Refractive surgery and dry eye

Author:

Mastropasqua Leonardo1,Barboni Piero23ORCID,Savini Giacomo3,Aragona Emanuela2,D’Aloisio Rossella1ORCID,Lanzini Manuela1,Agnifili Luca1,Galzignato Alice3,Solimeo Antonio4,Knutsson Karl Anders2ORCID,Messmer Elisabeth M5

Affiliation:

1. Ophthalmology Clinic, Department of Medicine and Science of Ageing, “G. D'Annunzio” University of Chieti-Pescara, Chieti, Italy

2. Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

3. Studio Oculistico d’Azeglio, Bologna, Italy

4. “A. Cardarelli” U.O.C. Oculistica A.O.R.N., Naples, Italy

5. Department of Ophthalmology, Ludwig-Maximilian-University Munich, Munchen, Germany

Abstract

Refractive surgery is one of the most common elective surgeries performed worldwide. The incidence of dry eye disease (DED) after corneal refractive surgery varies among different studies. Pre-existing untreated DED has been identified as a risk factor for postsurgical dry eye symptoms. On the basis of both evidence and clinical experience, some recommendations for ocular surface and DED management pre- and post-refractive surgery are described. In aqueous deficiency Dry Eye Disease, preservative-free lubricating drops should be preferred, in addition to ointment and gel forms. Topical anti-inflammatory agents (Cyclosporine 0.1%, hydrocortisone phosphate, fluorometholone) should be used for 3–6 months in cases of ocular surface damage. The therapy of evaporative DED includes lifestyle modifications, lid hygiene (either performed by the patient or offered as professional lid hygiene by the physician), use of lubricating eye drops with lipid components, topical and/or systemic antibiotic treatment with anti-inflammatory properties and Intense Pulsed Light (IPL-) Treatment for meibomian gland dysfunction.

Funder

Alcon Foundation

Publisher

SAGE Publications

Subject

Ophthalmology,General Medicine

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