{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:38:29Z","timestamp":1793407109162,"version":"4.5.0"},"reference-count":57,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>Cataract surgery, which is the most widely performed ophthalmic procedure, is usually done in the elderly population, who are also prone to ocular surface disorders. Ocular surface diseases are multifactorial in nature and associated with symptoms and signs such as foreign body sensation, burning, fatigue, photophobia, red or watery eyes, or reduced visual acuity. These include a spectrum of conditions that may be immune or non-immune in nature. Cataract surgery in itself is known to alter the normal ocular surface milieu and cause tear film disturbances which can last up to 6 months post-operatively. These symptoms can be exaggerated in patients with ocular surface diseases. The planning and execution of cataract surgery can also be difficult in patients with associated ocular surface diseases. In this review, we discuss the various aspects of planning and intraoperative modifications to optimize the outcomes of cataract surgery in patients with ocular surface diseases.<\/jats:p>","DOI":"10.4103\/ijo.ijo_3395_22","type":"journal-article","created":{"date-parts":[[2023,4,8]],"date-time":"2023-04-08T11:10:52Z","timestamp":1680952252000},"page":"1167-1175","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":16,"title":["Cataract surgery in ocular surface disease"],"prefix":"10.4103","volume":"71","author":[{"given":"K","family":"Priyadarshini","sequence":"first","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Sharma","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeewan S","family":"Titiyal","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4,5]]},"reference":[{"key":"R1-20240828","first-page":"763","article-title":"Prevalence of dry eye disease among US men:Estimates from the Physicians'Health Studies","volume":"127","author":"Schaumberg","year":"2009","journal-title":"Arch Ophthalmol Chic Ill 1960"},{"key":"R2-20240828","first-page":"633","article-title":"Prevalence of dry eye disease in an elderly Korean population","volume":"129","author":"Han","year":"2011","journal-title":"Arch Ophthalmol Chic Ill 1960"},{"key":"R4-20240828","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":"R5-20240828","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1177\/1120672119896427","article-title":"Short-term changes in ocular surface signs and symptoms after phacoemulsification","volume":"30","author":"Zamora","year":"2020","journal-title":"Eur J Ophthalmol"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.sjopt.2018.10.009","article-title":"Incidence and pattern of dry eye after cataract surgery","volume":"33","author":"Ishrat","year":"2019","journal-title":"Saudi J Ophthalmol Off J Saudi Ophthalmol Soc"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"529","DOI":"10.2147\/OPTH.S129178","article-title":"Influence on ocular surface after cataract surgery and effect of topical diquafosol on postoperative dry eye:A multicenter prospective randomized study","volume":"11","author":"Miyake","year":"2017","journal-title":"Clin Ophthalmol Auckl NZ"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1097\/ICO.0000000000001572","article-title":"Perioperative ocular parameters associated with persistent dry eye symptoms after cataract surgery","volume":"37","author":"Choi","year":"2018","journal-title":"Cornea"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1097\/ICO.0000000000001491","article-title":"Epidemiology of persistent dry eye-like symptoms after cataract surgery","volume":"37","author":"Iglesias","year":"2018","journal-title":"Cornea"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.2147\/OPTH.S120159","article-title":"The Prospective Health Assessment of Cataract Patients'Ocular Surface (PHACO) study:the effect of dry eye","volume":"11","author":"Trattler","year":"2017","journal-title":"Clin Ophthalmol Auckl NZ"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1167\/iovs.09-4130","article-title":"The role of oxidative stress and inflammation in conjunctivochalasis","volume":"51","author":"Ward","year":"2010","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1177\/1120672120929958","article-title":"Cataract surgery and dry eye disease:A review","volume":"30","author":"Naderi","year":"2020","journal-title":"Eur J Ophthalmol"},{"key":"R13-20240828","doi-asserted-by":"crossref","first-page":"4562","DOI":"10.3390\/jcm11154562","article-title":"Evaluation