{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T05:16:17Z","timestamp":1726463777830},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Symptoms due to dry eye in the form of keratoconjunctivitis sicca (KCS) are often seen after cataract surgery. We investigated the influence of cataract surgery on tear film stability on the ocular surface.<\/jats:p><jats:p>\n          Material and Methods 60 eyes of 60 patients who underwent cataract surgery were included in a prospective study in 2017 at the Eye Hospital in Hanoi (Vietnam National Institute of Ophthalmology). The mean age of the patients was 65\u2009\u00b1\u200910 years. The phacoemulsification was performed under topical anaesthesia by a clear corneal incision and implantation of a foldable IOL. The parameters for the evaluation of the change of the tear film included subjective patient data using the Ocular Surface Disease Index questionnaire (OSDI), findings of the Schirmer I test, the tear break-up time (TBUT) as well as the tear meniscus height (TMH) measured noninvasively with the Keratograph 5M (Oculus). In addition, conjunctival and corneal changes were examined after vital staining with fluorescein for the cornea and rose bengal for the conjunctiva. Data were collected preoperatively, at 1\u00a0week, 1\u00a0month and 3 months postoperatively. According to DEWS, the disease is classified into\n\t\t\t\t\t4 groups: mild, moderate, severe and very severe.<\/jats:p><jats:p>\n          Results One week after surgery, the total score according to OSDI was significantly increased with a total value of 14.4\u2009\u00b1\u20094.2 (p\u2009=\u20090.001). Schirmer I was 15.8\u2009\u00b1\u20094.3\u2009mm preoperatively and decreased significantly in the first postoperative week (p\u2009=\u20090.001), before reaching the preoperative level again after three months. TBUT was 12.6\u2009\u00b1\u20091.5\u2009s preoperatively, decreased significantly to 9.7\u2009\u00b1\u20091.5\u2009s during the first postoperative week, and normalized to 12.4\u2009\u00b1\u20091.3\u2009s by the end of the third month. The meniscus height was 0.245\u2009\u00b1\u20090.055\u2009mm preoperatively, significantly lowered to 0.229\u2009\u00b1\u20090.057\u2009mm in the first postoperative period and nearly normalised by the third postoperative month to 0.241\u2009\u00b1\u20090.051\u2009mm. In the first postoperative week, the rate of mild KCS was observed in 30% of patients. At one month, this decreased to 10% and at three months was no longer demonstrable in any patient.<\/jats:p><jats:p>\n          Conclusion One of three patients experienced mild KCS after cataract surgery. The symptoms lasted up to three months. This should be taken into account preoperatively and appropriate therapy should be planned.<\/jats:p>","DOI":"10.1055\/a-1179-0373","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T22:49:30Z","timestamp":1594680570000},"page":"282-287","source":"Crossref","is-referenced-by-count":12,"title":["Cataract Surgery Destabilises Temporary the Tear Film of the Ocular Surface"],"prefix":"10.1055","volume":"238","author":[{"given":"Le Xuan","family":"Cung","sequence":"additional","affiliation":[{"name":"Ophthalmology, Vietnam National Institute of Ophthalmology, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nguyen Thi Thanh","family":"Nga","sequence":"additional","affiliation":[{"name":"Ophthalmology, Vietnam National Institute of Ophthalmology, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duong Mai","family":"Nga","sequence":"additional","affiliation":[{"name":"Ophthalmology, Vietnam National Institute of Ophthalmology, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nguyen Xuan","family":"Hiep","sequence":"additional","affiliation":[{"name":"Ophthalmology, Vietnam National Institute of Ophthalmology, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duy Thoai","family":"Pham","sequence":"additional","affiliation":[{"name":"Ophthalmology, Vietnam National Institute of Ophthalmology, Hanoi, Vietnam"},{"name":"Augenzentrum Lichterfelde West, Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,7,13]]},"reference":[{"key":"ref1","first-page":"65","article-title":"Report of the TFOS DEWS","volume":"5","year":"2007","journal-title":"Ocul Surf"},{"key":"ref3","first-page":"221","article-title":"Report of the National Eye Institute\/Industry workshop on clinical trials in dry eyes","volume":"21","author":"M A Lemp","year":"1995","journal-title":"CLAO J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1001\/archopht.122.3.369","article-title":"Incidence of dry eye in an older population","volume":"122","author":"S E Moss","year":"2004","journal-title":"Arch Ophthalmol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/978-3-662-44106-0_2","volume-title":"The Epidemiology of dry Eye","author":"F Stapleton","year":"2015"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1016\/j.jcrs.2018.06.026","article-title":"Prevalence of ocular surface dysfunction in patients presenting for cataract surgery evaluation","volume":"44","author":"P K Gupta","year":"2018","journal-title":"J Cataract Refract Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.2147\/OPTH.S120159","article-title":"The Prospective Health Assessment of Cataract Patients\u02bc Ocular Surface (PHACO) study: the effect of dry eye","volume":"11","author":"W B Trattler","year":"2017","journal-title":"Clin Ophthalmol"},{"key":"ref8","first-page":"274","article-title":"Tear film changes after phacoemulsification","volume":"38","author":"Z Liu","year":"2002","journal-title":"Zhonghua Yan Ke Za Zhi"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1016\/S0886-3350(02)01387-1","article-title":"Outcomes of phacoemulsification in patients with dry eye","volume":"28","author":"J Ram","year":"2002","journal-title":"J Cataract Refract Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"211","DOI":"10.3390\/jcm8020211","article-title":"Discrepancies in persistent dry eye signs and symptoms in bilateral pseudophakic patients","volume":"8","author":"A Hanyuda","year":"2019","journal-title":"J Clin Med"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.jcrs.2019.03.023","article-title":"ASCRS Cornea Clinical Committee. 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A fluorescein fundoscopic and angiographic study","volume":"76","author":"J D Gass","year":"1966","journal-title":"Arch Ophthalmol"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/j.jcrs.2014.11.034","article-title":"Comparison of treatment with preservative-free versus preserved sodium hyaluronate 0.1\u200a% and fluorometholone 0.1\u200a% eyedrops after cataract surgery in patients with preexisting dry-eye syndrome","volume":"41","author":"D Jee","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"167","DOI":"10.3341\/kjo.2013.27.3.167","article-title":"The effect of topical cyclosporine 0.05\u200a% on dry eye after cataract surgery","volume":"27","author":"Y W Chung","year":"2013","journal-title":"Korean J Ophthalmol"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1179-0373.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T22:42:04Z","timestamp":1617144124000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1179-0373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,13]]},"references-count":24,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,3,30]]},"published-print":{"date-parts":[[2021,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1179-0373","relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,13]]}}}