Journal of Surgical Radiology
2023, Volume 2, Issue 4 : 8-11
Research Article
A Clinical study on Impact of Phacoemulsification on Determinants of Dry Eye Syndrome
Received
Dec. 25, 2023
Revised
Dec. 12, 2023
Accepted
Dec. 22, 2023
Published
Dec. 30, 2023
Abstract

Introduction Phacoemulsification, with its small incision and satisfactory safety performance, have become the major procedure in regular cataract surgery. To understand better whether phacoemulsification cataract surgery induces or aggravates postoperative dry eye, we undertook a systematic review and meta-analysis of the published literature on DED-relevant parameters, including questionnaires on subjective symptoms, tear break-up time (BUT), corneal fluorescein staining (CFS), and the Schirmer I test. Materials And Methods.This hospital-based observational study was carried out in the Clinic of Ophthalmology, a tertiary care-center over a period of 8 months. We initially enrolled 176 subjects with senile cataract and without pre-existing dry eye syndrome. Subjects underwent detailed history and ocular examination and those with ocular conditions that can contribute to the occurrence of dry eye, such as lid disorders (blepharitis, ectropion, entropion), contact lens wear, allergic conjunctivitis, any past ocular surgeries, chronic conjunctivitis.Result In the study, a total of 80 eyes of 80 patients were enrolled in the study. The mean demographic age was noted to be 63.96 ± 6.95 (mean ± SD) years. Also, the mean baseline tear break-up time was 14.50 ± 2.85s. At 1 week postoperatively the value changed to 9.10 ± 3.00 s (p<0.001) and at 4 weeks the value reached 13.60 ± 2.85 s (p<0.001). Lissamine green staining test had a mean baseline value of 1.30 ± 0.45. At 1 week post-operatively the value became 3.20 ± 0.80 (p<0.001) and at 4 weeks the value became 1.50 ± 0.70. Conclusion During phacoemulsification cataract surgery, dry eye disease (DED) is a prevalent but transitory side effect that affects the eye surface. A decrease in tear break-up time (TBUT) and Schirmer's test values and a higher ocular surface disease index (OSDI) score indicate tear film instability one week after surgery. After three months, most surgically induced DED patients improved, indicating its transitory nature

 

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