of ocular surface after cataract surgery-A prospective study","volume":"11","author":"Sidaraite","year":"2022","journal-title":"J Clin Med"},{"key":"R14-20240828","doi-asserted-by":"crossref","first-page":"e0152460","DOI":"10.1371\/journal.pone.0152460","article-title":"Observation of influence of cataract surgery on the ocular surface","volume":"11","author":"Park","year":"2016","journal-title":"PLoS One"},{"key":"R15-20240828","doi-asserted-by":"crossref","first-page":"3163","DOI":"10.1007\/s10792-021-01881-3","article-title":"Relationship between ocular surface disease and patient's satisfaction among cataract surgical patients in Nigeria","volume":"41","author":"Laoye","year":"2021","journal-title":"Int Ophthalmol"},{"key":"R16-20240828","doi-asserted-by":"crossref","first-page":"2614","DOI":"10.1016\/j.jcrs.2015.06.036","article-title":"Evaluation of dry eye after femtosecond laser-assisted cataract surgery","volume":"41","author":"Yu","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R17-20240828","doi-asserted-by":"crossref","first-page":"2737968","DOI":"10.1155\/2019\/2737968","article-title":"Preoperative management of MGD alleviates the aggravation of MGD and dry eye induced by cataract surgery:A prospective, randomized clinical trial","volume":"2019","author":"Song","year":"2019","journal-title":"BioMed Res Int"},{"key":"R18-20240828","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.jtos.2017.05.008","article-title":"TFOS DEWS II definition and classification report","volume":"15","author":"Craig","year":"2017","journal-title":"Ocul Surf"},{"issue":"(Suppl 1)","key":"R19-20240828","doi-asserted-by":"crossref","first-page":"i1","DOI":"10.1136\/bjo.2009.168849","article-title":"Emerging treatment paradigms of ocular surface disease:Proceedings of the Ocular Surface Workshop","volume":"94","author":"Rolando","year":"2010","journal-title":"Br J Ophthalmol"},{"key":"R20-20240828","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.jtos.2017.05.006","article-title":"TFOS DEWS II management and therapy report","volume":"15","author":"Jones","year":"2017","journal-title":"Ocul Surf"},{"key":"R21-20240828","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/j.jtos.2019.07.003","article-title":"Patient-reported outcomes of autologous serum tears for the treatment of dry eye disease in a large cohort","volume":"17","author":"Kreimei","year":"2019","journal-title":"Ocul Surf"},{"key":"R22-20240828","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s12886-015-0005-3","article-title":"Efficacy of 1% carboxymethylcellulose sodium for treating dry eye after phacoemulsification:Results from a multicenter, open-label, randomized, controlled study","volume":"15","author":"Yao","year":"2015","journal-title":"BMC Ophthalmol"},{"key":"R23-20240828","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.2147\/OPTH.S208256","article-title":"Efficacy of carbomer sodium hyaluronate trehalose vs hyaluronic acid to improve tear film instability and ocular surface discomfort after cataract surgery","volume":"13","author":"Caretti","year":"2019","journal-title":"Clin Ophthalmol Auckl NZ"},{"issue":"(Suppl 1)","key":"R24-20240828","doi-asserted-by":"crossref","first-page":"S25","DOI":"10.1097\/ICO.0000000000002125","article-title":"Management of postoperative inflammation and dry eye after cataract surgery","volume":"38","author":"Kato","year":"2019","journal-title":"Cornea"},{"key":"R25-20240828","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1007\/s00417-014-2568-8","article-title":"Comprehensive approach to ocular consequences of Stevens Johnson Syndrome-the aftermath of a systemic condition","volume":"252","author":"Iyer","year":"2014","journal-title":"Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol"},{"key":"R26-20240828","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/ICO.0000000000000680","article-title":"Treatment modalities and clinical outcomes in ocular sequelae of Stevens-Johnson syndrome Over 25 years--A paradigm shift","volume":"35","author":"Iyer","year":"2016","journal-title":"Cornea"},{"key":"R27-20240828","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1007\/PL00007877","article-title":"Management and outcome of cataract surgery in ocular cicatricial pemphigoid","volume":"238","author":"Geerling","year":"2000","journal-title":"Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol"},{"key":"R28-20240828","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/ICO.0b013e3181ae2691","article-title":"Mucous