Title: To Study the Dry Eye Prevalence Following Phacoemulsification Surgery at Tertiary Care Hospital Rajasthan
Authors: Dr Sukriti Upadhyay, Dr Udit Raj Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v8i2.89
Abstract
Background: The purpose was to study dry eye following phacoemulsification surgery and analyze it’s relation to the associated intra‑operative risk factors.
Methods: This prospective observational study was performed after selecting 100 consecutive patients who attended the outpatient Department of Ophthalmology, SMS Medical College and Hospital, Jaipur. Prior informed consent was obtained from each subject, inclusion criteria being subjects over 45 years of age with senile cataract, without preexisting dry eye and other ocular disorders. Subjects with disorders of eyelids, past ocular surgeries, pre-existing ocular or systemic diseases, history of taking ocular or systemic medications and smoking were excluded from the study.
Results: The present study was done on 100 patients attending the outpatient Department of Ophthalmology, SMS Medical College and Hospital, Jaipur with senile cataract and each patient was scheduled for cataract surgery using phacoemulsification technique. All the tests performed preoperatively and postoperatively showed incidence of dry eye to be 10.00%. Dry eye symptoms peaked at day 7 in our study.
Conclusion: We concluded that cataract surgery can cause dry eye. However, before surgery, preoperative assessment of all patients should be done properly. Patients must be informed about the possible occurrence of dry eye symptoms postoperatively and should be managed accordingly.
Keywords: Dry Eye, Schirmer Test, Tear Film Break Up Time, OSDI.
References
- Vankadara Naga Suresh, Radhika. THE PREVALENCE OF DRY EYE IN TERTIARY HEALTH CARE CENTER OF ANDHRA PRADESH. Int J Intg Med Sci 2018;5(3):592-596.
- Moss SE, Klein R, Klein BEK. Prevalence of and risk factors for dry eye syndrome. Arch Ophthalmol. 2000;118:1264-68.
- Smith, Janine, Nichols, Kelly k, Baldwin, Edward k. Current patterns in the use of diagnostic tests in dry eye evaluation. Cornea 2008;27(6):656-62.
- Roberts CW, Elie ER. Dry eye symptoms following cataract surgery. Insight 2007;32:14‑21.
- Shoja MR, Besharati MR. Dry eye after LASIK for myopia: Incidence and risk factors. Eur J Ophthalmol 2007; 17:1–6.
- Ministry of Health and Family Welfare, Govt. Of India. National Programme for Control of Blindness, Annual Report, MOHFW. Govt of India 2010-11; 109-11.
- Ram J, Gupta A, Brar GS, Kaushik S, Gupta A. Outcomes of phacoemulsification in patients with dry eye. J Cataract Refract Surg 2002; 28:1386–89.
- Muller LJ, Vrensen GF, Pels L, Cardozo BN, Willekens B. Architecture of human corneal nerves. Invest Ophthalmol Vis Sci 1997; 38:985–94.
- Sitompul R, Sancoyo GS, Hutauruk JA, Gondhowiardjo TD. Sensitivity change in cornea and tear layer due to incision difference on cataract surgery with either manual small-incision cataract surgery or phacoemulsification. Cornea 2008; (Suppl 1): S13–8.
- Belmonte C, Acosta MC, Gallar J. Neural basis of sensation in intact and injured corneas. Exp Eye Res 2004; 78:513–25.
- Roberts CW, Elie ER. Dry eye symptoms following cataract surgery. Insight 2007; 32:14–21.
- Liu ZG, Li W. Dry eye relevant to ocular surgery. Zhonghua Yan KeZaZhi 2009; 45:483–5.