Efficacy of bandage contact lens for the management of dry eye disease after cataract surgery

Xingdi Wu, Yajuan Ma, Xiang Chen, Suhong He, Xueqi Lin, Xuewen Yu, Weijie Chen, Chenqi Luo, Wen Xu, Xingdi Wu, Yajuan Ma, Xiang Chen, Suhong He, Xueqi Lin, Xuewen Yu, Weijie Chen, Chenqi Luo, Wen Xu

Abstract

Purpose: We aimed to evaluate the efficacy of bandage contact lens (BCL) for the management of dry eye disease (DED) after cataract surgery.

Methods: A total of 120 patients (140 eyes) with age-related cataract and DED were enrolled in this study. Patients underwent standard micro-incision phacoemulsification surgeries and were divided into control or BCL groups. Slit-lamp biomicroscopic examination, Ocular Surface Disease Index, keratograph analysis and Schirmer I test were executed, and the levels of tear inflammatory molecules were detected.

Results: In the control group, the NIAvg-BUT and Schirmer I test scores were significantly decreased at 1 week post-operation compared with baseline levels (P = 0.035 and P = 0.009, respectively). In the BCL group, the NIF-BUT and Schemer I test scores were significantly improved at 1 month after operation compared with the control group (P = 0.012 and P < 0.001, respectively). Levels of IL-6, IL-8 and ICAM-1 were significantly increased in the control group at 1 month after the operation (P = 0.005, P = 0.038 and P = 0.022, respectively), while there was no difference in the BCL group. The increase in the IL-6 level in the control group was significantly higher compared with that in the BCL group (P = 0.047). In DED patients, there were significant correlations between ocular surface parameters and inflammatory molecules.

Conclusions: Cataract surgery could lead to the development or worsening of DED. The application of BCLs after cataract surgery could stabilize the ocular surface and tear film, improve the corneal healing and reduce the inflammation. Collectively, our findings suggested that proper use of BCLs after cataract surgery played an effective role in the management of DED.

Trial registration: ClinicalTrials, NCT04100031. Registered 18 September 2019-retrospectively registered.

Keywords: Bandage contact lens; Cataract; Dry eye disease; Surgery.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Changes in clinical signs and symptoms in the BCL and control groups after phacoemulsification. The clinical signs and symptoms were compared between the two groups at each time point. a Noninvasive keratography tear meniscus height (NIKTMH); b noninvasive first breakup time (NIF-BUT); c noninvasive average breakup time (NIAvg-BUT); d Bulbar redness; e Meibography score; f Schirmer I test; g Ocular Surface Disease Index (OSDI). Each value represents the mean ± standard error (SE). *P < 0.05, **P < 0 .01, using a linear mixed model with Bonferroni post hoc analysis

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