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REVIEW article

Front. Med.
Sec. Ophthalmology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1443769

Postoperative Dry Eye Following Femtosecond Laser-Assisted Cataract Surgery: Insights and Preventive Strategies

Provisionally accepted
Bin Lin Bin Lin 1Dongkan Li Dongkan Li 1Ling Zhang Ling Zhang 2Longlong Chen Longlong Chen 1YingYing Gao YingYing Gao 2*
  • 1 Eye Center, Xiamen University, Xiamen, China
  • 2 Department of Ophthalmology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China

The final, formatted version of the article will be published soon.

    Postoperative dry eye is a common complication following femtosecond laser-assisted cataract surgery, and the patient interface (PI) used during the procedure may play a significant role in its occurrence. This study, utilizing a meticulous scientific search strategy, identified seven relevant articles through literature search engines. Most of these studies employed contact-type PI during surgeries, while one researcher used a non-contact PI. All studies assessed dry eye symptoms at various postoperative periods using metrics such as the Ocular Surface Disease Index (OSDI), tear Break-Up Time (BUT), Schirmer I test (SIt), and so on. However, the findings were inconsistent. On this basis, this comprehensive review delves into the potential impact of different patient interfaces on corneal nerve damage and conjunctival goblet cell injury, possibly contributing to an increased risk of postoperative dry eye. The review also explores various preventive and solution strategies, including improving PI design, reducing surgical time, and utilizing tear protective agents. The findings highlight the importance of optimizing the PI to minimize the risk of postoperative dry eye in femtosecond laser-assisted cataract surgery.

    Keywords: femtosecond laser, Cataract, dry eye, Pathogenesis, Patient interface

    Received: 04 Jun 2024; Accepted: 06 Nov 2024.

    Copyright: © 2024 Lin, Li, Zhang, Chen and Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: YingYing Gao, Department of Ophthalmology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, Fujian Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.