Coco Giulia, Messmer Elisabeth M, Starr Christopher E, Pereira-Gomes José Alvaro, Lazreg Sihem, Budimlija Nikolina, Nucci Carlo, Giannaccare Giuseppe
Ophthalmology Unit, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
Department of Ophthalmology, Ludwig-Maximilians University, Munich, Germany.
Ophthalmol Ther. 2025 Sep 26. doi: 10.1007/s40123-025-01251-7.
Dry eye disease (DED) is highly prevalent among patients undergoing cataract surgery but is frequently underdiagnosed. Its presence can significantly affect preoperative biometric measurements and intraocular lens (IOL) power calculations, along with postoperative outcomes, particularly in patients receiving premium IOLs. Identifying and managing ocular surface disease (OSD) before surgery presents a valuable opportunity to optimize the ocular surface, reduce the risk of refractive surprises, and enhance both visual quality and patient satisfaction. This review summarizes current evidence on the prevalence of DED in patients with cataract, its impact on surgical planning and outcomes, and further outlines a practical approach for preoperative evaluation and optimization. Key strategies include risk stratification, targeted diagnostics, and individualized treatment regimens. Incorporating ocular surface assessment and treatment into the routine preoperative workflow is both feasible and essential in the context of modern cataract surgery. A structured, multimodal approach to DED management can significantly improve surgical precision and long-term visual outcomes.
干眼症（DED）在接受白内障手术的患者中非常普遍，但常常未得到充分诊断。它的存在会显著影响术前生物测量和人工晶状体（IOL）屈光力计算，以及术后结果，尤其是在接受高端IOL的患者中。术前识别和管理眼表疾病（OSD）为优化眼表、降低屈光意外风险以及提高视觉质量和患者满意度提供了宝贵机会。本综述总结了目前关于白内障患者中DED患病率的证据、其对手术规划和结果的影响，并进一步概述了术前评估和优化的实用方法。关键策略包括风险分层、针对性诊断和个体化治疗方案。在现代白内障手术背景下，将眼表评估和治疗纳入常规术前工作流程既可行又至关重要。一种结构化、多模式的DED管理方法可显著提高手术精度和长期视觉效果。
