Effects of femtosecond laser‑assisted cataract surgery on dry eye

Shao,Dewang; Zhu,Xiaoquan; Sun,Wei; Cheng,Peng; Chen,Wei; Wang,Hua

doi:10.3892/etm.2018.6862

December-2018 Volume 16 Issue 6

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

December-2018 Volume 16 Issue 6

Full Size Image

Article Open Access

Effects of femtosecond laser‑assisted cataract surgery on dry eye

Authors:
- Dewang Shao
- Xiaoquan Zhu
- Wei Sun
- Peng Cheng
- Wei Chen
- Hua Wang
View Affiliations / Copyright

Affiliations: Department of Ophthalmology, Air Force Aviation Medicine Research Institute Affiliation Hospital, Beijing 100089, P.R. China, Department of Ophthalmology, Air Force General Hospital, Beijing 100089, P.R. China

Copyright: © Shao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 5073-5078
|
Published online on: October 15, 2018

https://doi.org/10.3892/etm.2018.6862
Expand metrics +

Abstract

The aim of this study was to investigate the effect of femtosecond laser‑assisted cataract surgery (FLACS) on tear film and ocular surface function. Patients with age‑related cataract who underwent phacoemulsification (phaco) in Air Force Aviation Medicine Research Institute Affiliation Hospital from January 2016 to December 2016 were randomly divided into two groups. Patients in experimental group (n=123, 150 eyes) received FLACS, while patients in phaco group (n=110, 150 eyes) underwent conventional coaxial micro‑incision phaco and were implanted with foldable intraocular lens (IOL). Our results showed that there were no statistically significant differences in general conditions between the two groups. Ocular surface disease index (OSDI) and corneal fluorescein staining (CFS) scores of patients in both groups after operation were significantly increased compared with those before operation, but breakup time (BUT) and Schirmer's I test scores decreased significantly at 1 week after operation compared with those before operation and basically returned to preoperative baseline levels at 3 months after operation. CFS scores and OSDI in the FLACS group at 1 day and 1 week after operation were increased more significantly than those in the phaco group, but there were no statistically significant differences at 3 months after operation. The above results showed that the effect on ocular surface function in the FLACS group after operation was greater than that in the phaco group, and the dry eye symptoms in the FLACS group were more obvious after operation. Both FLACS and conventional phaco have certain effects on the ocular surface function of patients, and there are statistically significant differences only in the early stage. FLACS has greater effects on CFS and dry eye symptoms.

