Dry Eye Symptoms, Patient-Reported Visual Functioning, and Health Anxiety Influencing Patient Satisfaction After Cataract Surgery

Abstract 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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Dry eye syndrome and cataract surgery

Medicinski pregled ◽

10.2298/mpns1904105b ◽

2019 ◽

Vol 72 (3-4) ◽

pp. 105-109

Author(s):

Stefan Brunet ◽

Vladimir Canadanovic ◽

Nikola Babic ◽

Aleksandar Miljkovic ◽

Sandra Jovanovic ◽

...

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Dry Eye ◽

Dry Eye Syndrome ◽

Schirmer Test ◽

Corrected Visual Acuity ◽

Body Sensation ◽

Eye Symptoms ◽

Best Corrected Visual Acuity ◽

Dry Eye Symptoms

Introduction. Dry eye syndrome has become a common problem after ocular surgeries with a significant impact on the quality of life. Many patients, who have undergone cataract surgery, postop?eratively developed dry eye symptoms. Dry eye syndrome is one of the risk factors associated with cataract surgery. Material and Methods. The prospective study included 80 patients. We recorded the self-reported dry eye symptoms, the values of Schirmer test, tear breakup time, and best corrected visual acuity preoperatively, as well as 7 days and 1 month after the surgery. Results. A total of 80 patients were included in the study, 45 (56.2%) females and 35 (43.8%) males. The mean age of patients was 61.5 years (SD ? 6.2, range 57 - 70 years). The best corrected visual acuity at the time of surgery was 0.4 or less in 70 patients (87.5%). Most patients reported a significant improvement in visual acuity after surgery; 68 (85%) eyes achieved a best corrected visual acuity of 0.5 or higher (median 0.7; range 0.5 - 1.0). The mean tear breaking time in cata?ract patients before surgery was 12.4 sec, 7 days after the surgery it was 8.2 sec (p < 0.05) and 1 moth after the surgery 11.1 sec. The majority of patients had mild (47.5%) and moderate (33.75%) Schirmer test values. Dry eye with wetting < 5 mm after 5 minutes was found in 16.2% of patients before cataract surgery; 7 days after the surgery (p < 0.05) it was found in 23.75% of patients and one month after surgery 11.1 sec. A foreign body sensation and watery eye were the most reported symptoms before cataract surgery. Seven days after the surgery foreign body sensation was present in 48.75% and watery eyes in 40% of patients. Conclusion. Significant increase in dry eye symptoms after cataract surgery was found with increasing age. Self reported dry eye problems are more common in patients with lower Schirmer test and best corrected visual acu?ity values before cataract surgery. Patients with concomitant dry eye disease require preoperative and postoperative treatment of dry eye to prevent aggravation of the existing symptoms that may affect the visual outcome after cataract surgery.

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Effect of Gender and Procedure on Patient-Reported Dry Eye Symptoms After Laser Vision Correction

Journal of Refractive Surgery ◽

10.3928/1081597x-20190107-01 ◽

2019 ◽

Vol 35 (3) ◽

pp. 161-168 ◽

Cited By ~ 3

Author(s):

Julie M. Schallhorn ◽

Martina Pelouskova ◽

Catherine Oldenburg ◽

David Teenan ◽

Stephen J. Hannan ◽

...

Keyword(s):

Dry Eye ◽

Vision Correction ◽

Patient Reported ◽

Laser Vision ◽

Eye Symptoms ◽

Dry Eye Symptoms

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mRelationship between dry eye symptoms after cataract surgery and psychiatric status

The Ocular Surface ◽

10.1016/j.jtos.2021.10.004 ◽

2021 ◽

Author(s):

Ji Sang Min ◽

Ikhyun Jun ◽

Soyoung Ryu ◽

Eung Kweon Kim ◽

Tae-Im Kim ◽

...

