Dry Eye Changes after Phacoemulsification and Manual Small Incision Cataract Surgery (MSICS)
Journal Title: International Journal of Ophthalmology & Eye Science (IJOES) - Year 2016, Vol 4, Issue 2
Abstract
Purpose: Evaluation of tear film stability and tear secretion after phacoemulsification and manual small incision cataract surgery (MSICS). Design: Prospective comparative randomized clinical study. Subject and methods: 40 Patients included in this study divided into, Group A: 20 eyes with phacoemulsification. Group B: 20 eyes with MSICS. All patients had full ophthalmic examination including Tear film break-up time (TF-BUT), schirmer test, corneal fluorescein staining and dry eye symptoms recorded pre- and post- operatively. All patients were done by the same surgeon randomly selected standard coaxial phacoemulsification or MSICS. Results: The mean age in group A 55.8 ± 15.8 while, 60.65 ± 9.2 in group B. Most of patients in group B were females (90%) versus 45% in group A with statistically significant difference (p-value < 0.05). Grade of dry eye symptoms (DES) has significantly increased 1 week after each procedure and remained increased after 4 weeks of surgery. After 3 months, the grade of DES has decreased again and returned to near baseline data. There was no statistically significant difference between both groups regarding TF-BUT, Cornea fluorescein staining, and Schirmer test. Conclusion: The present study has shown that MSICS is as effective as phacoemulsification with no difference between both techniques as regarding effect on tear film stability and tear secretion.
Authors and Affiliations
Mohamed Yasser Sayed Saif
Keywords
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- EP ID EP199878
- DOI 10.19070/2332-290X-1600038
- Views 81
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