An algorithm for the preoperative diagnosis and treatment of ocular surface disorders.
Published
Journal Article (Review)
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.
Full Text
Duke Authors
Cited 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,
Published Date
- May 2019
Published In
Volume / Issue
- 45 / 5
Start / End Page
- 669 - 684
PubMed ID
- 31030780
Pubmed Central ID
- 31030780
Electronic International Standard Serial Number (EISSN)
- 1873-4502
Digital Object Identifier (DOI)
- 10.1016/j.jcrs.2019.03.023
Language
- eng
Conference Location
- United States