Question: After
cataract surgery is it common to develop dry eye? What are the symptoms of dry
eye?
Answer: Developing a dry eye after cataract
surgery is actually pretty common. Moreover, the incidence of mild to
moderate dry eye in a cataract aged population prior to cataract surgery-and
exacerbated by cataract surgery makes dry eye a rather common complaint among
this group. According to the Prospective
Health Assessment of Cataract Patients Ocular Surface (PHACO) Study some 60-75% of a cataract aged population had a
meaningful deficiency in their tear film testing. Further, although cataract
surgery is quite friendly to the cornea, it does require and incision which has
the potential to temporarily interrupt corneal nerves responsible for reflex
tearing and tear film integrity as well.
This along with some of the solutions
used during the cataract procedure can indeed result in a dry eye. The symptoms
one might experience could include fluctuations of vision, dryness, grittiness,
tearing, burning and a general tiredness as well as an overall sandy feeling.
The good news is that for the vast majority of patients with dry eye there are
potentially helpful treatment options that include specialized artificial tear
lubricants and solutions, tiny punctal plugs to help you retain tears and
prescription medication that stimulates production of your own tears. In
addition there are more technological approaches such as lasers and other
methods to treating underlying blepharitis, eyelid gland problems or eyelid
inflammation that can contribute to dry eye as well.
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