0 110

Cited 1 times in

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

Authors
 Young Joon Choi  ;  Si Yoon Park  ;  Ikhyun Jun  ;  Moonjung Choi  ;  Kyoung Yul Seo  ;  Eung Kweon Kim  ;  Tae-im Kim 
Citation
 Cornea, Vol.37(6) : 734-739, 2018 
Journal Title
 Cornea 
ISSN
 0277-3740 
Issue Date
2018
MeSH
Aged ; Cataract Extraction/adverse effects* ; Dry Eye Syndromes/diagnosis* ; Dry Eye Syndromes/metabolism ; Dry Eye Syndromes/physiopathology ; Female ; Humans ; Lipids/analysis ; Logistic Models ; Male ; Meibomian Glands/metabolism ; Meibomian Glands/physiopathology ; Middle Aged ; Risk Factors ; Tears/metabolism
Keywords
cataract surgery ; dry eye symptom ; meibomian gland dropout ; risk factor
Abstract
PURPOSE: To evaluate perioperative dry eye (DE) syndrome and meibomian gland dysfunction (MGD) parameters associated with persistent DE symptoms after cataract surgery. METHODS: We enrolled patients who underwent uncomplicated cataract surgery without previous ocular comorbidities and previous use of ophthalmic treatment except for artificial tears at a single tertiary hospital. Lipid layer thickness, meibomian gland (MG) dropout, tear breakup time, Oxford staining score, lid margin abnormality, meibum quality, meibum expressibility, MG orifice obstruction, MGD stage, Ocular Surface Disease Index (OSDI), and Schirmer test score were prospectively assessed in order at baseline and 1 and 3 months postoperative. Patients with an OSDI score >12 at 3 months postoperative were defined as patients with persistent DE symptoms after cataract surgery. Multivariate logistic regression was then used to determine risk factors for persistent DE symptoms. RESULTS: A total of 116 eyes of 116 patients were enrolled, and 96 patients completed all examinations until 3 months postoperative. Thirty-one patients had persistent DE symptoms at 3 months postoperative. The Oxford staining score, lid margin abnormality, meibum quality, and MGD stage were improved over time. Baseline high OSDI scores [odds ratio (OR), 1.072; P = 0.001] and 1 month postoperative low tear breakup time, low MG orifice obstruction scores, and increased MG dropout (OR, 0.322; P < 0.001, OR, 0.291; P = 0.015, OR, 1.145; P = 0.007, respectively) were determined as risk factors for persistent DE symptoms after cataract surgery. CONCLUSIONS: Ocular parameters at baseline and at 1 month postoperative were important in predicting persistent DE symptoms after cataract surgery.
DOI
10.1097/ICO.0000000000001572
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
Kim, Tae Im(김태임) ORCID logo https://orcid.org/0000-0001-6414-3842
Park, Si Yoon(박시윤)
Seo, Kyuong Yul(서경률) ORCID logo https://orcid.org/0000-0002-9855-1980
Jun, Ik Hyun(전익현) ORCID logo https://orcid.org/0000-0002-2160-1679
Choi, Moonjung(최문정)
Choi, Young Joon(최영준)
Export
RIS (EndNote)
XLS (Excel)
XML
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163544
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse