Comparative study of dry eye after Phacoemulsification in senile cataract

Gupta, Manisha; Mittal, Sanjeev; Shakeel, Tarannum; Gupta, Renu

doi:10.18203/2320-6012.ijrms20151446

Cited by 7 publications

(9 citation statements)

References 13 publications

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“…In our study, increase in TBUT was significant in the study group on both day 7 (p<0.0001) and day 30 (p<0.0001), which corroborated with the study of Yao K et al 2 Also, our study showed a decrease in TBUT values in control group on day 7 and 30, similar to study conducted by Saif MYS et al 1 Gupta M et al in his study reported significant compromise in the TBUT values on day 7 (p<0.05) and day 30 (p<0.05) without the use of carboxymethylcellulose drops. 13 This decrease in the value from the baseline on day 7 was statistically significant in their study but not in our study. This difference was attributed, by them, to the use of topical eye drops with preservatives in their study.…”

Section: Discussioncontrasting

confidence: 76%

Evaluation of the Role of 1% Carboxymethylcellulose After Phacoemulsification Among North Indian Population : A Prospective, Randomized, Placebo Controlled Study

Sharma

et al. 2019

IJMBS

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Patients undergoing phacoemulsification with intraocular lens implantation present with dry eye symptoms postoperatively. The present study was done to evaluate the role of carboxymethylcellulose 1% added to conventional therapy to treat ocular discomfort and tear film instability in patients after cataract surgery. METHODS: A prospective, placebo controlled study of 150 patients with age-related cataract after undergoing phacoemulsification with intraocular lens implantation were postoperatively randomized to treatment with conventional therapy plus CMC 1% (study group, n = 75) or to conventional therapy plus 0.9% NaCl (control group, n = 75). Tear film breakup time (TBUT), schirmer test without anesthesia, lissamine green staining and ocular surface disease index (OSDI) scoring were done preoperatively (baseline) and postoperatively at 7 and 30 days. Results A significant increase in TBUT in the study group as compared to the control group on both day 7 and day 30 was seen (p<0.0001). The OSDI score on day 30 decreased in study group but increased in control group. Schirmer test showed an increase in both the groups on day 7. Day 30 recorded a significant increase in the study group and a decrease in the control group (p<0.0001). Conclusion The present study thus concludes that dry eye can develop immediately after phacoemulsification with a peak on day 7. However, use of 1% carboxymethylcellulose stabilizes the tear film and thus prevents development of dry eye.

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Section: Discussioncontrasting

confidence: 76%

Evaluation of the Role of 1% Carboxymethylcellulose After Phacoemulsification Among North Indian Population : A Prospective, Randomized, Placebo Controlled Study

Sharma

et al. 2019

IJMBS

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“…Dry eye following cataract surgery has been shown to have a high variability in its incidence, ranging from 9.8 to 96.6. 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 The incidence of dry eye among patients undergoing cataract surgery has been shown to be dependent on a host of factors including the type of procedure (SICS/phacoemulsification), type of ophthalmic solution used, intra- and postoperative medications, coexistent systemic disorders, operating microscope exposure time, CDE during phacoemulsification, and time since surgery. But none of them have been confirmed to be individually responsible for causing dry eye.…”

Section: Discussionmentioning

confidence: 99%

“…However, the majority of patients in our study were males (60.83%), in contrast to previous studies in which the majority of patients were females. 57 , 13 , 60 , 62 This is probably due to estrogen changes related with menopause which results in higher risk of age-related cataract among females as compared to males. 66 , 67 With respect to domicile and occupational profile of patients, most studies did not report on this aspect.…”

Section: Discussionmentioning

confidence: 99%

Dry Eye Disease after Cataract Surgery: Study of its Determinants and Risk Factors

Garg¹,

Gupta²,

Tandon³

et al. 2020

tjo

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Objectives: To study the incidence of dry eye and its determinants in patients undergoing cataract surgery. Materials and Methods: One hundred twenty patients with senile cataract underwent Schirmer’s test, tear break-up time (TBUT) test, lissamine green staining of the cornea and conjunctiva, and Ocular Surface Disease Index (OSDI) for evaluation of dry eye preoperatively and again at first and second follow-up examinations at 1 week and 1 month after cataract surgery. Results: Mean age of the patients was 59.25+9.77 years and 73 (60.8%) were men. None of the patients had dry eye at the time of enrollment as per the criteria of our study. Postoperatively, Schirmer’s test values ranged from 12-35 mm and 8-24 mm at first and second follow-ups, respectively. Mean TBUT was 13.16±2.45 and 9.64±2.20 seconds, while lissamine green staining score was 3 in 67 (55.8%) and 1 in 67 (55.8%) subjects at first and second follow-up, respectively. OSDI values ranged from 1-30 and 10-33 with a mean of 25.97±5.34 and 11.96±7.47 respectively at first and second follow-up. At first follow-up, 89.1% of the 56 patients who underwent phacoemulsification were found to have grade 2 dry eye (p<0.001), while 92.2% of the 64 patients who underwent small-incision cataract surgery (SICS) had grade 2 dry eye (p<0.001). At second follow-up, grade 0 dry eye was observed in 92.2% of the patients who underwent phacoemulsification and 82.1% of the patients who underwent SICS (p<0.001). Conclusion: The incidence of dry eye after cataract surgery was high and mostly independent of demographic and anthropometric profile, type of surgical procedure, time of microscope exposure, and amount of energy used. This dryness was transient in nature and showed a declining trend, tending to achieve normalization by the end of 1 month.

