Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s Syndrome
This study compared the biometric accuracy and refractive outcomes, and ocular surface changes after cataract surgery in patients with Sjögren’s syndrome (SS, S group), non-SS dry eye patients (D group), and healthy controls (C group). The medical records of patients who underwent cataract surgery a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/1/57 |
| _version_ | 1797626032173350912 |
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| author | Donghyeon Lee Charm Kim Kyeongjoo Lee Jin Kwon Chung |
| author_facet | Donghyeon Lee Charm Kim Kyeongjoo Lee Jin Kwon Chung |
| author_sort | Donghyeon Lee |
| collection | DOAJ |
| description | This study compared the biometric accuracy and refractive outcomes, and ocular surface changes after cataract surgery in patients with Sjögren’s syndrome (SS, S group), non-SS dry eye patients (D group), and healthy controls (C group). The medical records of patients who underwent cataract surgery and met certain inclusion criteria were reviewed. In total, 167 eyes of 87 patients were enrolled. Refractive parameters were analyzed via optical biometry and combined ultrasound biometry and automated refractokeratometry. The mean absolute errors (MAEs), the uncorrected distance visual acuities (UDVAs), changes in the ocular staining score (OSS), and anterior chamber cell grades were compared for 12 months postoperatively. The S group evidenced more severe and persistent OSS exacerbation after cataract surgery; the OSS returned to baseline by 3 months postoperatively. The mean keratometric values showed a significant linear correlation. There was no significant intergroup difference in either the MAEs (<i>p</i> > 0.530) or anterior chamber inflammation (<i>p ></i> 0.436). The postoperative UDVA of the S group was poorer than that of the C group from 3 months postoperatively (<i>p <</i> 0.047) but not different from that of the D group (<i>p ></i> 0.311). With preoperative ocular surface optimization and optimal postoperative treatment of superficial keratitis, the refractive outcomes of SS patients were comparable to those of other groups and the postoperative UDVA was not inferior to that of non-SS dry eye patients. |
| first_indexed | 2024-03-11T10:04:51Z |
| format | Article |
| id | doaj.art-571ed875c0cb4dc2bef5687c079c0e94 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T10:04:51Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-571ed875c0cb4dc2bef5687c079c0e942023-11-16T15:08:15ZengMDPI AGDiagnostics2075-44182022-12-011315710.3390/diagnostics13010057Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s SyndromeDonghyeon Lee0Charm Kim1Kyeongjoo Lee2Jin Kwon Chung3Department of Ophthalmology, Soonchunhyang University Seoul Hospital, Seoul 04401, Republic of KoreaDepartment of Ophthalmology, Soonchunhyang University Seoul Hospital, Seoul 04401, Republic of KoreaDepartment of Ophthalmology, Soonchunhyang University Seoul Hospital, Seoul 04401, Republic of KoreaDepartment of Ophthalmology, Soonchunhyang University Seoul Hospital, Seoul 04401, Republic of KoreaThis study compared the biometric accuracy and refractive outcomes, and ocular surface changes after cataract surgery in patients with Sjögren’s syndrome (SS, S group), non-SS dry eye patients (D group), and healthy controls (C group). The medical records of patients who underwent cataract surgery and met certain inclusion criteria were reviewed. In total, 167 eyes of 87 patients were enrolled. Refractive parameters were analyzed via optical biometry and combined ultrasound biometry and automated refractokeratometry. The mean absolute errors (MAEs), the uncorrected distance visual acuities (UDVAs), changes in the ocular staining score (OSS), and anterior chamber cell grades were compared for 12 months postoperatively. The S group evidenced more severe and persistent OSS exacerbation after cataract surgery; the OSS returned to baseline by 3 months postoperatively. The mean keratometric values showed a significant linear correlation. There was no significant intergroup difference in either the MAEs (<i>p</i> > 0.530) or anterior chamber inflammation (<i>p ></i> 0.436). The postoperative UDVA of the S group was poorer than that of the C group from 3 months postoperatively (<i>p <</i> 0.047) but not different from that of the D group (<i>p ></i> 0.311). With preoperative ocular surface optimization and optimal postoperative treatment of superficial keratitis, the refractive outcomes of SS patients were comparable to those of other groups and the postoperative UDVA was not inferior to that of non-SS dry eye patients.https://www.mdpi.com/2075-4418/13/1/57cataract surgerySjögren’s syndromedry eye diseasesuperficial keratitisocular surface optimizationbiometry |
| spellingShingle | Donghyeon Lee Charm Kim Kyeongjoo Lee Jin Kwon Chung Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s Syndrome Diagnostics cataract surgery Sjögren’s syndrome dry eye disease superficial keratitis ocular surface optimization biometry |
| title | Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s Syndrome |
| title_full | Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s Syndrome |
| title_fullStr | Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s Syndrome |
| title_full_unstemmed | Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s Syndrome |
| title_short | Clinical Outcomes of Cataract Surgery in Patients with Sjögren’s Syndrome |
| title_sort | clinical outcomes of cataract surgery in patients with sjogren s syndrome |
| topic | cataract surgery Sjögren’s syndrome dry eye disease superficial keratitis ocular surface optimization biometry |
| url | https://www.mdpi.com/2075-4418/13/1/57 |
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