Eyestrain and Dry Eye after Photorefractive Keratectomy in a Sample of Iranian Patients
Journal of Ophthalmic and Optometric Sciences,
Vol. 7 No. 4 (2023),
23 September 2023
,
Page 1-6
https://doi.org/10.22037/joos.v7i4.47446
Abstract
Purpose: To evaluate the medium-term postsurgical effects of photorefractive keratectomy (PRK) on patients’ subjective perception of dry eye and eyestrain.
Patients and Methods: This prospective comparative pre-post study was performed at Vanak Eye Surgery Center, Tehran, Iran, from May 2020 to September 2021. The inclusion criteria were patients with mild to moderate myopia (less than -6 diopters) undergoing PRK. To evaluate the indirect subjective signs of eyestrain and its severity, we used a questionnaire including six questions regarding itching, foreign body sensation, excessive tearing, eye tiredness, blurring, and photophobia. We administered this questionnaire to each patient in face-to-face interviews pre-surgery as well as 1 and 6 months post-surgery. To evaluate post-surgical dry eye, we asked patients if their dry eye symptoms had increased or decreased compared to the pre-surgical period.
Results: A total of 40 patients were assessed in this study. The mean age of patients was 26 ± 8 years, with 16 (40 %) male patients and 24 (60 %) female patients. There was no statistically significant difference in mean eyestrain scores one month (P = 0.371) and six months (P = 0.939) post-surgery compared to pre-surgery. There was a significant increase in dry eye symptoms at both 1 month (P = 0.010) and 6 months (P = 0.004) post-surgical follow-ups.
Conclusion: Our results indicate that PRK significantly increases dry eye symptoms compared to the pre-surgical period, up to six months post-operatively. There was no statistically significant difference in eyestrain symptoms among patients compared to the pre-surgical period.
- Photorefractive
- Surgery
- Dry Eye
- Eyestrain
How to Cite
References
- Mohammed Dhaiban TS, Ummer FP, Khudadad H, Veettil ST. Types and Presentation of Refractive Error among Individuals Aged 0-30 Years: Hospital-Based Cross-Sectional Study, Yemen. Adv Med. 2021;2021:5557761.
- Kandel H, Khadka J, Goggin M, Pesudovs K. Impact of refractive error on quality of life: a qualitative study. Clin Exp Ophthalmol. 2017;45(7):677-88.
- Sahay P, Bafna RK, Reddy JC, Vajpayee RB, Sharma N. Complications of laser-assisted in situ keratomileusis. Indian J Ophthalmol. 2021;69(7):1658-69.
- Elmohamady MN, Abdelghaffar W, Daifalla A, Salem T. Evaluation of femtosecond laser in flap and cap creation in corneal refractive surgery for myopia: a 3-year follow-up. Clin Ophthalmol. 2018;12:935-42.
- Tomás-Juan J, Murueta-Goyena Larrañaga A, Hanneken L. Corneal Regeneration After Photorefractive Keratectomy: A Review. J Optom. 2015;8(3):149-69.
- Nassiri N, Sheibani K, Safi S, Haghnegahdar M, Nassiri S, Panahi N, et al. Alcohol-assisted debridement in PRK with intraoperative mitomycin C. Optom Vis Sci. 2014;91(9):1084-8.
- Nassiri N, Sheibani K, Azimi A, Khosravi FM, Heravian J, Yekta A, et al. Refractive Outcomes, Contrast Sensitivity, HOAs, and Patient Satisfaction in Moderate Myopia: Wavefront-Optimized Versus Tissue-Saving PRK. J Refract Surg. 2015;31(10):683-90.
- Settas G, Settas C, Minos E, Yeung IY. Photorefractive keratectomy (PRK) versus laser assisted in situ keratomileusis (LASIK) for hyperopia correction. Cochrane Database Syst Rev. 2012;2012(6):CD007112.
- Nair S, Kaur M, Sharma N, Titiyal JS. Refractive surgery and dry eye - An update. Indian J Ophthalmol. 2023;71(4):1105-14.
- Bower KS, Sia RK, Ryan DS, Mines MJ, Dartt DA. Chronic dry eye in photorefractive keratectomy and laser in situ keratomileusis: Manifestations, incidence, and predictive factors. J Cataract Refract Surg. 2015;41(12):2624-34.
- Lee JB, Ryu CH, Kim J, Kim EK, Kim HB. Comparison of tear secretion and tear film instability after photorefractive keratectomy and laser in situ keratomileusis. J Cataract Refract Surg. 2000;26(9):1326-31.
- Yahalomi T, Achiron A, Arnon R, Stanescu N, Pikkel J. Dry Eye Disease following LASIK, PRK, and LASEK: An Observational Cross-Sectional Study. J Clin Med. 2023;12(11):3761.
- Smadja D, Erdinest N, Wajnsztajn D, Weill Y, Abulafia A, Zadok D, et al. Early Impact of Laser Vision Correction (LVC) on the Stability and Quality of the Retinal Image. J Clin Med. 2023;12(5):1779.
- Kaur K, Gurnani B, Nayak S, Deori N, Kaur S, Jethani J, et al. Digital Eye Strain- A Comprehensive Review. Ophthalmol Ther. 2022;11(5):1655-80.
- Mohebbi M, Rafat-Nejad A, Mohammadi SF, Asna-Ashari K, Kasiri M, Heidari-Keshel S, et al. Post-photorefractive Keratectomy Pain and Corneal Sub-basal Nerve Density. J Ophthalmic Vis Res. 2017;12(2):151-5.
- Mohammadi SF, Z Mehrjardi H, Vakili ST, Majdi M, Mirhadi S, Rahimi F. Pain and Its Determinants in Photorefractive Keratectomy. Asia Pac J Ophthalmol (Phila). 2012;1(6):336-9.
- Rymer P, Moscovici BK, Gomes R, Couto B, Schor P, Campos M. Pain response and symptoms in photorefractive keratectomy: mechanical de-epithelization compared with transepithelial ablation. Arq Bras Oftalmol. 2021;85(2):152-7.
- Spadea L, Giovannetti F. Main Complications of Photorefractive Keratectomy and their Management. Clin Ophthalmol. 2019;13:2305-15.
- Rabina G, Boguslavsky II, Mimouni M, Kaiserman I. The Association between Preoperative Dry Eye Symptoms and Postoperative Discomfort in Patients Underwent Photorefractive Keratectomy. J Ophthalmol. 2019;2019:7029858.
- Murakami Y, Manche EE. Prospective, randomized comparison of self-reported postoperative dry eye and visual fluctuation in LASIK and photorefractive keratectomy. Ophthalmology. 2012;119(11):2220-4.
- Hovanesian JA, Shah SS, Maloney RK. Symptoms of dry eye and recurrent erosion syndrome after refractive surgery. J Cataract Refract Surg. 2001;27(4):577-84.
- Beheshtnejad AH, Hashemian H, Kermanshahani AM, Mahmoudi A, Johari MK. Evaluation of Tear Osmolarity Changes After Photorefractive Keratectomy. Cornea. 2015;34(12):1541-4.
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