PMID- 27830200
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2452-2325 (Print)
IS  - 2452-2325 (Electronic)
IS  - 2452-2325 (Linking)
VI  - 28
IP  - 4
DP  - 2016 Dec
TI  - Photorefractive keratectomy for patients with preoperative low Schirmer test 
      value.
PG  - 176-180
AB  - PURPOSE: To compare dry eye signs and symptoms between patients with preoperative 
      low and normal Schirmer test after Photorefractive keratectomy (PRK). METHODS: In 
      this prospective, nonrandomized, comparative case series, 76 eyes of 76 patients 
      were preoperatively categorized into two groups according to selected criteria 
      for characterization of tear film status: the low Schirmer test value (STV) group 
      and the normal STV group. For the tear function assessment, we performed a 
      Schirmer test with and without anesthesia, tear break-up time (TBUT) test, and 
      measurement dry eye symptoms using the Farsi translation of Ocular Surface 
      Disease Index (OSDI) questionnaire pre- and 3 months post-operation. RESULTS: 
      Postoperatively, the Schirmer and TBUT values were significantly lower in both 
      groups than preoperatively (all p < 0.05). Deterioration in tear secretion was 
      significantly greater in the low STV group (p = 0.012), but tear stability was 
      more compromised in the normal STV group (p = 0.021). The changes in OSDI score 
      were not significant between the two groups. CONCLUSION: These results 
      demonstrated that tear function deteriorates after PRK. Therefore, patients with 
      low preoperative Schirmer test values should be thoroughly assessed for dry eye 
      before proceeding with refractive surgery to eliminate postoperative 
      complication.
FAU - Tanbakouee, Elham
AU  - Tanbakouee E
AD  - Department of Optometry, School of Rehabilitation, Shahid Beheshti University of 
      Medical Sciences, Tehran, Iran.
FAU - Ghoreishi, Mohammad
AU  - Ghoreishi M
AD  - Ophthalmology Department, Isfahan University of Medical Sciences, Isfahan, Iran.
FAU - Aghazadeh-Amiri, Mohammad
AU  - Aghazadeh-Amiri M
AD  - Department of Optometry, School of Rehabilitation, Shahid Beheshti University of 
      Medical Sciences, Tehran, Iran.
FAU - Tabatabaee, Mehdi
AU  - Tabatabaee M
AD  - Department of Basic Sciences, School of Rehabilitation, Shahid Beheshti 
      University of Medical Sciences, Tehran, Iran.
FAU - Mohammadinia, Mohadeseh
AU  - Mohammadinia M
AD  - Research and Development Department, Persian Eye Clinic, Isfahan, Iran.
LA  - eng
PT  - Journal Article
DEP - 20160627
PL  - India
TA  - J Curr Ophthalmol
JT  - Journal of current ophthalmology
JID - 101678509
PMC - PMC5093774
OTO - NOTNLM
OT  - Photorefractive keratectomy
OT  - Schirmer test
OT  - Tear function
EDAT- 2016/11/11 06:00
MHDA- 2016/11/11 06:01
PMCR- 2016/06/27
CRDT- 2016/11/11 06:00
PHST- 2016/03/17 00:00 [received]
PHST- 2016/06/01 00:00 [revised]
PHST- 2016/06/01 00:00 [accepted]
PHST- 2016/11/11 06:00 [entrez]
PHST- 2016/11/11 06:00 [pubmed]
PHST- 2016/11/11 06:01 [medline]
PHST- 2016/06/27 00:00 [pmc-release]
AID - S2452-2325(16)30028-2 [pii]
AID - 10.1016/j.joco.2016.06.002 [doi]
PST - epublish
SO  - J Curr Ophthalmol. 2016 Jun 27;28(4):176-180. doi: 10.1016/j.joco.2016.06.002. 
      eCollection 2016 Dec.