Refractive surgery and dry eye - An update

Dry eye disease is the most common complication and a frequent cause of patient dissatisfaction after corneal laser refractive surgery, which includes laser-assisted in situ keratomileusis (LASIK), small-incision lenticule extraction (SMILE), and photorefractive keratectomy (PRK). It has a complex,...

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Main Authors: Sridevi Nair, Manpreet Kaur, Namrata Sharma, Jeewan S Titiyal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1105;epage=1114;aulast=Nair
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author Sridevi Nair
Manpreet Kaur
Namrata Sharma
Jeewan S Titiyal
author_facet Sridevi Nair
Manpreet Kaur
Namrata Sharma
Jeewan S Titiyal
author_sort Sridevi Nair
collection DOAJ
description Dry eye disease is the most common complication and a frequent cause of patient dissatisfaction after corneal laser refractive surgery, which includes laser-assisted in situ keratomileusis (LASIK), small-incision lenticule extraction (SMILE), and photorefractive keratectomy (PRK). It has a complex, multifactorial etiology and is characterized by a highly variable clinical presentation. A detailed preoperative screening and optimization of the ocular surface prior to refractive surgery are the key to minimizing the incidence and severity of postoperative dry eye. Diagnosis of postrefractive surgery dry eye remains a challenge as no single symptom or clinical parameter is confirmative of the condition, and the symptoms and signs may not correlate well in many cases. A thorough understanding of the pathomechanism of the disease and its manifestations is essential to facilitate a treatment approach that is individualized for each patient. This article reviews various aspects of postrefractive surgery dry eye including its epidemiology, etiopathogenesis, risk factors, diagnosis, and management.
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spelling doaj.art-fbe729c93d104067801a413b0437828c2023-05-18T05:50:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017141105111410.4103/IJO.IJO_3406_22Refractive surgery and dry eye - An updateSridevi NairManpreet KaurNamrata SharmaJeewan S TitiyalDry eye disease is the most common complication and a frequent cause of patient dissatisfaction after corneal laser refractive surgery, which includes laser-assisted in situ keratomileusis (LASIK), small-incision lenticule extraction (SMILE), and photorefractive keratectomy (PRK). It has a complex, multifactorial etiology and is characterized by a highly variable clinical presentation. A detailed preoperative screening and optimization of the ocular surface prior to refractive surgery are the key to minimizing the incidence and severity of postoperative dry eye. Diagnosis of postrefractive surgery dry eye remains a challenge as no single symptom or clinical parameter is confirmative of the condition, and the symptoms and signs may not correlate well in many cases. A thorough understanding of the pathomechanism of the disease and its manifestations is essential to facilitate a treatment approach that is individualized for each patient. This article reviews various aspects of postrefractive surgery dry eye including its epidemiology, etiopathogenesis, risk factors, diagnosis, and management.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1105;epage=1114;aulast=Nairdryeyelaserlasikprkrefractivesmilesurgery
spellingShingle Sridevi Nair
Manpreet Kaur
Namrata Sharma
Jeewan S Titiyal
Refractive surgery and dry eye - An update
Indian Journal of Ophthalmology
dry
eye
laser
lasik
prk
refractive
smile
surgery
title Refractive surgery and dry eye - An update
title_full Refractive surgery and dry eye - An update
title_fullStr Refractive surgery and dry eye - An update
title_full_unstemmed Refractive surgery and dry eye - An update
title_short Refractive surgery and dry eye - An update
title_sort refractive surgery and dry eye an update
topic dry
eye
laser
lasik
prk
refractive
smile
surgery
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1105;epage=1114;aulast=Nair
work_keys_str_mv AT sridevinair refractivesurgeryanddryeyeanupdate
AT manpreetkaur refractivesurgeryanddryeyeanupdate
AT namratasharma refractivesurgeryanddryeyeanupdate
AT jeewanstitiyal refractivesurgeryanddryeyeanupdate