Dry eye after LASIK
Neurotrophic epitheliopathy is hard on patients and difficult to treat


Leigh Spielberg
Published: Wednesday, March 1, 2017

Pre-existing tear dysfunction syndrome is a major risk factor for severe postoperative dry eyeThe small incision lenticule extraction (SMILE) procedure also has a lower impact on corneal nerves than LASIK, as there is no flap cut. He shared data that showed that corneal sensitivity is less affected and returns to baseline faster after SMILE. But what of the patients in which LINE has been diagnosed? His advice is to approach the condition with a comprehensive strategy, starting with patient education about this frustrating disorder. “Prescribing BAK-free artificial tears is important. Also, oral Omega-3 EFA supplementation with flaxseed and/or fish oil capsules, topical cyclosporine 0.05% and dexpantenol gel work well. In severe cases, autologous serum is needed,” he said. Renato Ambrósio Jr: dr.renatoambrosio@gmail.com
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