Lin Bin, Li Dong-Kan, Zhang Ling, Chen Long-Long, Gao Ying-Ying
School of Medicine, Xiamen Eye Center and Eye Institute of Xiamen University, Xiamen, China.
Xiamen Clinical Research Center for Eye Diseases, Xiamen, Fujian, China.
Front Med (Lausanne). 2024 Nov 18;11:1443769. doi: 10.3389/fmed.2024.1443769. eCollection 2024.
Postoperative dry eye is a common complication following femtosecond laser-assisted cataract surgery, and the patient interface (PI) used during the procedure may play a significant role in its occurrence. This study, utilizing a meticulous scientific search strategy, identified seven relevant articles through literature search engines. Most of these studies employed contact-type PI during surgeries, while one researcher used a non-contact PI. All studies assessed dry eye symptoms at various postoperative periods using metrics such as the Ocular Surface Disease Index (OSDI), tear Break-Up Time (BUT), Schirmer I test (SIt), and so on. However, the findings were inconsistent. On this basis, this comprehensive review delves into the potential impact of different patient interfaces on corneal nerve damage and conjunctival goblet cell injury, possibly contributing to an increased risk of postoperative dry eye. The review also explores various preventive and solution strategies, including improving PI design, reducing surgical time, and utilizing tear protective agents. The findings highlight the importance of optimizing the PI to minimize the risk of postoperative dry eye in femtosecond laser-assisted cataract surgery.
术后干眼是飞秒激光辅助白内障手术后常见的并发症，手术过程中使用的患者界面（PI）可能在其发生中起重要作用。本研究采用严谨的科学检索策略，通过文献搜索引擎确定了7篇相关文章。这些研究大多在手术中使用接触式PI，而有一位研究者使用了非接触式PI。所有研究均使用眼表疾病指数（OSDI）、泪膜破裂时间（BUT）、泪液分泌试验I（SIt）等指标在术后不同时期评估干眼症状。然而，研究结果并不一致。在此基础上，本综述深入探讨了不同患者界面对角膜神经损伤和结膜杯状细胞损伤的潜在影响，这可能会增加术后干眼的风险。该综述还探讨了各种预防和解决策略，包括改进PI设计、缩短手术时间和使用泪液保护剂。研究结果强调了优化PI以降低飞秒激光辅助白内障手术中术后干眼风险的重要性。
