The efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgery
Abstract Purpose In the present study, we aimed to evaluate the efficacy of the bandage contact lens (BCLs) in the treatment of dry eye disease (DED) after complicated cataract or/and intraocular lens (IOL) surgery. Methods In this retrospective, single-centered, observational study, we collected da...
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| Format: | Article |
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BMC
2024-03-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-024-03385-x |
| _version_ | 1797233746251874304 |
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| author | Dan Chen Dejian Xu Xingdi Wu Jingwen Wang Siting Sheng Xuewen Yu Xueqi Lin Lirui Liu Xian Ge Huiling Zhao Wen Xu |
| author_facet | Dan Chen Dejian Xu Xingdi Wu Jingwen Wang Siting Sheng Xuewen Yu Xueqi Lin Lirui Liu Xian Ge Huiling Zhao Wen Xu |
| author_sort | Dan Chen |
| collection | DOAJ |
| description | Abstract Purpose In the present study, we aimed to evaluate the efficacy of the bandage contact lens (BCLs) in the treatment of dry eye disease (DED) after complicated cataract or/and intraocular lens (IOL) surgery. Methods In this retrospective, single-centered, observational study, we collected data from 69 patients who underwent complicated cataract or/and IOL surgery. Of these, 35 cases wore their own BCLs immediately after the operation, while the other 34 cases did not have their own BCLs and were instead covered with gauze. The Ocular Surface Disease Index (OSDI) questionnaire, slit-lamp microscope examination, keratograph analysis, and Schirmer I test were measured at baseline, 1 week and 1 month postoperatively. Results In the BCL group, the score of the OSDI questionnaire was significantly decreased at 1 week and 1 month postoperatively compared with baseline levels (P = 0.000, collectively). Moreover, the fluorescein staining score of the BCL group was remarkably decreased 1-week and 1-month postoperatively compared with the non-BCL group (P = 0.000 and P = 0.000, respectively). Furthermore, the redness score of the BCL group was also better compared with the non-BCL group at 1 week and 1 month postoperatively (P = 0.014 and P = 0.004, respectively). Conclusions Complicated cataract or/and IOL surgery would intensify the DED. Early application of BCLs postoperatively improved patients’ comfort and alleviated dry eye-related symptoms and signs. Furthermore, this mechanism might involve the acceleration of corneal epithelial healing, the alleviation of ocular stress response and the stabilization of the tear film. Trial registration Trial registration ClinicalTrials, NCT04120389. Registered 10 October 2019—retrospectively registered. |
| first_indexed | 2024-04-24T16:21:04Z |
| format | Article |
| id | doaj.art-61532ccfe602426ba2d3f573234c2e10 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-24T16:21:04Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
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| series | BMC Ophthalmology |
| spelling | doaj.art-61532ccfe602426ba2d3f573234c2e102024-03-31T11:13:18ZengBMCBMC Ophthalmology1471-24152024-03-012411910.1186/s12886-024-03385-xThe efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgeryDan Chen0Dejian Xu1Xingdi Wu2Jingwen Wang3Siting Sheng4Xuewen Yu5Xueqi Lin6Lirui Liu7Xian Ge8Huiling Zhao9Wen Xu10Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesDepartment of Ophthalmology, The First People’s Hospital of Xiaoshan District, Xiaoshan Affiliated Hospital of Wenzhou Medical UniversityDepartment of Ophthalmology, Zhongshan Hospital, Fudan UniversityEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesEye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang University, Zhejiang Provincial Engineering Institute on Eye DiseasesAbstract Purpose In the present study, we aimed to evaluate the efficacy of the bandage contact lens (BCLs) in the treatment of dry eye disease (DED) after complicated cataract or/and intraocular lens (IOL) surgery. Methods In this retrospective, single-centered, observational study, we collected data from 69 patients who underwent complicated cataract or/and IOL surgery. Of these, 35 cases wore their own BCLs immediately after the operation, while the other 34 cases did not have their own BCLs and were instead covered with gauze. The Ocular Surface Disease Index (OSDI) questionnaire, slit-lamp microscope examination, keratograph analysis, and Schirmer I test were measured at baseline, 1 week and 1 month postoperatively. Results In the BCL group, the score of the OSDI questionnaire was significantly decreased at 1 week and 1 month postoperatively compared with baseline levels (P = 0.000, collectively). Moreover, the fluorescein staining score of the BCL group was remarkably decreased 1-week and 1-month postoperatively compared with the non-BCL group (P = 0.000 and P = 0.000, respectively). Furthermore, the redness score of the BCL group was also better compared with the non-BCL group at 1 week and 1 month postoperatively (P = 0.014 and P = 0.004, respectively). Conclusions Complicated cataract or/and IOL surgery would intensify the DED. Early application of BCLs postoperatively improved patients’ comfort and alleviated dry eye-related symptoms and signs. Furthermore, this mechanism might involve the acceleration of corneal epithelial healing, the alleviation of ocular stress response and the stabilization of the tear film. Trial registration Trial registration ClinicalTrials, NCT04120389. Registered 10 October 2019—retrospectively registered.https://doi.org/10.1186/s12886-024-03385-xComplicated cataract or/and IOL surgeryDry eye diseaseBandage contact lensRetrospective |
| spellingShingle | Dan Chen Dejian Xu Xingdi Wu Jingwen Wang Siting Sheng Xuewen Yu Xueqi Lin Lirui Liu Xian Ge Huiling Zhao Wen Xu The efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgery BMC Ophthalmology Complicated cataract or/and IOL surgery Dry eye disease Bandage contact lens Retrospective |
| title | The efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgery |
| title_full | The efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgery |
| title_fullStr | The efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgery |
| title_full_unstemmed | The efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgery |
| title_short | The efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or/and IOL surgery |
| title_sort | efficacy of bandage contact lens in relieving the aggravation of dry eye disease after complicated cataract or and iol surgery |
| topic | Complicated cataract or/and IOL surgery Dry eye disease Bandage contact lens Retrospective |
| url | https://doi.org/10.1186/s12886-024-03385-x |
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