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Optimization of the Ocular Surface Through Treatment of Ocular Surface Disease Before Ophthalmic Surgery: A Narrative Review

期刊

OPHTHALMOLOGY AND THERAPY
卷 11, 期 3, 页码 1001-1015

出版社

SPRINGER INT PUBL AG
DOI: 10.1007/s40123-022-00505-y

关键词

Cataract surgery; Dry eye disease; Ocular surface disease; Ocular surface optimization; Ophthalmic surgery; Refractive surgery

资金

  1. Sun Pharmaceutical Industries, Inc., Princeton, NJ, USA

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Proper preoperative management of ocular surface disease is crucial in reducing inflammation, resolving infection, improving epithelial pathology, stabilizing the tear film, and promoting positive long-term outcomes after ophthalmic surgery.
Ocular surface disease commonly exists in individuals requiring ophthalmic surgery and may compromise the structure and function of ocular surface components. Ophthalmic surgery may further affect the ocular surface by injuring the epithelium and sensory nerves, disrupting the tear film, or causing local inflammation. Medical management of ocular surface disease prior to ophthalmic surgery aids in reducing inflammation, resolving infection, improving epithelial pathology, stabilizing the tear film, and easing patient symptoms, promoting positive long-term outcomes and minimizing the incidence of postoperative complications. This review summarizes frequently encountered ocular surface diseases and available preoperative medical management options, discusses common ophthalmic surgeries and their effects on the ocular surface, examines potential postoperative complications, and defines recommendations for postoperative ocular surface maintenance.

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