[Emphasis on perioperative ocular surface management in cataract surgery].
1Department of Ophthalmology, Peking University Third Hospital, Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Beijing 100191, China.
Summary
Maintaining ocular surface homeostasis is crucial for modern cataract surgery. This expert consensus outlines strategies for perioperative dry eye disease management to improve surgical outcomes and patient satisfaction.
Area of Science:
- Ophthalmology
- Ocular Surface Disease
- Cataract Surgery
Background:
- Cataract surgery has evolved to refractive surgery, increasing the need for ocular surface homeostasis.
- Dry eye disease (DED) is a significant concern during the perioperative period of cataract surgery.
- Imbalance in the ocular surface microenvironment impacts surgical outcomes.
Purpose of the Study:
- To elaborate on the relationship between ocular surface homeostasis imbalance and DED in the perioperative period of cataract surgery.
- To discuss the impact of ocular surface imbalance on refractive cataract extraction.
- To outline standardized assessment and management strategies for perioperative ocular surface health.
Main Methods:
- Review and synthesis of the "Chinese expert consensus on prevention and treatment of dry eye disease during perioperative period of cataract surgery (2021)".
- In-depth exploration of ocular surface microenvironment homeostasis during cataract surgery.
- Development of a comprehensive perioperative management strategy.
Main Results:
- Established the link between perioperative ocular surface microenvironment imbalance and dry eye disease.
- Detailed the impact of this imbalance on refractive cataract surgery.
- Proposed standardized assessment methods for ocular surface status.
- Outlined an implementation path for managing ocular surface homeostasis.
Conclusions:
- Perioperative management must prioritize ocular surface homeostasis.
- A comprehensive strategy involving preoperative optimization, intraoperative protection, and postoperative repair is recommended.
- This approach offers new insights to enhance visual quality and patient satisfaction after cataract surgery.
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