Dry Eye Considerations in the Preoperative Surgical Patient

Christopher E. Starr, MD, FACS, Laura M. Periman, MD

In this episode of On the Surface, Laura M. Periman, MD, discusses the ASCRS Cornea Clinical Committee's algorithm for the preoperative diagnosis and treatment of ocular surface disorders with lead author Christopher Starr, MD, FACS. Dr. Starr also offers his key takeaways with regard to dry eye in preoperative surgical patients and his future predictions.

REFERENCES
Starr CE, Gupta PK, Farid M, Beckman KA, Chan CC, Yeu E, et al. An algorithm for the preoperative diagnosis and treatment of ocular surface disorders. J Cataract Refract Surg 2019;45:669–684
FOS DEWS II Definition and Classification Report (see attached )
Craig JP, Nichols KK, Akpek EK, et al. TFOS DEWS II Definition and Classification Report. Ocul Surf. 2017;15(3):276-283.
Milner MS, Beckman KA, Luchs JI, Allen QB, Awdeh RM, Berdahl J, et al. Dysfunctional tear syndrome: dry eye disease and associated tear film disorders – new strategies for diagnosis and treatment. Curr Opin Ophthalmol. 2017 Jan; 28(Suppl 1): 3–47.
Trattler WB, Majmudar PA, Donnenfeld ED, McDonald MB, Stonecioher KG, Goldberg DF. The Prospective Health Assessment of Cataract Patients' Ocular Surface (PHACO) study: the effect of dry eye. Clin Ophthalmol. 2017; 11: 1423–1430.
Epitropoulos AT, Matossian C, Berdy GJ, Malhotra RP, Potvin R. Effect of tear osmolarity on repeatability of keratometry for cataract surgery planning. J Cataract Refract Surg. 2015 Aug;41(8):1672-7.

Posted: 3/04/2020