Villani Edoardo, Catania Anton Giulio, Luccarelli Saverio Vincenzo, Magnani Fabrizio, Martone Gianluca, Zanzottera Emma, Lagali Neil
Department of Clinical Science and Community Health, University of Milan, San Giuseppe Hospital, IRCCS Multimedica, Milano, Italy.
San Paolo Ophthalmic Center, San Antonio Hospital, Padova, Italy.
Eur J Ophthalmol. 2023 May 7:11206721231174060. doi: 10.1177/11206721231174060.
Cataract surgery is the most frequently performed surgical procedure in the elderly in Western countries and patients' expectations for postoperative outcomes are very high.Dry eye disease (DED) is a common multifactorial symptomatic disease of the ocular surface with a complex etiopathogenesis and a prevalence significantly increasing with age.Cataract surgery and DED have a complex relationship, which needs to be acknowledged, understood, and properly managed, as suggested by daily clinical experience and growing scientific evidence. The surgical procedure can have a relevant impact on the tear film and the ocular surface, and it can, usually transiently, induce or exacerbate DED symptoms. Moreover, preoperative DED can affect surgical refractive outcomes, while postoperative DED symptoms can significantly worsen patients reported outcomes and satisfaction.At the end of this narrative review summarizing the evidence on this topic, the "Dry Eye and Cataract Surgery" subcommittee of the DROPS workshop formulated some recommendations for ocular surface and DED management pre-, intra-, and post-cataract surgery.
白内障手术是西方国家老年人中最常进行的外科手术，患者对术后效果的期望非常高。干眼疾病（DED）是一种常见的、具有多种病因的眼表症状性疾病，其发病机制复杂，患病率随年龄增长显著增加。白内障手术与干眼疾病有着复杂的关系，日常临床经验和越来越多的科学证据表明，这种关系需要得到认识、理解和妥善处理。手术过程可能会对泪膜和眼表产生显著影响，并且通常会暂时诱发或加重干眼疾病症状。此外，术前干眼疾病会影响手术屈光效果，而术后干眼疾病症状会显著恶化患者报告的手术效果和满意度。在这篇总结该主题证据的叙述性综述末尾，DROPS研讨会的“干眼与白内障手术”小组委员会针对白内障手术前、手术中和手术后的眼表及干眼疾病管理制定了一些建议。
