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Tear Film Changes Following Anterior Segment Surgery: A Comprehensive Review of Pathophysiology, Clinical Features,
Rafaella Datseri1,2, Nikolaos Ktistakis3, Alena Furdová1
1Department of Ophthalmology, Comenius University in Bratislava, Ružinovská 6 Hospital Ružinov, 7th floor, 821 01 Bratislava, Slovakia.
Life (Basel, Switzerland)
|July 28, 2026
Summary
Postoperative dry eye is common after anterior segment surgery. This review details its causes, symptoms, and recovery, emphasizing standardized assessments and management for better patient outcomes.
Area of Science:
- Ophthalmology
- Ocular Surface Disease
Background:
- Tear film instability and dry eye disease (DED) are frequent issues after anterior segment surgeries.
- Procedures like cataract surgery and corneal procedures disrupt ocular surface homeostasis, causing denervation, inflammation, and gland dysfunction.
Purpose of the Study:
- To review the pathophysiology, clinical signs, tear film changes, and recovery patterns of DED after anterior segment surgery.
- To emphasize standardized, non-invasive assessment methods for evaluating DED.
- To compare procedure-specific recovery and discuss management strategies.
Main Methods:
- Review of current evidence on DED following major anterior segment interventions.
- Focus on standardized, non-invasive assessments: tear breakup time, tear meniscus height, meibography, and symptom questionnaires.
- Comparison of procedure-specific recovery trajectories.
Main Results:
- Dry eye severity and duration vary significantly based on the surgical procedure.
- Standardized assessments help differentiate transient instability from chronic DED.
- Distinct recovery patterns exist for different surgical interventions.
Conclusions:
- Understanding procedure-specific DED recovery is crucial for surgical planning and patient management.
- Evidence-based strategies, including risk stratification and multimodal therapy, can optimize outcomes.
- Improved management enhances patient satisfaction and visual results.
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