Dry eye disease is a common ocular

Dry eye disease is a common ocular surface disease in patients who are undergoing cataract surgery. The significance of dry eye disease is often underestimated or overlooked during preoperative assessment of cataract. We report an 80-year-old patient, with a background of seropositive rheumatoid arthritis and diabetes, who presented with an acute corneal melt and perforation associated with undiagnosed dry eye disease and use of topical ketorolac 1 week following an uncomplicated cataract surgery. The patient underwent repeated corneal gluing for corneal perforation and was subsequently diagnosed and treated for bilateral moderate-severe dry eye disease. This case highlights the importance of meticulous preoperative assessment and management of the ocular surface, especially in patients with systemic diseases such as rheumatoid arthritis and diabetes prior to cataract surgery. The implication of the use of topical nonsteroidal anti-inflammatory drugs following cataract surgery - which might have contributed to the process of corneal melt in our case - is also discussed.

結果 (繁體中文) 2:

乾眼病是正在接受白內障手術的患者常見的眼表面疾病。乾眼病的重要性往往被低估或忽視在白內障的術前評估。我們報告一名80歲的患者，有血清陽性類風濕性關節炎和糖尿病的背景，誰提出了急性角膜融化和穿孔與未確診的乾眼病和使用局部酮狀酮節1周後簡單的白內障手術。患者反復進行角膜膠膠，進行角膜穿孔，隨後被診斷為雙度重度乾眼病。這一案例強調了對眼表面進行細緻的術前評估和管理的重要性，特別是在白內障手術前患有風濕性關節炎和糖尿病等全身性疾病的患者中。還討論了白內障手術後使用局部非類固醇消炎藥的含義，這可能有助於我們病例的角膜融化過程。

結果 (繁體中文) 3:

乾眼症是白內障手術中常見的眼錶疾病。在白內障術前評估中，乾眼症的重要性常常被低估或忽略。我們報告一比特80歲的病人，以血清陽性的類風濕關節炎和糖尿病為背景，在一次簡單的白內障手術後1周出現急性角膜融化和穿孔，並伴有未確診的乾眼症和局部使用酮咯酸。患者因角膜穿孔而反復進行角膜膠合，隨後診斷並治療雙側中重度乾眼症。本病例強調了在白內障手術前對眼錶進行細緻的術前評估和管理的重要性，特別是對患有類風濕性關節炎和糖尿病等全身性疾病的患者。本文還討論了白內障手術後局部使用非甾體抗炎藥的意義，這可能是導致角膜融化的原因之一。