Dry-eye symptoms are a common postoperative complication after cataract and refractive surgery and can have an adverse impact on visual recovery and outcomes.1
After LASIK surgery, common complaints (95% of patients) are of dry eye symptoms such as a gritty sensation, general ocular discomfort and fatigue, vision fluctuation, and ocular redness early in the postoperative period.2
Dry eye symptoms tend to lessen over time in LASIK patients, with 20% to 40% of patients still experiencing dry eye six months after surgery.2
Although usually transient, the postop symptoms can negatively impact perceived satisfaction with the surgery and overall quality of life.
The postoperative dry eye rate is less in cataract patients but still experienced by the majority. Upwards of 87% of cataract patients use artificial tears one month postop.3 The type of cataract surgery may also impact the severity of dry eye symptoms experienced.
1. Trattler WB, Majmudar PA, Donnenfeld ED, et al. The Prospective Health Assessment of Cataract Patients' Ocular Surface (PHACO) study: the effect of dry eye. Clin Ophthalmol. 2017;11:1423-30.
2. Shtein RM. Post-LASIK dry eye. Expert Rev Ophthalmol. 2011;6(5):575-82.
3. Roberts CW, Elie ER. Dry eye symptoms following cataract surgery. Insight 2007;32(1):14-21; quiz 2-3.
4. Yu Y, Chen X, Hua H, et al. Comparative outcomes of femtosecond laser-assisted cataract surgery and manual phacoemusification: a six-month follow-up. Clin Exp Ophthalmol. 2016;44(6):472-80.
5. Hovanesian JA. Pterygium: Techniques and Technologies for Surgical Success. Thorofare, NJ: Slack Inc., 2012.
6. Turkyilmaz K, Oner V, Sevim MS, et al. Effect of pterygium surgery on tear osmolarity. J Ophthalmol. 2013;2013:863498.
7. De Paiva CS, Chen Z, Koch DD, et al. The incidence and risk factors for developing dry eye after myopic LASIK. Am J Ophthalmol. 2006;141(3):438-45.
8. Kobashi H, Kamiya K, Shimizu K. Dry Eye After Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK: Meta-Analysis. Cornea 2017;36(1):85-91.