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Published in: BMC Ophthalmology 1/2020

Open Access 01-12-2020 | Xerophthalmia | Research article

Changes in tear film osmolarity after 25G+ PPV

Authors: J. Němčanský, A. Kopecký, P. Mašek

Published in: BMC Ophthalmology | Issue 1/2020

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Abstract

Background

The aim of our study was to assess changes of tear film osmolarity after micro-incision 25G+ pars plana vitrectomy (PPV) in a prospective study.

Methods

The group consisted of 21 patients (17 women, 4 men) with an average age of 70,52 years [48; 85]. All patients underwent 25G + PPV surgery due to a disorder of the vitreomacular interface (macular hole or epimacular membrane). Only patients who did not use artificial tears before the surgery and who had not been diagnosed with dry eye syndrome at ours or another institution were included in the study. Except cataract surgery, all ocular surface diseases, intraocular diseases, trauma or surgery were exclusion criterias.
Tear film osmolarity was measured in both eyes in every patient before surgery, 10 days after surgery and 30 days after surgery. A paired test was used for statistical evaluation.

Results

No statistically significant change in osmolarity was found in the operated eyes (p > 0.05). No statistically significant changes in time (p > 0.05) were found when both eyes were compared. There were no postoperative complications or failure to observe the study protocol.

Conclusion

Micro-incision 25G + PPV does not affect the osmolarity of the tear film.
Literature
1.
go back to reference Cher I. A new look at lubrication of the ocular surface: fluid mechanics behind the blinking eyelids. Ocul Surf. 2008;6(2):79–86.CrossRef Cher I. A new look at lubrication of the ocular surface: fluid mechanics behind the blinking eyelids. Ocul Surf. 2008;6(2):79–86.CrossRef
2.
go back to reference Craig JP, Nichols KK, Akpek EK, Caffery B, Dua HS, Joo CK, Liu Z, Nelson JD, Nichols JJ, Tsubota K, Stapleton F. TFOS DEWS II definition and classification report. Ocul Surf. 2017;15(3):276–83.CrossRef Craig JP, Nichols KK, Akpek EK, Caffery B, Dua HS, Joo CK, Liu Z, Nelson JD, Nichols JJ, Tsubota K, Stapleton F. TFOS DEWS II definition and classification report. Ocul Surf. 2017;15(3):276–83.CrossRef
3.
go back to reference Thulasi P, Djalilian AR. Update in current diagnostics and therapeutics of dry eye disease. Ophthalmology. 2017;124(11S):27–33.CrossRef Thulasi P, Djalilian AR. Update in current diagnostics and therapeutics of dry eye disease. Ophthalmology. 2017;124(11S):27–33.CrossRef
4.
go back to reference Amparo F, Jin Y, Hamrah P, Schaumberg DA, Dana R. What is the value of incorporating tear osmolarity measurement in assessing patient response to therapy in dry eye disease? Am J Ophthalmol. 2014;157(1):69–77.CrossRef Amparo F, Jin Y, Hamrah P, Schaumberg DA, Dana R. What is the value of incorporating tear osmolarity measurement in assessing patient response to therapy in dry eye disease? Am J Ophthalmol. 2014;157(1):69–77.CrossRef
5.
go back to reference Tomlinson A, Khanal S. Assessment of tear film dynamics: quantification approach. Ocul Surf. 2005;3(2):81–95.CrossRef Tomlinson A, Khanal S. Assessment of tear film dynamics: quantification approach. Ocul Surf. 2005;3(2):81–95.CrossRef
6.
go back to reference Yoon D, Gadaria-Rathod N, Oh C, Asbell PA. Precision and accuracy of TearLab osmometer in measuring osmolarity of salt solutions. Curr Eye Res. 2014;39(12):1247–50.CrossRef Yoon D, Gadaria-Rathod N, Oh C, Asbell PA. Precision and accuracy of TearLab osmometer in measuring osmolarity of salt solutions. Curr Eye Res. 2014;39(12):1247–50.CrossRef
7.
go back to reference Masmali A, Alrabiah S, Alharbi A, El-Hiti GA, Almubrad T. Investigation of tear osmolarity using the TearLab Osmolarity system in normal adults in Saudi Arabia. Eye Contact Lens. 2014;40(2):74–8.CrossRef Masmali A, Alrabiah S, Alharbi A, El-Hiti GA, Almubrad T. Investigation of tear osmolarity using the TearLab Osmolarity system in normal adults in Saudi Arabia. Eye Contact Lens. 2014;40(2):74–8.CrossRef
8.
go back to reference Benelli U, Nardi M, Posarelli C, Albert TG. Tear osmolarity measurement using the TearLab Osmolarity system in the assessment of dry eye treatment effectiveness. Cont Lens Anterior Eye. 2010;33(2):61–7.CrossRef Benelli U, Nardi M, Posarelli C, Albert TG. Tear osmolarity measurement using the TearLab Osmolarity system in the assessment of dry eye treatment effectiveness. Cont Lens Anterior Eye. 2010;33(2):61–7.CrossRef
