Evaluation of dry eye and meibomian gland dysfunction after cataract surgery.
Am J Ophthalmol
; 157(6): 1144-1150.e1, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24561172
ABSTRACT
PURPOSE:
To evaluate dry eye and meibomian gland dysfunction after cataract surgery.DESIGN:
Prospective observational case series.METHODS:
We studied 58 eyes of 48 patients who underwent phacoemulsification and evaluated them preoperatively and at 1 month and 3 months postoperatively. Ocular symptom scores, lid margin abnormalities, superficial punctate keratopathies (SPKs), tear film break-up time (TBUT), Schirmer test, lower tear meniscus height, depth, and area using Fourier domain optical coherence tomography, meibum expressibility and images of the meibomian glands using meibography were measured.RESULTS:
The ocular symptom scores were worse at 1 month and 3 months postoperatively (P < 0.001 and P < 0.001, respectively). Lid margin abnormalities were significantly increased (P < 0.001 and P < 0.001, respectively) and TBUT decreased postoperatively (P < 0.001 and P < 0.001, respectively). Meibum expressibility decreased at 3 months postoperatively (P = 0.016); however, meibography score, SPK, lower tear meniscus height, depth and area and the Schirmer test did not change significantly postoperatively (all P values >0.05).CONCLUSION:
Meibomian gland function may be altered without accompanying structural changes after cataract surgery.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Síndromes do Olho Seco
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Facoemulsificação
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Doenças Palpebrais
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Glândulas Tarsais
Tipo de estudo:
Etiology_studies
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Evaluation_studies
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Observational_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article