Effect of laser in situ keratomileusis for hyperopia on tear film and ocular surface

被引:74
作者
Albietz, JM [1 ]
Lenton, LM [1 ]
McLennan, SG [1 ]
机构
[1] Queensland Univ Technol, Brisbane, Qld, Australia
关键词
D O I
10.3928/1081-597X-20020301-02
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To examine the effects of laser in situ keratomileusis (LASIK) for hyperopia on the tear film and ocular surface. METHODS: A retrospective 12-month analysis of 88 eyes (88 participants) who had LASIK for hyperopia was performed. Participants were evaluated before and after (2 weeks, 1, 3, 6, and 12 months) surgery for dry eye symptoms (McMonnies Dry Eye Survey primary symptoms), tear film stability (fluorescein break-up time), tear volume (phenol red thread test), ocular surface staining (fluorescein), and conjunctival goblet cell density. RESULTS: Chronic dry eye was experienced by 32% of participants; symptoms were significantly associated with female gender, preoperative dry eye symptoms, lower tear film stability after surgery, greater ocular surface staining after surgery, lower tear volume before and after surgery, and lower goblet cell densities after surgery. Regression rate 12 months after surgery was 32% and significantly associated with female gender, chronic dry eye symptoms, lower tear film stability after surgery, greater ocular surface staining before and after surgery, and lower tear volume before and after surgery. CONCLUSIONS: Dry eye, particularly in females, is problematic after LASIK for hyperopia and is associated with refractive regression. Current methods for managing the tear film and ocular surface may not control LASIK-induced dry eye, particularly in some females during the first 6 months after surgery.
引用
收藏
页码:113 / 123
页数:11
相关论文
共 60 条
[31]  
Lenton LM, 2001, J REFRACT SURG, V17, P327
[32]  
Lenton LM, 1999, J REFRACT SURG, V15, pS227
[33]  
Lindstrom R L, 1999, Trans Am Ophthalmol Soc, V97, P241
[34]   Diffuse lamellar keratitis: Diagnosis and management [J].
Linebarger, EJ ;
Hardten, DR ;
Lindstrom, RL .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2000, 26 (07) :1072-1077
[35]  
Linna TU, 2000, INVEST OPHTH VIS SCI, V41, P393
[36]  
Little SA, 1994, CLIN EXP OPTOM, V77, P64
[37]   Topical nonpreserved methylprednisolone therapy for keratoconjunctivitis sicca in Sjogren syndrome [J].
Marsh, P ;
Pflugfelder, SC .
OPHTHALMOLOGY, 1999, 106 (04) :811-816
[38]  
Mathers William D., 2000, CLAO Journal, V26, P159
[39]   The epidemiology of dry eye in Melbourne, Australia [J].
McCarty, CA ;
Bansal, AK ;
Livingston, PM ;
Stanislavsky, YL ;
Taylor, HR .
OPHTHALMOLOGY, 1998, 105 (06) :1114-1119
[40]   Relation of hormone and menopausal status to outcomes following excimer laser photorefractive keratectomy in women [J].
McCarty, CA ;
Ng, I ;
Waldron, B ;
Garrett, SKM ;
Downie, JA ;
Aldred, GF ;
Wolfe, RJB ;
Taylor, HR .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF OPHTHALMOLOGY, 1996, 24 (03) :215-222