9.
go back to reference Kim M, Kim HS, Na KS. Correlation between tear osmolarity and other ocular surface parameters in primary Sjögren's syndrome. Korean J Ophthalmol. 2017;31(1):25–31.CrossRef Kim M, Kim HS, Na KS. Correlation between tear osmolarity and other ocular surface parameters in primary Sjögren's syndrome. Korean J Ophthalmol. 2017;31(1):25–31.CrossRef
10.
go back to reference Moisseiev E, Kinori M, Moroz I, Priel E, Moisseiev J. 25-gauge Vitrectomy with epiretinal membrane and internal limiting membrane peeling in eyes with very good visual acuity. Curr Eye Res. 2016;41(10):1387–92.CrossRef Moisseiev E, Kinori M, Moroz I, Priel E, Moisseiev J. 25-gauge Vitrectomy with epiretinal membrane and internal limiting membrane peeling in eyes with very good visual acuity. Curr Eye Res. 2016;41(10):1387–92.CrossRef
11.
go back to reference Kopecky A, Nemcansky J. Changes in the anterior segment of the eye following uncomplicated pars plana vitrectomy. A review. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019;163(3):207–11.CrossRef Kopecky A, Nemcansky J. Changes in the anterior segment of the eye following uncomplicated pars plana vitrectomy. A review. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019;163(3):207–11.CrossRef
12.
go back to reference Fujita A, Uchino E, Otsuka H, Arimura N, Noda Y, Ishibashi T, Sakamoto T. Ocular surface molecule after transconjunctival vitrectomy. Br J Ophthalmol. 2011;95(3):419–23.CrossRef Fujita A, Uchino E, Otsuka H, Arimura N, Noda Y, Ishibashi T, Sakamoto T. Ocular surface molecule after transconjunctival vitrectomy. Br J Ophthalmol. 2011;95(3):419–23.CrossRef
13.
go back to reference Wei Y, Asbell PA. The core mechanism of dry eye disease is inflammation. Eye Contact Lens. 2014;40(4):248–56.CrossRef Wei Y, Asbell PA. The core mechanism of dry eye disease is inflammation. Eye Contact Lens. 2014;40(4):248–56.CrossRef
14.
go back to reference Elksnis Ē, Lāce I, Laganovska G, Erts R. Tear osmolarity after cataract surgery. J Curr Ophthalmol. 2018;31(1):31–5.CrossRef Elksnis Ē, Lāce I, Laganovska G, Erts R. Tear osmolarity after cataract surgery. J Curr Ophthalmol. 2018;31(1):31–5.CrossRef
15.
go back to reference Venincasa VD, Galor A, Feuer W, Lee DJ, Florez H, Venincasa MJ. Long-term effects of cataract surgery on tear film parameters. ScientificWorldJournal. 2013;2013:643764.CrossRef Venincasa VD, Galor A, Feuer W, Lee DJ, Florez H, Venincasa MJ. Long-term effects of cataract surgery on tear film parameters. ScientificWorldJournal. 2013;2013:643764.CrossRef
16.
go back to reference González-Mesa A, Moreno-Arrones JP, Ferrari D, Teus MA. Role of tear osmolarity in dry eye symptoms after cataract surgery. Am J Ophthalmol. 2016;170:128–32.CrossRef González-Mesa A, Moreno-Arrones JP, Ferrari D, Teus MA. Role of tear osmolarity in dry eye symptoms after cataract surgery. Am J Ophthalmol. 2016;170:128–32.CrossRef
17.
go back to reference Lee SY, Wong TT, Chua J, Boo C, Soh YF, Tong L. Effect of chronic anti-glaucoma medications and trabeculectomy on tear osmolarity. Eye (Lond). 2013;27(10):1142–50.CrossRef Lee SY, Wong TT, Chua J, Boo C, Soh YF, Tong L. Effect of chronic anti-glaucoma medications and trabeculectomy on tear osmolarity. Eye (Lond). 2013;27(10):1142–50.CrossRef
18.
go back to reference Julio G, Lluch S, Pujol P, Alonso S, Merindano D. Tear osmolarity and ocular changes in pterygium. Cornea. 2012;31(12):1417–21.CrossRef Julio G, Lluch S, Pujol P, Alonso S, Merindano D. Tear osmolarity and ocular changes in pterygium. Cornea. 2012;31(12):1417–21.CrossRef
19.
go back to reference Türkyılmaz K, Oner V, Sevim MŞ, Kurt A, Sekeryapan B, Durmuş M. Effect of pterygium surgery on tear osmolarity. J Ophthalmol. 2013;2013:863498.CrossRef Türkyılmaz K, Oner V, Sevim MŞ, Kurt A, Sekeryapan B, Durmuş M. Effect of pterygium surgery on tear osmolarity. J Ophthalmol. 2013;2013:863498.CrossRef
Metadata
Title
Changes in tear film osmolarity after 25G+ PPV
Authors
J. Němčanský
A. Kopecký
P. Mašek
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2020
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-020-01722-4

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