Acupuncture treatment is slightly better than sham acupuncture in post-cataract surgery dry eye disease. The treatment effect of acupuncture may be due more to modulation of tear film stability rather than aqueous secretion. Cataract and dry eye disease (DED) commonly coexist in the elderly. Age is a known risk factor for DED, and elderly patients often need cataract surgery. Today, age-related cataract surgery with phacoemulsification and intraocular lens (IOL) implantation has become one of the most commonly performed and effective ophthalmic surgeries. However, the use of topical anesthetics, exposure desiccation and possible light toxicity during the surgery procedure can independently induce or exacerbate DED symptoms, which is a major complaint in the post-operative period and lowers a patient's satisfaction with surgery.

Post-cataract surgery DED prevalence varies according to which diagnostic criteria are used and ranges from 9.8 to 43%, and the severity of DED symptoms has been reported to peak 7 days after cataract surgery and may persist for months. With the ever-increasing number of patients undergoing cataract surgery, the need for better management of post-cataract surgery DED should be highlighted. Acupuncture as complementary treatment for dry eye disease following cataract surgery is well-tolerated, with minimal side effects.

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Mishita
Jornal co-ordinator
Journal of General Surgery Reports