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Dry Eye Syndrome: Management of Post-LASIK Dry Eye Disease

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Difficult and Complicated Cases in Refractive Surgery
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Abstract

Laser in situ keratomileusis (LASIK) has emerged as the standard surgical procedure for the correction of refractive errors [1]. During LASIK procedure, stromal nerves are transected in the flap area. Post-LASIK, the subbasal nerve plexus density decreases more than 80 % [2]. Although nerve regrowth is observed in the flap area at 6 months post-procedure, preoperative levels are not achieved even 5 years after surgery [2–4]. About 50 % patients experience some degree of dry eye symptoms during the initial postoperative period [5]. Besides symptoms of ocular discomfort, which in the most severe form can be debilitating to the patient, it can also compromise visual acuity if the central cornea develops LASIK-induced neurotrophic epitheliopathy (LINE).

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Correspondence to Sapna Tibrewal MD .

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Tibrewal, S., Jain, S. (2015). Dry Eye Syndrome: Management of Post-LASIK Dry Eye Disease. In: Alió, J., Azar, D., Abbouda, A., Aswad, A. (eds) Difficult and Complicated Cases in Refractive Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55238-0_44

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  • DOI: https://doi.org/10.1007/978-3-642-55238-0_44

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