This article is more than 5 years old. Information may no longer be current.
Speaker: Educate patients about MGD before cataract surgery
Click Here to Manage Email Alerts
BARCELONA — One speaker here emphasized the importance of educating patients about meibomian gland disease before undergoing cataract surgery.
“If you tell people they have dry eye before surgery, it’s their problem. If you tell them afterward, it’s your problem,” David Zadok, MD, said at the European Society of Cataract and Refractive Surgeons meeting.
David Zadok
“Cataract surgery is increasingly becoming refractive surgery,” Zadok said. Dry eye can disrupt the tear film and cause higher-order aberrations, interfere with keratometry and topography, compromise IOL power calculation and delay healing postoperatively.
In one study, the prevalence of MGD in 159 patients with dry eye was 86%, he said.
After diagnosis of MGD, therapy to optimize the ocular surface includes improving the posterior lid margin environment, enhancing tear stability, decreasing lid margin and ocular surface inflammation and expression of the meibomian glands, Zadok said.
Disclosure: Zadok reports no relevant financial disclosures.