membrane grafting for lid margin keratinization in Stevens\u2013Johnson syndrome:Results","volume":"29","author":"Iyer","year":"2010","journal-title":"Cornea"},{"key":"R29-20240828","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":"R30-20240828","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/ICU.0000000000000441","article-title":"Cataract surgery in ocular surface diseases:Clinical challenges and outcomes","volume":"29","author":"Sangwan","year":"2018","journal-title":"Curr Opin Ophthalmol"},{"key":"R31-20240828","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1076\/soph.17.3.124.14786","article-title":"Sterile corneal melting and necrotizing scleritis after cataract surgery in patients with rheumatoid arthritis and collagen vascular disease","volume":"17","author":"Perez","year":"2002","journal-title":"Semin Ophthalmol"},{"key":"R32-20240828","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1097\/APO.0000000000000326","article-title":"Surgical management of limbal stem cell deficiency","volume":"9","author":"Iyer","year":"2020","journal-title":"Asia-Pac J Ophthalmol Phila Pa"},{"key":"R33-20240828","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1097\/ICU.0000000000000171","article-title":"Scleral lens use in dry eye syndrome","volume":"26","author":"Bavinger","year":"2015","journal-title":"Curr Opin Ophthalmol"},{"key":"R34-20240828","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/j.jcrs.2019.03.014","article-title":"Impact of epithelial basement membrane dystrophy and Salzmann nodular degeneration on biometry measurements","volume":"45","author":"Goerlitz-Jessen","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R35-20240828","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1177\/112067210801800203","article-title":"Effect of pterygium surgery on corneal topography","volume":"18","author":"Errais","year":"2008","journal-title":"Eur J Ophthalmol"},{"key":"R36-20240828","doi-asserted-by":"crossref","first-page":"3455","DOI":"10.4103\/ijo.IJO_624_22","article-title":"Perioperative nuances of cataract surgery in ocular surface disorders","volume":"70","author":"Agarwal","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R37-20240828","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/APO.0000000000000293","article-title":"Update on intraocular lens formulas and calculations","volume":"9","author":"Xia","year":"2020","journal-title":"Asia-Pac J Ophthalmol Phila Pa"},{"key":"R38-20240828","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1007\/s40123-022-00523-w","article-title":"Impact of perioperative dry eye treatment with rebamipide versus artificial tears on visual outcomes after cataract surgery in Japanese population","volume":"11","author":"Teshigawara","year":"2022","journal-title":"Ophthalmol Ther"},{"key":"R39-20240828","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1097\/01.ico.0000126436.25751.fb","article-title":"Rebamipide increases the amount of mucin-like substances on the conjunctiva and cornea in the N-acetylcysteine-treated in vivo model","volume":"23","author":"Urashima","year":"2004","journal-title":"Cornea"},{"key":"R40-20240828","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1016\/j.jcrs.2016.09.012","article-title":"New surgical approach in cases of cataract with ocular Stevens-Johnson syndrome","volume":"42","author":"Sharma","year":"2016","journal-title":"J Cataract Refract Surg"},{"key":"R41-20240828","doi-asserted-by":"crossref","first-page":"1922","DOI":"10.1167\/iovs.10-6997a","article-title":"The international workshop on meibomian gland dysfunction:Executive summary","volume":"52","author":"Nichols","year":"2011","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"R42-20240828","doi-asserted-by":"crossref","first-page":"P56","DOI":"10.1016\/j.ophtha.2018.10.019","article-title":"Blepharitis preferred practice pattern\u00ae","volume":"126","author":"Amescua","year":"2019","journal-title":"Ophthalmology"},{"key":"R43-20240828","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1097\/ICO.0b013e3181cda38f","article-title":"Topical azithromycin therapy for meibomian gland dysfunction:Clinical response and lipid alterations","volume":"29","author":"Foulks","year":"2010","journal-title":"Cornea"},{"key":"R44-20240828","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1016\/j.ophtha.2006.10.029","article-title":"New grading system for the evaluation of chronic ocular manifestations in