An algorithm for the preoperative diagnosis and treatment of ocular surface disorders.

Abstract:

:Any ocular surface disease (OSD), but most commonly, dry-eye disease (DED), can reduce visual quality and quantity and adversely affect refractive measurements before keratorefractive and phacorefractive surgeries. In addition, ocular surgery can exacerbate or induce OSD, leading to worsened vision, increased symptoms, and overall dissatisfaction postoperatively. Although most respondents of the recent annual American Society of Cataract and Refractive Surgery (ASCRS) Clinical Survey recognized the importance of DED on surgical outcomes, many were unaware of the current guidelines and most were not using modern diagnostic tests and advanced treatments. To address these educational gaps, the ASCRS Cornea Clinical Committee developed a new consensus-based practical diagnostic OSD algorithm to aid surgeons in efficiently diagnosing and treating visually significant OSD before any form of refractive surgery is performed. By treating OSD preoperatively, postoperative visual outcomes and patient satisfaction can be significantly improved.

authors

Starr CE,Gupta PK,Farid M,Beckman KA,Chan CC,Yeu E,Gomes JAP,Ayers BD,Berdahl JP,Holland EJ,Kim T,Mah FS,ASCRS Cornea Clinical Committee.

doi

10.1016/j.jcrs.2019.03.023

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

669-684

issue

5

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(19)30242-1

journal_volume

45

pub_type

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