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Ocular surface changes following computer use in post‐LASIK patients.

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Title: Ocular surface changes following computer use in post‐LASIK patients.
Authors: Talens‐Estarelles, Cristian (AUTHOR), Talens‐Estarelles, Clara (AUTHOR), García‐Lázaro, Santiago (AUTHOR)
Source: Ophthalmic & Physiological Optics. May2024, Vol. 44 Issue 3, p554-563. 10p.
Abstract: Purpose: To assess the impact of computer use on the ocular surface of individuals after laser in situ keratomileusis (LASIK). Methods: The dry eye symptoms and ocular surface of 18 post‐LASIK young individuals and 18 controls were evaluated before and after performing a 30‐min task on a computer without (Visit 1) and with (Visit 2) initial instillation of artificial tears. Symptoms were assessed using the Ocular Surface Disease Index (OSDI), Symptom Assessment in Dry Eye questionnaire version two (SANDE II) and Computer Vision Syndrome Questionnaire (CVS‐Q). The ocular surface was assessed by measuring corneal higher order aberrations, tear meniscus height (TMH), conjunctival redness, blink rate and incomplete blinking, lipid layer thickness (LLT) and non‐invasive keratograph break‐up time (NIKBUT). Results: SANDE II scores were >0 after the computer task in both groups (p ≤ 0.01). SANDE II and CVS‐Q scores did not differ between LASIK and controls (p ≥ 0.43). Greater bulbar–temporal conjunctival redness, TMH and LLT and shorter NIKBUT were found after computer use in the LASIK group (p ≤ 0.04), whereas no changes were observed in the controls (p ≥ 0.20). Lower SANDE II and CVS‐Q scores were reported at Visit 2 compared with Visit 1 in both groups (p ≤ 0.01). Likewise, no worsening of dry eye signs was observed at Visit 2 (p ≥ 0.11). Conclusions: Ocular symptoms reported during computer use were comparable between the groups. However, a worsening of dry eye signs was mostly observed in post‐LASIK individuals. The instillation of artificial tears was effective in preventing the effects of computer use on the ocular surface in post‐LASIK patients. [ABSTRACT FROM AUTHOR]
Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Ocular surface changes following computer use in post‐LASIK patients.
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  Data: <searchLink fieldCode="AR" term="%22Talens‐Estarelles%2C+Cristian%22">Talens‐Estarelles, Cristian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Talens‐Estarelles%2C+Clara%22">Talens‐Estarelles, Clara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22García‐Lázaro%2C+Santiago%22">García‐Lázaro, Santiago</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Ophthalmic+%26+Physiological+Optics%22">Ophthalmic & Physiological Optics</searchLink>. May2024, Vol. 44 Issue 3, p554-563. 10p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: To assess the impact of computer use on the ocular surface of individuals after laser in situ keratomileusis (LASIK). Methods: The dry eye symptoms and ocular surface of 18 post‐LASIK young individuals and 18 controls were evaluated before and after performing a 30‐min task on a computer without (Visit 1) and with (Visit 2) initial instillation of artificial tears. Symptoms were assessed using the Ocular Surface Disease Index (OSDI), Symptom Assessment in Dry Eye questionnaire version two (SANDE II) and Computer Vision Syndrome Questionnaire (CVS‐Q). The ocular surface was assessed by measuring corneal higher order aberrations, tear meniscus height (TMH), conjunctival redness, blink rate and incomplete blinking, lipid layer thickness (LLT) and non‐invasive keratograph break‐up time (NIKBUT). Results: SANDE II scores were >0 after the computer task in both groups (p ≤ 0.01). SANDE II and CVS‐Q scores did not differ between LASIK and controls (p ≥ 0.43). Greater bulbar–temporal conjunctival redness, TMH and LLT and shorter NIKBUT were found after computer use in the LASIK group (p ≤ 0.04), whereas no changes were observed in the controls (p ≥ 0.20). Lower SANDE II and CVS‐Q scores were reported at Visit 2 compared with Visit 1 in both groups (p ≤ 0.01). Likewise, no worsening of dry eye signs was observed at Visit 2 (p ≥ 0.11). Conclusions: Ocular symptoms reported during computer use were comparable between the groups. However, a worsening of dry eye signs was mostly observed in post‐LASIK individuals. The instillation of artificial tears was effective in preventing the effects of computer use on the ocular surface in post‐LASIK patients. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/opo.13297
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        Text: English
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      – TitleFull: Ocular surface changes following computer use in post‐LASIK patients.
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            NameFull: Talens‐Estarelles, Cristian
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            NameFull: Talens‐Estarelles, Clara
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            NameFull: García‐Lázaro, Santiago
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            – D: 01
              M: 05
              Text: May2024
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              Y: 2024
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              Value: 44
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