To compare dry eye symptoms and findings in post cataract surgery eyes’ with and without preexisting dry eye.
Prospective, observational case–control study.
Sixty-seven eyes that had undergone cataract surgery were included; 48 were classified into group D (preexisting dry eye) and 19 into group N (no preexisting dry eye). No subjects received perioperative treatment for dry eye. We evaluated between-group differences in symptom scores, corrected distance visual acuity (CDVA), tear film breakup time (BUT), tear film breakup pattern (BUP), and ocular surface fluorescein staining scores, at 1 week, 1 month, and 3 months postoperatively.
Symptoms were unchanged in group N, but improved in group D (P < .001) postoperatively. CDVA was improved after surgery in both groups (P < .001). BUT was shorter preoperatively in group D than in group N although this difference was absent 1 month postoperatively. Fluorescein staining scores significantly increased at 1 month postoperatively in group N (P = .01), but did not change in group D. During the perioperative period, the predominant BUP was the random break pattern in both groups (≥ 85%). From 1 week to 3 months, dimple break patterns decreased in group D (P = .007), whereas spot break patterns increased (P = .01).
Cataract surgery has an influence on tear film stability and the ocular surface. There was either a transient improvement or worsening of ocular surface wettability in some patients without preexisting dry eye.
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N. Maeda, Grant (Japanese Ministry of the Education, Culture, Sports, Science and Technology and Japanese Ministry of Health, Labor and Welfare)
Conflicts of interest
M. Shimabukuro, None; N. Maeda, Lecture fee (AMO, Alcon, Bausch + Lomb, HOYA, Oculus, Santen, Senjyu, Tomey, Menicon, Pfizer); S. Koh, Grant (Seed); K. Abe, None; R. Kobayashi, None; K. Nishida, Grant and Lecture fee (Senjyu, Otsuka, Santen), Grant, Lecture fee and Consultant fee (Novartis).
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Corresponding Author: Naoyuki Maeda
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Shimabukuro, M., Maeda, N., Koh, S. et al. Effects of cataract surgery on symptoms and findings of dry eye in subjects with and without preexisting dry eye. Jpn J Ophthalmol 64, 429–436 (2020). https://doi.org/10.1007/s10384-020-00744-1
- Cataract surgery
- Dry eye
- Tear film breakup pattern
- Tear film breakup time