patients with Stevens-Johnson syndrome","volume":"114","author":"Sotozono","year":"2007","journal-title":"Ophthalmology"},{"key":"R45-20240828","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/S1542-0124(12)70281-1","article-title":"Ocular mucous membrane pemphigoid:Diagnosis and management strategies","volume":"6","author":"Saw","year":"2008","journal-title":"Ocul Surf"},{"key":"R46-20240828","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1016\/S0161-6420(91)32209-7","article-title":"Remission and recurrence after withdrawal of therapy for ocular cicatricial pemphigoid","volume":"98","author":"Neumann","year":"1991","journal-title":"Ophthalmology"},{"key":"R47-20240828","doi-asserted-by":"crossref","first-page":"449","DOI":"10.3109\/09273948.2013.819106","article-title":"Outcomes of cataract surgery in ocular cicatricial pemphigoid","volume":"21","author":"Puranik","year":"2013","journal-title":"Ocul Immunol Inflamm"},{"key":"R48-20240828","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.jcrs.2004.06.024","article-title":"Cataract surgery in patients with Mooren's ulcer","volume":"31","author":"Sangwan","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"R49-20240828","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1016\/j.jcrs.2017.05.034","article-title":"Clinical course and outcomes in patients with Mooren ulcer who had cataract surgery","volume":"43","author":"Das","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R50-20240828","doi-asserted-by":"crossref","first-page":"121","DOI":"10.4103\/0301-4738.16176","article-title":"Phacoemulsification after penetrating keratoplasty with autologous limbal transplant and amniotic membrane transplant in chemical burns","volume":"53","author":"Arora","year":"2005","journal-title":"Indian J Ophthalmol"},{"key":"R51-20240828","doi-asserted-by":"crossref","first-page":"bcr2015212613","DOI":"10.1136\/bcr-2015-212613","article-title":"Outcome of cataract surgery following simple limbal epithelial transplantation for lime injury-induced limbal stem cell deficiency","volume":"2015","author":"Nair","year":"2015","journal-title":"BMJ Case Rep"},{"key":"R52-20240828","doi-asserted-by":"crossref","first-page":"bcr2016217759","DOI":"10.1136\/bcr-2016-217759","article-title":"Vernal keratoconjunctivitis:Culmination of management using immunosuppression, surgical and prosthetic therapy over quarter century","volume":"2016","author":"Das","year":"2016","journal-title":"BMJ Case Rep"},{"key":"R53-20240828","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1006\/clim.1998.4681","article-title":"Cytokine-induced calgranulin C expression in keratocytes","volume":"91","author":"Gottsch","year":"1999","journal-title":"Clin Immunol Orlando Fla"},{"key":"R54-20240828","doi-asserted-by":"crossref","first-page":"146","DOI":"10.4103\/0301-4738.30713","article-title":"Phacoemulsification in total white cataract with Stevens-Johnson syndrome","volume":"55","author":"Vasavada","year":"2007","journal-title":"Indian J Ophthalmol"},{"key":"R55-20240828","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/S0161-6420(88)33162-3","article-title":"Cataract surgery in ocular cicatricial pemphigoid","volume":"95","author":"Sainz de la Maza","year":"1988","journal-title":"Ophthalmology"},{"key":"R56-20240828","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.jcrs.2004.07.023","article-title":"Cataract surgery in Stevens-Johnson syndrome","volume":"31","author":"Sangwan","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"R57-20240828","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1136\/bjophthalmol-2015-308041","article-title":"Cataract surgery in chronic Stevens-Johnson syndrome:Aspects and outcomes","volume":"100","author":"Narang","year":"2016","journal-title":"Br J Ophthalmol"},{"key":"R58-20240828","doi-asserted-by":"crossref","first-page":"575834","DOI":"10.3389\/fmed.2020.575834","article-title":"Cataract surgery in dry eye disease:Visual outcomes and complications","volume":"7","author":"Donthineni","year":"2020","journal-title":"Front Med"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3395_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:29:40Z","timestamp":1786724980000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3395_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":57,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_3395_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"2022-12-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}