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Article: Preoperative optimization of ocular surface disease before cataract surgery

TitlePreoperative optimization of ocular surface disease before cataract surgery
Authors
Issue Date2018
PublisherElsevier.
Citation
Journal of Cataract and Refractive Surgery, 2018, v. 43 n. 11, p. 1596-1607 How to Cite?
AbstractAn impaired ocular surface adversely affects preoperative planning for cataract surgery, including intraocular lens (IOL) calculations, toric IOL axis and magnitude estimates, keratometry, and topography measurements. It also increases surgical difficulty. We performed a review to evaluate the connection between cataract surgery and dry eye and to determine the best management for these patients. Of the 16 papers included in this review, 6 were randomized controlled trials. Cataract surgery was shown to worsen ocular parameters and aggravate dry-eye disease. Physicians should recognize and aggressively treat cataract patients with poor prognostic factors and/or with existing dry-eye disease. Increased incision extent, operation time, irrigation, and microscopic-light exposure time decreased the tear breakup time and mean goblet cell density. Postoperatively, the use of eyedrops was associated with worsening of goblet cell density; hence, these medications should be tapered off when no longer needed.
Persistent Identifierhttp://hdl.handle.net/10722/251401
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChuang, J-
dc.contributor.authorShih, KC-
dc.contributor.authorChan, TCY-
dc.contributor.authorWan, KH-
dc.contributor.authorJhanji, V-
dc.contributor.authorTong, L-
dc.date.accessioned2018-03-01T03:38:42Z-
dc.date.available2018-03-01T03:38:42Z-
dc.date.issued2018-
dc.identifier.citationJournal of Cataract and Refractive Surgery, 2018, v. 43 n. 11, p. 1596-1607-
dc.identifier.urihttp://hdl.handle.net/10722/251401-
dc.description.abstractAn impaired ocular surface adversely affects preoperative planning for cataract surgery, including intraocular lens (IOL) calculations, toric IOL axis and magnitude estimates, keratometry, and topography measurements. It also increases surgical difficulty. We performed a review to evaluate the connection between cataract surgery and dry eye and to determine the best management for these patients. Of the 16 papers included in this review, 6 were randomized controlled trials. Cataract surgery was shown to worsen ocular parameters and aggravate dry-eye disease. Physicians should recognize and aggressively treat cataract patients with poor prognostic factors and/or with existing dry-eye disease. Increased incision extent, operation time, irrigation, and microscopic-light exposure time decreased the tear breakup time and mean goblet cell density. Postoperatively, the use of eyedrops was associated with worsening of goblet cell density; hence, these medications should be tapered off when no longer needed.-
dc.languageeng-
dc.publisherElsevier. -
dc.relation.ispartofJournal of Cataract and Refractive Surgery-
dc.rightsPosting accepted manuscript (postprint): © <year>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/-
dc.titlePreoperative optimization of ocular surface disease before cataract surgery-
dc.typeArticle-
dc.identifier.emailShih, KC: kcshih@hku.hk-
dc.identifier.authorityShih, KC=rp01374-
dc.identifier.doi10.1016/j.jcrs.2017.10.033-
dc.identifier.hkuros284090-
dc.identifier.volume43-
dc.identifier.issue11-
dc.identifier.spage1596-
dc.identifier.epage1607-
dc.identifier.isiWOS:000429509200016-

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