D'Souza Sharon, James Edwin, Swarup Rishi, Mahuvakar Sheetal, Pradhan Aditya, Gupta Krati
Department of Cornea and Refractive, Narayana Nethralaya, Bangalore, Karnataka, India.
Department of Ophthalmology, Government Medical College, Paripally, Kerala, India.
Indian J Ophthalmol. 2020 Dec;68(12):2888-2894. doi: 10.4103/ijo.IJO_1957_20.
Dry eye disease (DED) is a condition that is fast reaching epidemic proportions around the world. Dry eye post-refractive surgery is the leading cause of iatrogenically induced DED. The wide variety of presentations and the disparity between signs and symptoms in many patients make this a very challenging aspect of our clinical practice. There has been a paradigm shift in the way we approach and treat this condition. The International Dry eye workshop has added new knowledge and focus to our management of dry eye. A wide range of newer diagnostic modalities are available for the diagnosis of DED. Dry eye is one of the most common side effects of refractive surgery and can have a bearing the patient's perception of surgical outcomes as well. A thorough understanding of the possible underlying etiopathologies of this disease and the difference in etiopathogenesis of postrefractive dry eye is essential for optimal outcomes. It is important to approach each case in a unique fashion and customize the therapy to the patient presentation. This review article compiles all these aspects of management of dry eye in general, and postrefractive surgery dry eye in particular; from the ones commonly practiced in the clinic to the newer modalities of therapy with insights into the disease from a more practical point of view.
干眼症（DED）是一种在全球范围内迅速蔓延至流行程度的病症。屈光手术后干眼是医源性诱发干眼症的主要原因。众多的临床表现以及许多患者体征与症状之间的差异，使得这成为我们临床实践中一个极具挑战性的方面。在我们处理和治疗这种病症的方式上已经发生了范式转变。国际干眼研讨会为我们对干眼的管理增添了新知识和重点。有多种更新的诊断方法可用于干眼症的诊断。干眼是屈光手术最常见的副作用之一，并且也会影响患者对手术效果的感知。透彻了解这种疾病可能的潜在病因以及屈光术后干眼发病机制的差异，对于实现最佳治疗效果至关重要。以独特的方式处理每个病例并根据患者的表现定制治疗方案很重要。这篇综述文章汇编了干眼管理的所有这些方面，特别是屈光手术后干眼的管理；从临床中常用的方法到更新的治疗方式，并从更实际的角度对该疾病进行了深入分析。
