Perioperative intense pulsed light to prevent and improve symptoms of post-laser corneal refractive surgery dry eye. A randomized clinical trial.

Autor:	Martínez-Hergueta MC; Division of Ophthalmology, School of Medicine, Universidad Miguel Hernández, Alicante, Spain; Ophthalmology Department, Hospital General de Elda, Alicante, Spain., Cantó-Cerdán M; Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain., Amesty MA; Oculoplastic Unit, Vissum (Miranza Group), Alicante, Spain., García-Corral MJ; Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain., Casanova-Blanquer L; Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain., Plaza-Puche AB; Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain., Alió JL; Division of Ophthalmology, School of Medicine, Universidad Miguel Hernández, Alicante, Spain; Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain., Alió Del Barrio JL; Division of Ophthalmology, School of Medicine, Universidad Miguel Hernández, Alicante, Spain; Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain. Electronic address: jorge_alio@hotmail.com.
Jazyk:	angličtina
Zdroj:	Asia-Pacific journal of ophthalmology (Philadelphia, Pa.) [Asia Pac J Ophthalmol (Phila)] 2024 Jan-Feb; Vol. 13 (1), pp. 100029. Date of Electronic Publication: 2023 Nov 30.
DOI:	10.1016/j.apjo.2023.100029
Abstrakt:	Purpose: To evaluate the efficacy of perioperative IPL therapy in preventing postoperative ocular surface disorders in patients undergoing corneal laser refractive surgery. Design: randomized, controlled, clinical trial with triple-blinding. Methods: Setting: Vissum Miranza - Alicante; Study population: 61 patients randomized in two groups: 31 study patients (perioperative IPL + laser refractive surgery) and 30 control patients (perioperative placebo + laser refractive surgery). Follow-up was conducted over a 6-month period; Intervention: Each participants underwent three IPL sessions with a two-week interval between each session (pre-surgery, post-surgery week-one, and post-surgery week-three). For controls, placebo was administered following the same protocol. Main Outcomes Measures: visual outcomes and refraction, slit-lamp examination, corneal topography, visual analogue scale questionnaire and Oculus Keratograph 5 M including tear meniscus height, non-invasive tear break- up time, ocular redness, infrared meibography and Ocular Surface Disease Index (OSDI) questionnaire. Results: 61 randomized eyes were included. No significant differences were observed in terms of uncorrected and corrected distance visual acuity (UDVA, CDVA), refractive error or corneal aberrations. A statistically significant improvement in OSDI score (change -8.47, p = 0.043), tear meniscus (change 0.05 mm, p = 0.004) and Meibography (change -0.42, p = 0.012) was observed at the third postoperative month in the study group. Additionally, at the sixth postoperative month, there were statistically significant improvements in tear meniscus (change 0.06 mm, p = 0.018), tear break-up-time (change 1.68 s, p = 0.039) and Meibography (change -0.37, p = 0.030). Conclusions: Results suggest that perioperative IPL therapy applied to laser corneal refractive surgery improves objective and subjective ocular surface parameters over non-IPL-treated control patients and early postoperative dry eye symptoms. (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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