Chronic dry eye in photorefractive keratectomy and laser in situ keratomileusis: Manifestations, incidence, and predictive factors

Journal of Cataract and Refractive Surgery
Kraig S BowerDarlene A Dartt

Abstract

To evaluate dry-eye manifestations after photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) and determine the incidence and predictive factors of chronic dry eye using a set of dry-eye criteria. Walter Reed Army Medical Center, Washington, DC, USA. Prospective, non-randomized clinical study. Dry-eye evaluation was performed before and after surgery. Main outcome measures included dry-eye manifestations, incidence, and predictive factors of chronic dry eye. This study comprised 143 active-duty U.S. Army personnel, ages 29.9 ± 5.2 years, with myopia or myopic astigmatism (manifest spherical equivalent -3.83 ± 1.96 diopters) having PRK or LASIK. Schirmer scores, corneal sensitivity, ocular surface staining, surface regularity index, and responses to dry-eye questionnaire significantly changed over time after PRK. After LASIK, significant changes were observed in tear breakup time, corneal sensitivity, ocular surface staining, and responses to questionnaire. Twelve months postoperatively, 5.0% of PRK and 0.8% of LASIK participants developed chronic dry eye. Regression analysis showed that pre-operatively lower Schirmer score will significantly influence development of chronic dry eye after PRK, whereas preop...Continue Reading

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Citations

Aug 10, 2016·Journal of Refractive Surgery·Cecilia ChaoFiona Stapleton
Aug 18, 2016·Journal of Cataract and Refractive Surgery·Helga P SandovalKerry D Solomon
Aug 18, 2016·Journal of Cataract and Refractive Surgery·Denise S RyanDarlene A Dartt
Jun 7, 2017·Journal of Refractive Surgery·Majid MoshirfarDaniel S Durrie
May 26, 2017·Clinical & Experimental Ophthalmology·Ji Won JungKyoung Yul Seo
Sep 19, 2018·Acta Ophthalmologica·Marc LabetoulleJosé Benítez-Del-Castillo
Nov 28, 2018·Investigative Ophthalmology & Visual Science·Ikuko Toda
Mar 12, 2019·Journal of Refractive Surgery·Julie M SchallhornSteven C Schallhorn
Aug 11, 2018·Eye & Contact Lens·Edward LumPaul J Murphy
Mar 7, 2020·Journal of Cataract and Refractive Surgery·Pavel StodulkaJaroslav Polisensky
May 31, 2020·Cornea·Austin S Nakatsuka, Mark D Mifflin
Sep 10, 2020·Scientific Reports·Wan-Hua ChoMing-Tse Kuo
Mar 21, 2017·Journal of Cataract and Refractive Surgery·Michele D Lee, Edward E Manche
Aug 16, 2018·BMC Ophthalmology·Mehdi NaderiFarid Daneshgar
Oct 2, 2019·Taiwan Journal of Ophthalmology·Yuan-Che Tai, Chi-Chin Sun
Aug 12, 2020·Vestnik oftalmologii·I E PanovaD R Mirsaitova
May 28, 2019·Military Medicine·Roxana Y GodiwallaJohn B Cason
Apr 25, 2018·International Ophthalmology·Sue ZhongLiqun Yi
Nov 25, 2020·Indian Journal of Ophthalmology·Sharon D'SouzaKrati Gupta
Sep 7, 2019·Asia-Pacific Journal of Ophthalmology·Angela H Y WongKelvin H Wan
Dec 7, 2020·Experimental Eye Research·José Álvaro Pereira Gomes, José Arthur Pinto Milhomens Filho
Oct 23, 2020·Clinical Proteomics·Janika NättinenHannu Uusitalo
Feb 6, 2021·Clinical Ophthalmology·Cassandra C Brooks, Preeya K Gupta
Apr 7, 2021·Seminars in Ophthalmology·Grace Huang, Samir Melki
Jun 7, 2021·Journal of Cataract and Refractive Surgery·Rose K SiaBruce A Rivers

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