Influence de la chirurgie réfractive cornéenne sur le film lacrymal

L'observation de signes fonctionnels de souffrance de la surface oculaire chez des patients operes de chirurgie refractive corneenne (LASIK ou PRK) et leur correlation a des signes cliniques sont evocateurs de l'apparition de secheresse oculaire. Les procedures d'intervention elles-memes, par section ou abrasion, totale ou partielle, des nerfs corneens, entrainent une inevitable hypoesthesie corneenne responsable de la diminution ou de l'abolition de l'arc reflexe regulant la secretion lacrymale. Les etudes actuelles comparatives entre les deux techniques ne permettent pas de demontrer la superiorite de l'une d'entre elles sur le plan du retentissement sur la secretion lacrymale.

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