Howard Larkin

Posted: Wednesday, January 10, 2018

Against expectations, a new study of post-LASIK dry eye found that the patient-reported severity of symptoms decreased, rather than increased, with age, Julie M Schallhorn MD told Refractive Surgery Day at the 2016 American Academy of Ophthalmology Annual Meeting in Chicago.

“This goes against our conventional wisdom,” said Dr Schallhorn, of the University of California, San Francisco, USA. The study also found that both the frequency and severity of dry symptoms increased after surgery. While women reported dry eye more often and of greater severity than men, the increases after surgery were similar for both genders and across age groups.

This retrospective, comparative study examined outcomes of 12,390 patients including 24,099 eyes that underwent primary LASIK at a large refractive surgery provider based in the UK between 1 January 2014 and 1 September 2016. Patients completed a questionnaire preoperatively and three months after LASIK surgery, asking how often they had dry eye symptoms, and how much difficulty this created, judged on a seven point scale, in the previous week.

Before surgery, about 70% of men and 60% of women reported no dry eye symptoms in the previous week. Of those who did report symptoms, most said they had them “some of the time”, with about 4% of women and 3% of men saying half the time, and about 2% of women and 1% of men saying most or all of the time.

Similarly, about 71% of men and 63% of women said they had no difficulty with symptoms, while most who did report difficulty rated it moderate or less, and about 1% rated them worse than moderate. Mean frequency of dry eye symptoms was similar across all age groups. However, symptom severity declined after age 40 for women and men.

Three month after surgery, both women and men reported an increase in frequency and severity of dry eye symptoms. Only about 45% of men and 40% of women said they had no difficulty with dry eye symptoms, while about half reported moderate difficulty or less, and about 5% reported worse than moderate severity. Frequency of dry eye symptoms after surgery increased with age until the fifth decade of life, and decreased among older patients. Change in dry eye severity after surgery was not influenced by age, Dr Schallhorn reported.
Julie M Schallhorn:

about the Forum

The ESCRS Education Forum is intended to provide physicians with specific education materials. As a central repository of various educational tools, physicians worldwide can continue their education by exploring the following:

* Videos, Presentations, and Interviews from ESCRS meetings

* Posters from ESCRS meetings

* Related EuroTimes Articles

* Related EuroTimes Supplements

Read more

Articles & Supplements

Recent Articles & Supplements

ESCRS Posters

Posters from the ESCRS Meetings

  • Poster: Intraoperative aberrometry-guided astigmatism management following lens-based refractive surgery

    Tue 15 Nov 2016
  • Poster: Antihypertensive therapy effect on tear film osmolarity during early postoperative period after cataract surgery

    Thu 22 Feb 2018
  • Poster: Optical principles and light theories of the actual EDOF IOL for presbyopia correction

    Thu 01 Mar 2018
  • Poster: Cataract surgery and management of corneal astigmatism

    Tue 15 Nov 2016
  • Poster: Comparison of tear osmolarity in rheumatoid arthritis patients with and without secondary Sjögren’s syndrome

    Thu 22 Feb 2018
  • Poster: Trifocal IOL implantation for the correction of presbyopia in cataract patients: 4-year experience

    Thu 01 Mar 2018
  • Poster: Visual and refractive outcomes in toric intraocular lens implantation

    Tue 15 Nov 2016
  • Poster: Tear osmolarity before and after cataract surgery

    Thu 22 Feb 2018