Department of Retina and Vitreous, Narayana Nethralaya, Bengaluru, Karnataka, India.
Department of Retina and Vitreous, Sankara Nethralaya, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2023 Apr;71(4):1123-1126. doi: 10.4103/IJO.IJO_2573_22.
Dry eye disease (DED) can lead to ocular discomfort as well as visual disturbances. Older adults are more likely to develop DED. They are also more likely to develop retinal diseases such as diabetic retinopathy and age-related macular degeneration, which may require vitreoretinal surgeries, lasers, and intravitreal injections. Posterior segment surgery may cause or worsen existing dry eye symptoms, albeit temporarily. Despite good anatomic and functional outcomes, ocular surface dysfunction can have a significant impact on the quality of life, lowering a patient's satisfaction with the retinal treatment. Preexisting DED, intraoperative tissue handling, and postoperative treatment may all contribute to the severity of ocular surface dysfunction. In this article, we have reviewed all relevant studies on the development of ocular surface changes and DED, as well as the impact of vitreoretinal surgeries and procedures on the ocular surface.
干眼症（DED）可引起眼部不适和视觉障碍。老年人更易患 DED。他们也更容易患上视网膜疾病，如糖尿病视网膜病变和年龄相关性黄斑变性，这些疾病可能需要玻璃体视网膜手术、激光和玻璃体内注射。后节手术可能会导致或加重现有的干眼症状，尽管是暂时的。尽管解剖和功能结果良好，但眼表面功能障碍会对生活质量产生重大影响，降低患者对视网膜治疗的满意度。术前 DED、术中组织处理和术后治疗都可能导致眼表面功能障碍的严重程度增加。在本文中，我们回顾了所有关于眼表变化和 DED 发展以及玻璃体视网膜手术和程序对眼表影响的相关研究。