View Figures

View References

1	Salomão MQ and Wilson SE: Femtosecond laser in laser in situ keratomileusis. J Cataract Refract Surg. 36:1024–1032. 2010. View Article : Google Scholar : PubMed/NCBI
2	Moshirfar M, Hatch BB, Chang JC, Kurz CJ, Eugarrios MF and Mifflin MD: Prospective, contralateral comparison of 120-µm and 90-µm LASIK flaps using the IntraLase FS60 femtosecond laser. J Refract Surg. 27:251–259. 2011. View Article : Google Scholar : PubMed/NCBI
3	Sutton G, Bali SJ and Hodge C: Femtosecond cataract surgery: Transitioning to laser cataract. Curr Opin Ophthalmol. 24:3–8. 2013. View Article : Google Scholar : PubMed/NCBI
4	He L, Sheehy K and Culbertson W: Femtosecond laser-assisted cataract surgery. Curr Opin Ophthalmol. 22:43–52. 2011.PubMed/NCBI
5	Sutu C, Fukuoka H and Afshari NA: Mechanisms and management of dry eye in cataract surgery patients. Curr Opin Ophthalmol. 27:24–30. 2016. View Article : Google Scholar : PubMed/NCBI
6	Kasetsuwan N, Satitpitakul V, Changul T and Jariyakosol S: Incidence and pattern of dry eye after cataract surgery. PLoS One. 8:e786572013. View Article : Google Scholar : PubMed/NCBI
7	Cho YK and Kim MS: Dry eye after cataract surgery and associated intraoperative risk factors. Korean J Ophthalmol. 23:65–73. 2009. View Article : Google Scholar : PubMed/NCBI
8	Homma M, Tojo T, Akizuki M and Yamagata H: Criteria for Sjögren's syndrome in Japan. Scand J Rheumatol (Suppl). 61:26–27. 1986.PubMed/NCBI
9	Ozcura F, Aydin S and Helvaci MR: Ocular surface disease index for the diagnosis of dry eye syndrome. Ocul Immunol Inflamm. 15:389–393. 2007. View Article : Google Scholar : PubMed/NCBI
10	Jiang Y, Ye H, Xu J and Lu Y: Noninvasive keratograph assessment of tear film break-up time and location in patients with age-related cataracts and dry eye syndrome. J Int Med Res. 42:494–502. 2014. View Article : Google Scholar : PubMed/NCBI
11	Hong J, Sun X, Wei A, Cui X, Li Y, Qian T, Wang W and Xu J: Assessment of tear film stability in dry eye with a newly developed keratograph. Cornea. 32:716–721. 2013. View Article : Google Scholar : PubMed/NCBI
12	Yu EY, Leung A, Rao S and Lam DS: Effect of laser in situ keratomileusis on tear stability. Ophthalmology. 107:2131–2135. 2000. View Article : Google Scholar : PubMed/NCBI
13	Albietz JM, Lenton LM and McLennan SG: Effect of laser in situ keratomileusis for hyperopia on tear film and ocular surface. J Refract Surg. 18:113–123. 2002.PubMed/NCBI
14	Müller LJ, Vrensen GF, Pels L, Cardozo BN and Willekens B: Architecture of human corneal nerves. Invest Ophthalmol Vis Sci. 38:985–994. 1997.PubMed/NCBI
15	Pisella PJ, Pouliquen P and Baudouin C: Prevalence of ocular symptoms and signs with preserved and preservative free glaucoma medication. Br J Ophthalmol. 86:418–423. 2002. View Article : Google Scholar : PubMed/NCBI
16	Herreras JM, Pastor JC, Calonge M and Asensio VM: Ocular surface alteration after long-term treatment with an antiglaucomatous drug. Ophthalmology. 99:1082–1088. 1992. View Article : Google Scholar : PubMed/NCBI
17	Cetinkaya S, Mestan E, Acir NO, Cetinkaya YF, Dadaci Z and Yener HI: The course of dry eye after phacoemulsification surgery. BMC Ophthalmol. 15:682015. View Article : Google Scholar : PubMed/NCBI
18	Yokoi N, Takehisa Y and Kinoshita S: Correlation of tear lipid layer interference patterns with the diagnosis and severity of dry eye. Am J Ophthalmol. 122:818–824. 1996. View Article : Google Scholar : PubMed/NCBI
19	White KM, Benjamin WJ and Hill RM: Human basic tear fluid osmolarity. II. Importance of processing strategy. Acta Ophthalmol (Copenh). 71:530–538. 1993. View Article : Google Scholar : PubMed/NCBI
20	Shaheen BS, Bakir M and Jain S: Corneal nerves in health and disease. Surv Ophthalmol. 59:263–285. 2014. View Article : Google Scholar : PubMed/NCBI
21	Salomão MQ, Ambrósio R Jr and Wilson SE: Dry eye associated with laser in situ keratomileusis: Mechanical microkeratome versus femtosecond laser. J Cataract Refract Surg. 35:1756–1760. 2009. View Article : Google Scholar : PubMed/NCBI
22	Rodriguez-Prats JL, Hamdi IM, Rodriguez AE, Galal A and Alio JL: Effect of suction ring application during LASIK on goblet cell density. J Refract Surg. 23:559–562. 2007.PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Effects of femtosecond laser‑assisted cataract surgery on dry eye

This article is mentioned in:

Abstract

Figure 1

Related Articles