pseudophakic dry eye group. Pre-operative counselling and preventative measures should be undertaken, especially those with suggestive symptoms pre-operatively.
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spelling pubmed-88782192022-02-26 The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease Siew, Lei Tong, Louis J Clin Med Article This study investigates the effects of cataract surgery on dry eye parameters of patients with dry eye disease (DED) in the medium- to long-term post-surgical period (6 months to 5 years). A cross-sectional study was conducted on 438 eyes on first visit to a tertiary clinic (219 eyes with cataract surgery within timeframe, i.e., pseudophakic dry eye group, 219 comparison eyes without such history, i.e., comparison dry eye group). Parameters evaluated include Ocular Surface Disease Index (OSDI) and standard examination for DED. A significantly greater proportion of pseudophakic dry eye group (50%) experienced frequent blurred vision (≥1 episode per week) compared to dry eye control group (38%) (OR = 1.66, 95%CI 1.13, 2.44). Those with ocular discomfort before surgery were more likely to experience blurring at least once a day. However, a significantly greater proportion of the pseudophakic dry eye group (34%) had Schirmer’s I >8mm compared to the comparison group (25%) (OR = 0.605, 95% CI 0.398, 0.921), though the difference was not clinically significant (7.51 mm versus 6.51 mm, p > 0.05). Other DED signs (e.g., overall OSDI score, Tear Break-up Time) were not found to be worse among pseudophakic dry eye group. Pre-operative counselling and preventative measures should be undertaken, especially those with suggestive symptoms pre-operatively. MDPI 2022-02-13 /pmc/articles/PMC8878219/ /pubmed/35207244 http://dx.doi.org/10.3390/jcm11040972 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Siew, Lei
Tong, Louis
The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease
title The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease
title_full The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease
title_fullStr The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease
title_full_unstemmed The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease
title_short The Effect of Past Cataract Surgery within the Medium to Long-Term Period on Patients with Dry Eye Disease
title_sort effect of past cataract surgery within the medium to long-term period on patients with dry eye disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8878219/
https://www.ncbi.nlm.nih.gov/pubmed/35207244
http://dx.doi.org/10.3390/jcm11040972
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