Epidemiology of Persistent Dry Eye-Like Symptoms After Cataract Surgery
Purpose: To evaluate the frequency and risk factors for persistent postsurgical pain (PPP) after cataract surgery, defined as mild or greater dry eye (DE)-like symptoms 6 months after surgery. Methods: This single-center study included 86 individuals who underwent cataract surgery between June and October 2016 and had DE symptom information available 6 months after surgery. Patients were divided into 2 groups: controls were defined as those without DE symptoms 6 months after surgery (defined by a Dry Eye Questionnaire 5 (DEQ5) score
A 45-year-old South Asian woman presented with a 2-month history of acute onset of unilateral dry-eye symptoms with significant irritation and blurry vision in the left eye. She reported increasing difficulty using the computer, itching, and eye pain after work in both eyes but significantly more pronounced in the left eye. Artificial tears provided no relief of symptoms in the left eye. Initially, an optometric physician, who diagnosed her with acute corneal abrasion in the left eye, treated her with lubricating drops and ointments.
Conclusion: Stenotrophomonas maltophilia is a rare infectious agent associated with intravitreal injection and may present 1 month after treatment.
Condition: Ocular Inflammation and Pain Interventions: Drug: APP13007, 0.05%; Drug: APP13007, 0.1%; Drug: APP13007 Placebo, 0.05%; Drug: APP13007 Placebo, 0.1% Sponsor: Formosa Pharmaceuticals, Inc. Recruiting
Conclusions: One-fifth of patients experienced severe anxiety and pain. Preoperative anxiety levels was the only significant predictor of pain. Reducing preoperative anxiety in cataract patients is warranted. PMID: 31509020 [PubMed - as supplied by publisher]
AbstractTropicamide 0.02%/phenylephrine 0.31%/lidocaine 1% injectable solution (Mydrane®) is the first fixed-dose mydriatic/anaesthetic combination approved for intracameral use in adults undergoing cataract surgery. In a phase 3 trial in this setting, intracameral tropicamide/phenylephrine/lidocaine was at least as effective as a standard topical regimen of tropicamide plus phenylephrine in enabling successful capsulorhexis without the use of additional mydriatics. The intracameral preparation, which is administered via a single injection, provides rapid and sustained mydriasis through to the end of surgery, with reci...
Patients experience considerable pain after epithelium-off crosslinking. Three post-operative regimes (bandage lens, occlusive patch or antibiotic ointment) showed equal pain scores. Wound healing appeared slightly quicker after occlusive patching.
Conclusion: This case report describes the unusual case of a postoperative bacterial endophthalmitis presenting with characteristic signs of HORV, a largely untreatable, exceedingly rare phenomena that commonly results in poor visual acuity. PMID: 31414916 [PubMed - as supplied by publisher]
Authors: Shi C, Yuan J, Zee B Abstract Background: Phacoemulsification under local anesthesia is regarded as the major surgery for cataract treatment. Recent research has compared the pain perception between the first eye and the second eye during phacoemulsification. However, these studies have also yielded controversial findings. Consequently, we performed a systematic review and a meta-analysis to investigate the difference in the pain perception between the first and second eyes during phacoemulsification. Method: We searched the PubMed, EMBASE, and Cochrane CENTRAL databases for the studies published up to...