关键词: Cataract LSCD Limbal stem cell deficiency MGD Meibomian gland dysfunction Mooren's ulcer OCP OSD Ocular cicatricial pemphigoid Ocular surface disease SJS Stevens–Johnson syndrome dry eye disease

Mesh : Aged Humans Cataract Extraction / methods Vision Disorders / complications Tears Cataract / complications

来  源:   DOI:10.4103/IJO.IJO_3395_22   PDF(Pubmed)

Abstract:
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.
摘要:
白内障手术,这是最广泛使用的眼科手术,通常在老年人群中进行,他们也容易患眼表疾病。眼表疾病本质上是多因素的,与异物感等症状和体征有关,燃烧,疲劳,畏光,红色或水汪汪的眼睛,或视力下降。这些包括一系列本质上可以是免疫或非免疫的病症。已知白内障手术本身会改变正常的眼表环境并引起泪膜紊乱,可在术后持续长达6个月。这些症状可能在眼表疾病患者中被夸大。在患有相关眼表疾病的患者中,白内障手术的计划和执行也可能是困难的。在这次审查中,我们讨论了计划和术中修改的各个方面,以优化眼表疾病患者白内障手术的结果。
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