Systane and cataract surgery PPT

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FARHAN    on Jul 14, 2010 Says :

WONDERFULL UNMET NEED OF DRY EYE AFTER CAT SURGERY GREAT
Judith    on May 15, 2010 Says :

holds your attention & doesnt detract from message
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Slide 1 : Systane and cataract surgery Dr. Cornel Stefan, Dr Diana Melinte Dumitrica SCUMC-Bucharest A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 2 : ‘’Many patients after cataract surgery tell us they (…) are having real problems with dry eye syndrome’’ Juan Duran De la Colina; EuroTimes, dec 2005 A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 3 : A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 4 : Purpose To emphasize and measure the effect of post-cataract surgery Systane treatment A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 5 : Methods - six months clinical, observational, prospective, double-masked study A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 6 : Inclusion criteria: same cataract surgery (phacoemulsification technique) performed by the same surgeon same post operative classically treatment without any ocular or general associated pathology A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 7 : Investigations for each patient: Standardised Schein questionnaire for subjective symptoms frequency = ocular discomfort (1=none….4=all of the time: burning, itching, dryness, redness, grittiness, foreign body sensation) Schirmer 1 test (mm) Tear break-up time (TBUT) (sec) Fluorescein staining (for epithelial defects) (+/-) First examination=after one week treatment (i) Final examination=after three treatment (f) A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 8 : A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 9 : Systane Demulcents HP Guar PEG 400, PG + (gelling agent) (active ingredients) Binds with hydrophobic surface of natural tear film Network with gel-like consistency (in situ ‘’gellation’’) Prolong the efficacy of active ingredients The HP guar and borate ions form a matrix that holds active ingredients (PEG 400 and PG) in place on the ocular surface facilitating the natural repair processes and lubricating the normal blinking process. A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 10 : Systane – effects: in-eye gelling effect adjust pH tear creates an ocular shield decrease the evaporation on tear film increase the stability of tear film allow the epithelial repair in a healthy environment A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 11 : Results:
Slide 12 : A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 13 : A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 14 : A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 15 : Conclusions Cataract surgery can affect ocular tear film production and stability by many factors We recommend the investigation of ocular surface integrity in all patients that are candidates for cataract surgery A dysfunctional tear film will significantly limit the post-operative visual acuity and satisfaction level of the patient A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 16 : Systane after cataract surgery: - Provide a protective epithelial shield Prevents the signs and symptoms of tear film insufficiency Decrease post surgery complications Improve cellular replacement and epithelial repair Increase patients satisfaction and quality of life Gives a healthy and stable ocular surface Prevent future possible damage A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008
Slide 17 : Bibliography Jorge Palmares, Luigi Oliveri, Juan Duran De la Colina, Janos Mc Culley. ‘’Mantaining a healthy ocular surface after surgery’’; EuroTimes, vol10, issue12, dec2005:14-15 Uday Devgan. ‘’Dry eye syndrome after cataract surgery’’; Review of Ophthalmol, vol12, issue10, oct2005 Joseph F Mussoline. ‘’Systane for dry eye’’; Cat. and Refr. Surg. Today, aug2004 Cristensen MT, Cohen S, Rinehart J, et al. ‘’Clinical evaluation of an HP guar gellable lubricant eye drop for the relief of dryness of the eye’’; Curr Eye Ress. 2004;28:55-62 Asgharian B, Nolen L, Meadows DL, et al. ‘’Novel gel forming ophthalmic polymer system for artificial tear solution; The ARVO annual meeting, may, 2003 Ousler GW, Emory TB, Welch D, Abelson MB. ‘’Factors thet influence inter-blink interval as measured by the ocular protection index’’; Ivvest Ophthalmol Vis Sci. 2002;43: E-Abstracts 56 Disfunctional Tear Syndrome: A Delphy Approach to Treatment Recommendations. Corneea, sept 2006, 25(8):900-907 Johan Przydryga, Stephen M Cohen, Mike T Christensen. ‘’Cessation of Systane lubricating eye drops and return to dry feeling eyes’’; EVER 2005 A XLIV-a Reuniune Anuala a Oftalmologilor Iasi, mai2008

 


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