A comparative study of the efficacy and safety of Phacoemulsifacation in white mature and other types of senile cataracts

Meena, Ravindra Kumar; Chouhan, J K; Sharma, Pankaj; Meena, Ashok Kumar; Sharma, Devesh

doi:10.17511/ijmrr.2015.i3.053

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“…Cataract surgery by phacoemulsification is one of the commonest surgical procedure that is performed in the field of ophthalmology. It has been found associated with many complications including corneal edema 18 , increased intraocular pressure that may lead to glaucoma 19 , incomplete recovery of visual acuity 19 , intraocular lens drop 20 and dry eye disease 21 . "Dry eye disease" occurs secondary to changes in the "ocular surface" and the "tear film" that are induced by the cataract surgery by phacoemulsification.…”

Section: Discussionmentioning

confidence: 99%

Changes in Tear Film and Ocular Surface after Phacoemulsification for Senile Cataract

Anwar¹,

Chaudhry²,

Ahmed³

et al. 2022

PJMHS

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Objective: To determine the changes in “ocular surface” and “tear film” of patients who underwent phacoemulsification for senile cataract at Federal Government Polyclinic Hospital, Islamabad. Methodology: This study was conducted from 1-10-2022 to 31-12-2022. 66patients with senile cataract were selected for this study. After taking consent baseline features including age, gender, duration of cataract, was recorded were documented on the proforma. Preoperative and post-operative OSDI, TBUT, TMH and CFS at 1 and 4 weeks to assess changes in “ocular surface” and “tear film” were recorded. Data was analyzed by SPSS 21. Results: A total of 66eyes of 66 patients were made part of the study having a mean age of 65.32 ± 4.45 years. 77.3% of study participants were male while 22.7% were females. OSDI, TBUT, TMH and CFS were significantly effected (p-values of 0.000, 0.003, 0.000 and 0.000, respectively). No statistically significant difference was found in these parameters between male and female patients (p > 0.05). Overall frequency of patients who had OSDI ≥ 33, TBUT ≤ 10 seconds and TMH ≤ 0.3mm was 22% each while CFS was present in 19.7% of the patients. Conclusion: Phacoemulsification of senile cataract significantly effects the tear film and ocular surface, however, the change is a transient one. Key Words: Phacoemulsification, TBUT, Senile Cataract, CFS, OSDI.

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