Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Solving STODS - Surgical Temporary Ocular Discomfort Syndrome

Version 1 : Received: 7 December 2022 / Approved: 8 December 2022 / Online: 8 December 2022 (06:39:48 CET)

A peer-reviewed article of this Preprint also exists.

Hirabayashi, M.T.; Barnett, B.P. Solving STODS—Surgical Temporary Ocular Discomfort Syndrome. Diagnostics 2023, 13, 837. Hirabayashi, M.T.; Barnett, B.P. Solving STODS—Surgical Temporary Ocular Discomfort Syndrome. Diagnostics 2023, 13, 837.

Abstract

The term STODS (Surgical Temporary Ocular Discomfort Syndrome) has been coined to describe the ocular surface perturbations induced by surgery. As one of the most important refractive elements of the eye, Guided Ocular Surface and Lid Disease (GOLD) optimization is fundamental to success in achieving refractive outcomes and mitigating STODS. Effective GOLD optimization and the prevention/treatment of STODS, requires an understanding of the molecular, cellular and anatomic factors that influence ocular surface microenviroment and the associated perturbations induced by surgical intervention. By reviewing the current understanding of STODS etiologies, we will attempt to outline a rationale for a tailored GOLD optimization depending on the ocular surgical insult. With a bench to bedside approach, we will highlight clinical examples of effective GOLD perioperative optimization can mitigate STODS deleterious effect on preoperative imaging and postoperative healing.

Keywords

STODS; GOLD optimization; LASIK; dry eye

Subject

Medicine and Pharmacology, Ophthalmology

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