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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Intense pulsed light: Results in chronic dry eye syndrome after LASIK
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Vol. 95. Issue 5.
Pages 226-230 (May 2020)
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Vol. 95. Issue 5.
Pages 226-230 (May 2020)
Short communication
Intense pulsed light: Results in chronic dry eye syndrome after LASIK
Luz pulsada intensa: resultados en ojo seco crónico tras LASIK
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G. Fuentes Páez
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fupaez@yahoo.com

Corresponding author.
, J.R. Soler Tomas, S. Burillo
Centro Médico Teknon, Clínica Oftalnova, Barcelona, Spain
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Table 1. Individual cases and results, pre- and post-IPL.
Abstract

A report is presented on the visual and clinical results from a retrospective case series of patients with chronic, evaporative, dry eye syndrome (DES), after refractive surgery, and treated with intense pulsed light treatment (IPL). Four sessions were performed, and the Ocular Surface Disease Index (OSDI) questionnaire was completed before initiating treatment and after the last session. Pre- and post-treatment data included: visual acuity (VA), refraction, clinical evaluation (DEWS severity grading, and Oxford corneal staining), and Orbscan topography. Twenty eyes were treated and the following data recorded: SchirmerI 14.7±5.6; 15.6±3.4mm, tear breakup time (TBUT) 3.4±1.6; 5.1±1.2s (p>.003), DEWS 3.4±0.5; 1.6±0.7 (p<.003), Oxford grade 0.8±0.77; 0.4±0.75 (p>.003), VA 0.67±0.26; 0.90±0.15 (p<.0001), best corrected VA 0.83±0.18; 0.92±0.14 (p>.003), spherical equivalent −0.31±0.6; −0.08±0.38D (p>.003), OSDI 34±16; 28±11.0 points (p>.003), frequency artificial tear use 3.4±2.0; 2.5±1.9 times/day (p>.03). A significant clinical and visual improvement was observed, together with a decreased frequency in artificial tear use, in LASIK patients with chronic DES after IPL treatment.

Keywords:
Meibomian gland dysfunction
LASIK
Intense pulsed light
Dry eye syndrome
Resumen

Se presentan los resultados clínicos y visuales obtenidos en un estudio retrospectivo de una serie de casos de pacientes con síndrome de ojo seco (SOS) evaporativo crónico, tras cirugía refractiva, manejados con luz pulsada intensa (LPI). Se realizaron 4 sesiones de LPI. Contestaron el cuestionario Ocular Surface Disease Index (OSDI) antes del inicio de LPI y después de la última sesión. Se registró AV, refracción, valoración clínica (grado de severidad DEWS y grado de tinción Oxford) y topografía Orbscan. Se trataron 20 ojos con los siguientes valores pre- y post-LPI: SchirmerI 14,7±5,6; 15,6±3,4mm, BUT 3,4±1,6; 5,1±1,2s (p<0,003), DEWS 3,4±0,5; 1,6±0,7 (p<0,003), grado Oxford 0,8±0,77; 0,4±0,75 (p>0,003), AV 0,67±0,26; 0,90±0,15 (p<0,0001), AVcc 0,83±0,18; 0,92±0,14 (p>0,003), EE −0,31±0,6; −0,08±0,38D (p>0,003), OSDI 34±16; 28±11,0 puntos (p>0,003), uso de lágrimas 3,4±2,0; 2,5±1,9 veces/día (p>0,03). Se registró mejoría visual y clínica significativa, mejoría sintomática y disminución de uso de lágrimas artificiales, tras LPI, en pacientes operados de LASIK con SOS evaporativo crónico.

Palabras clave:
Disfunción glándulas Meibomio
LASIK
Luz pulsada intensa
Síndrome ojo seco

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