{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T20:15:38Z","timestamp":1771877738346,"version":"3.50.1"},"reference-count":12,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>In patients with eye surface disorders such as dry eye syndrome or Meibomian gland dysfunction (MGD) it is necessary to improve the tear film condition in order to obtain visual system measurements before cataract surgery. The aim of the project was to analyze the Thermal Pulsation System (TPS) impact on the visual system parameters used in cataract surgery qualification. The study included six patients (11 eyes) with MGD diagnosis. All patients were treated with TPS. The obtained results were compared and used to calculate the power and type of the intraocular lens (IOL). As a treatment result, the power of astigmatism has changed in 64% of the eyes. Planned surgical treatment type has changed in 27% of cases. TPS also affected the cylinder axis in three eyes, which was 27% of cases. Based on the calculations, power of the recommended IOL has changed in five eyes (46%). Stabilization of visual system parameters after TPS allowed to improve the accuracy of the results. It also ensured the proper astigmatism treating method during cataract surgery and allowed selection of the proper IOL power and type.<\/jats:p>","DOI":"10.3390\/medicina59040658","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T04:05:40Z","timestamp":1679889940000},"page":"658","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of Thermal Pulsation System Therapy on Pre-Operative Intraocular Lens Calculations before Cataract Surgery in Patients with Meibomian Gland Disfunction"],"prefix":"10.3390","volume":"59","author":[{"given":"Paulina","family":"Szabelska","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Go\u0142\u0119biewska","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rados\u0142aw","family":"R\u00f3\u017cycki","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"key":"ref_1","first-page":"58","article-title":"The Evolution of Cataract Surgery","volume":"113","author":"Davis","year":"2016","journal-title":"Mo. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2779","DOI":"10.4103\/ijo.IJO_2995_20","article-title":"Phakic intraocular lenses: An overview","volume":"68","author":"Jonker","year":"2020","journal-title":"Indian J. Ophthalmol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.survophthal.2019.08.007","article-title":"Management of meibomian gland dysfunction: A review","volume":"65","author":"Sabeti","year":"2020","journal-title":"Surv. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.2147\/OPTH.S120159","article-title":"The Prospective Health Assessment of Cataract Patients\u2019 Ocular Surface (PHACO) study: The effect of dry eye","volume":"11","author":"Trattler","year":"2017","journal-title":"Clin. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.jcrs.2019.03.023","article-title":"An algorithm for the preoperative diagnosis and treatment of ocular surface disorders","volume":"45","author":"Starr","year":"2019","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s00347-003-0958-0","article-title":"Das trockene Auge. Ein Update \u00fcber Epidemiologie, Diagnose, Therapie und neue KonzepteDry eye. An update on epidemiology, diagnosis, therapy and new concepts","volume":"101","author":"Schirra","year":"2004","journal-title":"Ophthalmologe"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e334","DOI":"10.1097\/OPX.0000000000000670","article-title":"Clinical Outcomes Associated with Thermal Pulsation System Treatment","volume":"92","author":"Satjawatcharaphong","year":"2015","journal-title":"Optom. Vis. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1097\/ICO.0b013e318239aaea","article-title":"A new system, the LipiFlow, for the treatment of meibomian gland dysfunction","volume":"31","author":"Lane","year":"2012","journal-title":"Cornea"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"272","DOI":"10.3109\/02713683.2011.631721","article-title":"A single LipiFlow Thermal Pulsation System treatment improves meibomian gland function and reduces dry eye symptoms for 9 months","volume":"37","author":"Greiner","year":"2012","journal-title":"Curr. Eye Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.jcrs.2017.10.050","article-title":"Prevalence of meibomian gland dysfunction at the time of cataract surgery","volume":"44","author":"Cochener","year":"2018","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_11","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":"Gupta","year":"2018","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2283","DOI":"10.2147\/OPTH.S263046","article-title":"Impact of Thermal Pulsation Treatment on Astigmatism Management and Outcomes in Meibomian Gland Dysfunction Patients Undergoing Cataract Surgery","volume":"14","author":"Matossian","year":"2020","journal-title":"Clin. 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