Dry eye after LASIK
Neurotrophic epitheliopathy is hard on patients and difficult to treat
Leigh Spielberg
Published: Wednesday, March 1, 2017
Pre-existing tear dysfunction syndrome is a major risk factor for severe postoperative dry eyeThe small incision lenticule extraction (SMILE) procedure also has a lower impact on corneal nerves than LASIK, as there is no flap cut. He shared data that showed that corneal sensitivity is less affected and returns to baseline faster after SMILE. But what of the patients in which LINE has been diagnosed? His advice is to approach the condition with a comprehensive strategy, starting with patient education about this frustrating disorder. “Prescribing BAK-free artificial tears is important. Also, oral Omega-3 EFA supplementation with flaxseed and/or fish oil capsules, topical cyclosporine 0.05% and dexpantenol gel work well. In severe cases, autologous serum is needed,” he said. Renato Ambrósio Jr: dr.renatoambrosio@gmail.com
Latest Articles
From Lab to Life: Corneal Repair Goes Cellular
Long-awaited cellular therapies for corneal endothelial disease enter the clinic.
Balancing Innovation and Safety
Ensuring access to advanced cell therapies amid regulatory overhaul.
With Eyes on Its Future, ESCRS Celebrates Its Past
Winter Meeting offers opportunities to experiment with new concepts and formats.
Best of ESCRS Winter Meeting 2024
Following the New Generation
EDOF IOLs an option for eyes with mild comorbidities, showing potential in mini-monovision strategies.
Refocus on Multifocals
Trifocal IOLs continue to improve as consensus grows regarding indications and contraindications.
Common Myths in Presbyopia Correction
Patient education key to satisfaction with refractive IOLs.
Reversible Multifocality
Two-lens combination offers low-risk spectacle independence for cataract patients and presbyopes.
Managing a Cataract Surgery Refractive Miss
Weighing the pros and cons of options for intraocular intervention.
Unleashing OCT’s Full Potential
Performance of newest tool for corneal evaluation meets or beats older standard technologies.