Academy of Eye Care Education, L V Prasad Eye Institute, Hyderabad, India.
The Cornea Institute, L V Prasad Eye Institute, Hyderabad, India.
Semin Ophthalmol. 2023 Jan;38(1):24-30. doi: 10.1080/08820538.2022.2112699. Epub 2022 Aug 20.
To understand the impact of dry eye disease (DED) on the components of ocular biometry and ways to optimize the visual outcomes of cataract surgery in eyes with DED.
A thorough literature review of the components pertaining to this review was undertaken using the databases, PubMed (from the year 2000), MEDLINE, CENTRAL (including Cochrane Eyes and Vision Trials Register; Cochrane Library: Issue 12 of 12 December 2019), metaRegister of Controlled Trials (mRCT) (www.controlled-trials. com), ClinicalTrials.gov (www.clinicaltrial.gov) and WHO International Clinical Trials Registry Platform (www.who.int/ictrp/search/en). The keywords used for the search included "cataract surgery" or "phacoemulsification" combined with "dry eye", "dry eye disease","biometry", "keratometry".
Publications considered for this review included meta-analysis, systematic reviews, case-control and cohort studies, case series, and laboratory-based studies. Published articles reporting tear film alteration in DED, its impact on the quality of vision and optical aberrations, the effect of topical medications on keratometry variations, and reports on optimizing the ocular surface before cataract surgery were included.
DED is a common entity seen in patients presenting to routine cataract clinics and is known to impact the accuracy, reliability, and repeatability of ocular biometry and IOL power calculations in them. This review intends to emphasize the preoperative screening for the presence of DED, initiation of appropriate medical management for optimization of the ocular surface before cataract surgery, and recommendations for performing biometry. The algorithmic approach proposed will help the general ophthalmologists in routine practice to provide quality care and acceptable visual outcomes in patients with pre-existing DED.
了解干眼（DED）对眼生物测量学各组成部分的影响，以及在 DED 患者中优化白内障手术视觉效果的方法。
通过数据库（包括 Cochrane 眼与视觉试验注册库；Cochrane 图书馆：2019 年 12 月 12 日第 12 期）、PubMed（从 2000 年开始）、MEDLINE、CENTRAL（www.controlled-trials.com）、metaRegister of Controlled Trials（mRCT）、ClinicalTrials.gov（www.clinicaltrial.gov）和世界卫生组织国际临床试验注册平台（www.who.int/ictrp/search/en），对与本综述相关的各组成部分进行了全面的文献回顾。搜索关键词包括“白内障手术”或“超声乳化术”与“干眼”、“干眼疾病”、“生物测量学”、“角膜曲率计”相结合。
本综述考虑的出版物包括荟萃分析、系统评价、病例对照和队列研究、病例系列以及实验室研究。纳入了报道 DED 患者泪膜改变、其对视力和光学像差质量影响、局部药物对角膜曲率计变化影响的研究，以及关于白内障术前优化眼表面的报告。
DED 是在常规白内障诊所就诊的患者中常见的疾病，已知其会影响眼生物测量学和 IOL 屈光力计算的准确性、可靠性和可重复性。本综述旨在强调术前筛查 DED 的存在，在白内障术前优化眼表面时启动适当的医学管理，并推荐进行生物测量。所提出的算法方法将帮助普通眼科医生在常规实践中为存在 DED 的患者提供优质护理和可接受的视觉效果。
