A Practical Approach for Optimizing Ocular Surface Status Before Cataract Surgery to Improve Visual Outcomes and
Giulia Coco1, Elisabeth M Messmer2, Christopher E Starr3
1Ophthalmology Unit, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
Ophthalmology and Therapy
|September 26, 2025
Summary
Dry eye disease (DED) is common before cataract surgery and can impact outcomes. Early diagnosis and treatment of ocular surface disease (OSD) improve surgical results and patient satisfaction.
Area of Science:
- Ophthalmology
- Ocular Surface Disease
- Cataract Surgery
Background:
- Dry eye disease (DED) is highly prevalent in patients undergoing cataract surgery.
- DED is often underdiagnosed, affecting surgical planning and outcomes, especially with premium intraocular lenses (IOLs).
Purpose of the Study:
- To review the prevalence and impact of DED on cataract surgery.
- To outline a practical approach for preoperative evaluation and optimization of ocular surface disease (OSD).
Main Methods:
- Literature review summarizing current evidence on DED in cataract patients.
- Discussion of DED's impact on preoperative measurements, IOL calculations, and postoperative results.
- Outline of strategies for risk stratification, diagnostics, and treatment.
Main Results:
- Preoperative DED significantly affects biometric measurements and IOL power calculations.
- Managing OSD pre-surgery optimizes the ocular surface, reducing refractive surprises.
- A structured, multimodal approach improves surgical precision and visual outcomes.
Conclusions:
- Preoperative assessment and management of DED are crucial for successful cataract surgery.
- Integrating ocular surface evaluation into routine preoperative workflows is essential.
- Optimizing the ocular surface enhances visual quality and patient satisfaction.
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