Keyword(s):

Cataract Surgery ◽

Dry Eye ◽

Psychiatric Status ◽

Eye Symptoms ◽

Dry Eye Symptoms

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Changes in ocular surface status and dry eye symptoms following femtosecond laser-assisted cataract surgery

International Journal of Ophthalmology ◽

10.18240/ijo.2019.07.11 ◽

2019 ◽

Vol 12 (7) ◽

Author(s):

Rui-Hong Ju

Keyword(s):

Femtosecond Laser ◽

Cataract Surgery ◽

Dry Eye ◽

Ocular Surface ◽

Eye Symptoms ◽

Dry Eye Symptoms

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Perioperative Ocular Parameters Associated With Persistent Dry Eye Symptoms After Cataract Surgery

Cornea ◽

10.1097/ico.0000000000001572 ◽

2018 ◽

Vol 37 (6) ◽

pp. 734-739 ◽

Cited By ~ 15

Author(s):

Young Joon Choi ◽

Si Yoon Park ◽

Ikhyun Jun ◽

Moonjung Choi ◽

Kyoung Yul Seo ◽

...

Keyword(s):

Cataract Surgery ◽

Dry Eye ◽

Eye Symptoms ◽

Dry Eye Symptoms

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Role of Tear Osmolarity in Dry Eye Symptoms After Cataract Surgery

American Journal of Ophthalmology ◽

10.1016/j.ajo.2016.08.002 ◽

2016 ◽

Vol 170 ◽

pp. 128-132 ◽

Cited By ~ 7

Author(s):

Ana González-Mesa ◽

Javier Paz Moreno-Arrones ◽

Daniele Ferrari ◽

Miguel A. Teus

Keyword(s):

Cataract Surgery ◽

Dry Eye ◽

Eye Symptoms ◽

Dry Eye Symptoms

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Patient satisfaction and self-reported dry eye symptoms in hyperopic patients treated with femtosecond laser in situ keratomileusis

Clinical Ophthalmology ◽

10.2147/opth.s195991 ◽

2019 ◽

Vol Volume 13 ◽

pp. 741-754

Author(s):

Petri Mäkinen ◽

Anne Huhtala ◽

Juhani Pietilä ◽

Janika Nättinen ◽

Teppo Rajala ◽

...

Keyword(s):

Patient Satisfaction ◽

Femtosecond Laser ◽

Dry Eye ◽

Laser In Situ Keratomileusis ◽

Eye Symptoms ◽

Dry Eye Symptoms

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Assessment Of Dry Eye Symptoms And Quality Of Sleep In Engineering Students During The Covid-19 Pandemic

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl1.3593 ◽

2020 ◽

Vol 11 (SPL1) ◽

pp. 1202-1207

Author(s):

Pavithra S ◽

Dheepak Sundar M

Keyword(s):

Sleep Quality ◽

Dry Eye ◽

Screen Time ◽

Engineering Students ◽

Statistical Tests ◽

Quality Of Sleep ◽

Cross Sectional ◽

Eye Symptoms ◽

Dry Eye Symptoms

To assess dry eye symptoms (DES) and quality of sleep in engineering students during the Covid19 pandemic lockdown and also to assess the association between DES and sleep quality. A cross-sectional questionnaire-based study was carried out among 396 engineering students studying in Saveetha engineering college. The study tool used was a semi-structured google form questionnaire designed for assessing digital device usage, symptoms of dry eye disease and sleep pattern. Responses were analyzed using appropriate statistical tests. Overall 64.1% attained a score of more than 10, indicating the presence of DES. 70.2% of the study population used digital screens for more than 13 hours. A statistically significant association was found between increased screen time and presence of DES(p<0.05). 64.9% had a score of >18 indicating reduced sleep quality. About 77.1% of the students with DES had reduced sleep quality, and a significant association (p<0.01) was observed between the two. During the Covid19 pandemic lockdown, there appears to be rising prevalence of DES in student population, one of the reasons being increased screen time. The sleep quality was also found to be reduced, and a significant association was found between DES and sleep quality.

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