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“…Fakoemulsifikasi dengan tehnik pembuatan luka pada kornea merupakan salah satu tehnik operasi yang dapat merubah permukaan okular sehingga mengganggu fungsi normal air mata yang dapat berujung pada keluhan mata kering. (Gupta et al 2015) Gejala dan tanda mata kering dapat muncul segera setelah operasi dan memuncak pada 7 hari post operasi namun kemudian membaik seiring berjalannya waktu. (Gupta et Pada penelitian yang dilakukan oleh Yuwanda V (Yuwanda, Sitepu 2021) yang juga menggunakan kuesioner DEQ 5,menyatakan seiring berjalannya waktu keluhan mata kering semakin berkurang, hal ini terlihat dari 1 hari setelah operasi 25% responden mengalami keluhan mata kering, dan 7 hari setelah operasi 22,5% yang mengalami mata kering dan 1 bulan setelah operasi hanya 2,5% yang mengalami mata kering.…”

Section: Uji Fisherunclassified

Uji Klinis : Evaluasi Kejadian Mata Kering Setelah Operasi Fakoemulsifikasi Menggunakan Kuesioner Deq-5

Adiwardhani

Amalia²,

Prasetyaningsih³

et al. 2022

J. PENELITIAN DAN KARYA ILMIAH

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Mata kering (dry eye) dapat mengganggu penglihatan dan gangguan aktifitas sehari-hari. Kejadian mata kering pada usia >60 tahun adalah 26,2%. Pada usia >60 tahun juga akan terjadi perubahan pada lensa yang disebut katarak senilis, dengan presentase 96%. Tatalaksana untuk katarak senilis berupa operasi katarak, yang salah satunya dilakukan dengan metode fakoemulsifikasi. Operasi katarak yang dilakukan akan dapat menginduksi perubahan terutama dalam hal sensitivitas kornea, perubahan tersebut dapat memicu timbulnya mata kering.Tingginya kejadian mata kering pada lansia dan operasi katarak yang saat ini banyak digunakan adalah fakoemulsifikasi, maka peneliti tertarik melakukan penelitian untuk menilai pengaruh operasi fakoemulsifikasi terhadap kejadian mata kering. Tujuan: Menilai faktor yang mempengaruhi kejadian mata kering paska operasi fakoemulsifikasi dan menganalisa hubungan kejadian mata kering setelah operasi fakoemulsifikasi. Manfaat penelitian untuk meningkatkan derajat kesehatan mata pada lansia. Metode: Eksperimental, dengan populasi pasien penderita katarak yang melaksanakan operasi fakoemulsifikasi. Tehnik sampling dengan konsekutif non random sampling. Kriteria eksklusi tidak menggunakan tetes pelembab sebelum operasi fakoemulsifikasi dan tidak menderita penyakit kronis. Hasil: Karakteristik dan faktor resiko berupa : Jenis kelamin perempuan (52,9%), Umur <65 tahun (60,6%), Tidak memiliki Riwayat Diabetes Melitus (86,5 %), Tidak merokok (76%), Tidak memiliki Diabetes Melitus (89,4%), Tidak dry eye pre operasi (61,5%), Tidak dry eye post operasi (82,7%). Simpulan: Tidak ada karakteristik maupun faktor risiko yang berhubungan dengan kejadian mata kering post operasi fakoemulsifikasi. Hubungan yang signifikan terjadi antara kejadian dry eye pre operasi dan post operasi pahkoemulsifikasi dengan p=0,03.

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Comparative study of dry eye after Phacoemulsification in senile cataract

Cited by 7 publications

References 13 publications

Evaluation of the Role of 1% Carboxymethylcellulose After Phacoemulsification Among North Indian Population : A Prospective, Randomized, Placebo Controlled Study

Evaluation of the Role of 1% Carboxymethylcellulose After Phacoemulsification Among North Indian Population : A Prospective, Randomized, Placebo Controlled Study

Dry Eye Disease after Cataract Surgery: Study of its Determinants and Risk Factors

Uji Klinis : Evaluasi Kejadian Mata Kering Setelah Operasi Fakoemulsifikasi Menggunakan Kuesioner Deq-5

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