The course of dry eye after phacoemulsification surgery

Abstract

BackgroundThe aim of this retrospective study was to evaluate the course of dry eye syndrome after phacoemulsification surgery.MethodsOne hundred and ninety-two eyes of 96 patients (30 males, 66 females) with chronic dry eye syndrome and cataract, who had undergone phacoemulsification surgery were enrolled in this study.ResultsTheir mean age was 68.46 ± 8.14 standard deviation (SD) (range 56–83) years . Thirty of them (31 %) were males and 66 (69 %) were females. Ocular Surface Disease Index (OSDI) questionnaire scores increased postoperatively, but arrived preoperative levels at the end of 3rd month following the surgery. Fluorescein staining patterns according to Oxford Schema got worse postoperatively, however after postoperative 3rd month they got better and resembled preoperative patterns. The mean postoperative 1st day, 1st week and 1st month Break-up Time (BUT) values were significantly lower than preoperative BUT value (P < 0.001, P < 0.001, P < 0.001), however 3rd month, 6th month, 1st year and 2nd year values were not significantly different from preoperative value (P = 0.441, P = 0.078, P = 0.145, P = 0.125). The mean postoperative 1st day, 1st week and 1st month Schirmer Test 1 (ST1) values were significantly lower than preoperative ST1 value (P < 0.001, P < 0.001, P < 0.001), however 3rd month, 6th month, 1st year and 2nd year values were not significantly different from preoperative value (P = 0.748, P = 0.439, P = 0.091, P = 0.214).ConclusionPhacoemulsification surgery may aggravate the signs and symptoms of dry eye and affect dry eye test values in chronic dry eye patients in short-term. However, in long-term, signs and symptoms of dry eye decrease and dry eye test values return to preoperative values.Electronic supplementary materialThe online version of this article (doi:10.1186/s12886-015-0058-3) contains supplementary material, which is available to authorized users.

Survey of Ehlers‒Danlos Patients’ ophthalmic surgery experiences

“…Phacoemulsification surgery may aggravate the signs and symptoms of dry eye and affect dry eye test values in chronic dry eye patients in short term. However, in the long term, signs and symptoms of dry eye decrease and dry eye test values return to preoperative values (Cetinkaya et al, ). It may be that this complaint should not be considered a complication.…”

The influence of phacoemulsification on various corneal layers in patients with pseudoexfoliation syndrome assessed with confocal in vivo microscopy

“…ФЭ, как и многие оперативные вмешатель-ства, связанные с травмой роговицы и дли-тельной послеоперационной противовоспали-тельной терапией, дестабилизирует слёзную плёнку, что может приводить к появлению или усугублению проявлений синдрома сухого глаза [5,6,18].…”

“…Полученные данные показали зна-чительное снижение слезопродукции и времени разрыва слёзной плёнки, увеличение выражен-ности складок конъюнктивы, усиление прокра-шивания конъюнктивы витальными красителями и субъективных жалоб пациентов [2]. Эти явле-ния также могут усугубляться после ФЭ [5,6,18], что стало причиной досконального изучения морфологических изменений эпителия роговицы в послеоперационном периоде по данным конфо-кальной микроскопии in vivo.…”

A clinical study to evaluate incidence of dry eye following cataract surgery

“…This contrasts with other studies which have reported a higher prevalence of the dry eye in females than in males in the general population. 14,15 An association of dry eyes with postmenopausal females is well known. The results in our study may have been influenced by a larger number of males undergoing SICS as compared to females.…”