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Dry eye also occurs or becomes worse after LASIK and other refractive surgeries, in which the corneal nerves which stimulate tear secretion [4] are cut during the creation of a corneal flap. [4] Dry eye caused by these procedures usually resolves after several months, but it can be permanent. [16]
Assessment of allergies, (e.g., pollen) where allergy may complicate the eyelid margins following surgery leading to dry eye. There are also some pre-existing conditions that may complicate or preclude the treatment. [8] Collagen vascular disease (e.g., corneal ulceration or melting) Ocular disease (e.g., dry eye, keratoconus, glaucoma)
Conjunctivochalasis, also known as mechanical dry eye (MDE), is a common eye surface condition characterized by the presence of excess folds of the conjunctiva located between the globe of the eye and the eyelid margin.
95% of patients report dry-eye symptoms after LASIK. [1] [51] Although it is usually temporary, it can develop into chronic and severe dry eye syndrome. Quality of life can be severely affected by dry-eye syndrome. [52] Underlying conditions with dry eye such as Sjögren's syndrome are considered contraindications to Lasik. [53]
Tear break-up time (TBUT) also known as tear film break-up time (TFBUT) is the time taken for the first dry spot to appear on the cornea after a complete blink. TFBUT measurement is an easy and fast method used to assess the stability of tear film. It is a standard diagnostic procedure in the dry eye clinics. [1]
A punctal plug, also known as tear duct plug or lacrimal plug, is a small medical device that is inserted into the tear duct (puncta) of an eye to block the duct. This prevents the drainage of liquid from the eye. They are used to treat dry eye. Artificial tears are usually still required after punctal plug insertion. [1]
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