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http://www.healio.com/ophthalmology/...active-surgeon WAILEA, Hawaii – At Hawaiian Eye 2015, James P. McCulley, MD, FACS, FRCOphth, discusses background and hot topics of dry eye disease.
'Dry eyes have progressively become a major concern for both refractive surgeons and patients
Overall frequency of dry eyes has been reported at 30-35% after refractive procedures
Symptoms were reported in up to 45% of patients undergoing PRK, and 48% LASIK
No major differences between the two techniques (Murakami, ophthalmology 2012)
Fluctuating vision - a major concern'
'Specific - neurotrophic epitheliopathy following transection and/or impairment of corneal nerves (hinge location has little impact)
Non-specific - Exacerbation of pre-existing tear film abnormalities, often following long-term contact lens wear. Impact of topical medications, especially those with preservatives'
'The more we learn the more we realise how little we know, and in actual fact how much we thought we knew was wrong'
'Dry eyes have progressively become a major concern for both refractive surgeons and patients
Overall frequency of dry eyes has been reported at 30-35% after refractive procedures
Symptoms were reported in up to 45% of patients undergoing PRK, and 48% LASIK
No major differences between the two techniques (Murakami, ophthalmology 2012)
Fluctuating vision - a major concern'
'Specific - neurotrophic epitheliopathy following transection and/or impairment of corneal nerves (hinge location has little impact)
Non-specific - Exacerbation of pre-existing tear film abnormalities, often following long-term contact lens wear. Impact of topical medications, especially those with preservatives'
'The more we learn the more we realise how little we know, and in actual fact how much we thought we knew was wrong'