Incidence of dry eye in post-operative cataract patient

Objective: To estimate the incidence of dry eye in post-operative patient undergoing cataract surgery. Materials and Methods: Schirmer’s test, tear break-up time (TBUT) test, and lissamine green staining of the cornea and conjunctiva for the evaluation of dry eye preoperatively and again at first an...

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Main Authors: Alka Ravi, Uma Shankar Singh, Archana Kumari, Pummy Roy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Kerala Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/kjo.kjo_135_22
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author Alka Ravi
Uma Shankar Singh
Archana Kumari
Pummy Roy
author_facet Alka Ravi
Uma Shankar Singh
Archana Kumari
Pummy Roy
author_sort Alka Ravi
collection DOAJ
description Objective: To estimate the incidence of dry eye in post-operative patient undergoing cataract surgery. Materials and Methods: Schirmer’s test, tear break-up time (TBUT) test, and lissamine green staining of the cornea and conjunctiva for the evaluation of dry eye preoperatively and again at first and second follow-up examinations at 1 week and 1 month after cataract surgery were performed on 100 patients with senile cataract. Results: The patients were 61.25 years old on average, and 71 (71%) of them were men. According to the requirements of our study, none of the patients experienced dry eyes at the time of participation. Schirmer’s test results during the first and second follow-ups, respectively, varied from 12-35 mm and 8-24 mm postoperatively. At the first and second follow-ups, the mean TBUT was 13.12 ± 2.44 and 9.61 ± 2.22 seconds, respectively, whereas the lissamine green staining score was 3 in 66 (66%) and 1 in 62 (62%) patients, respectively. At the initial follow-up, grade 2 dry eye was discovered in 89% of the 56 patients who received phacoemulsification (p 0.001) and in 92% of the 66 patients who underwent small-incision cataract surgery (SICS) (p 0.001). At the second follow-up, 83% of patients who had SICS and 93% of those who had phacoemulsification had grade 0 dry eyes, respectively (p 0.001). Conclusion: The incidence of dry eye following cataract surgery was significant and largely unrelated to demographic and anthropometric characteristics, surgical technique, length of microscope exposure, and energy input. This dryness was only temporary in character and exhibited a downward trend, with a tendency to return to normal by the end of 1 month.
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spelling doaj-art-90fe070870654bfcbc2e7dd25e3f96dd2025-01-07T07:34:36ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772024-12-0136323724210.4103/kjo.kjo_135_22Incidence of dry eye in post-operative cataract patientAlka RaviUma Shankar SinghArchana KumariPummy RoyObjective: To estimate the incidence of dry eye in post-operative patient undergoing cataract surgery. Materials and Methods: Schirmer’s test, tear break-up time (TBUT) test, and lissamine green staining of the cornea and conjunctiva for the evaluation of dry eye preoperatively and again at first and second follow-up examinations at 1 week and 1 month after cataract surgery were performed on 100 patients with senile cataract. Results: The patients were 61.25 years old on average, and 71 (71%) of them were men. According to the requirements of our study, none of the patients experienced dry eyes at the time of participation. Schirmer’s test results during the first and second follow-ups, respectively, varied from 12-35 mm and 8-24 mm postoperatively. At the first and second follow-ups, the mean TBUT was 13.12 ± 2.44 and 9.61 ± 2.22 seconds, respectively, whereas the lissamine green staining score was 3 in 66 (66%) and 1 in 62 (62%) patients, respectively. At the initial follow-up, grade 2 dry eye was discovered in 89% of the 56 patients who received phacoemulsification (p 0.001) and in 92% of the 66 patients who underwent small-incision cataract surgery (SICS) (p 0.001). At the second follow-up, 83% of patients who had SICS and 93% of those who had phacoemulsification had grade 0 dry eyes, respectively (p 0.001). Conclusion: The incidence of dry eye following cataract surgery was significant and largely unrelated to demographic and anthropometric characteristics, surgical technique, length of microscope exposure, and energy input. This dryness was only temporary in character and exhibited a downward trend, with a tendency to return to normal by the end of 1 month.https://journals.lww.com/10.4103/kjo.kjo_135_22cataractdry eye diseasephacoemulsificationschirmer’s testtear break-up time (tbut) test
spellingShingle Alka Ravi
Uma Shankar Singh
Archana Kumari
Pummy Roy
Incidence of dry eye in post-operative cataract patient
Kerala Journal of Ophthalmology
cataract
dry eye disease
phacoemulsification
schirmer’s test
tear break-up time (tbut) test
title Incidence of dry eye in post-operative cataract patient
title_full Incidence of dry eye in post-operative cataract patient
title_fullStr Incidence of dry eye in post-operative cataract patient
title_full_unstemmed Incidence of dry eye in post-operative cataract patient
title_short Incidence of dry eye in post-operative cataract patient
title_sort incidence of dry eye in post operative cataract patient
topic cataract
dry eye disease
phacoemulsification
schirmer’s test
tear break-up time (tbut) test
url https://journals.lww.com/10.4103/kjo.kjo_135_22
work_keys_str_mv AT alkaravi incidenceofdryeyeinpostoperativecataractpatient
AT umashankarsingh incidenceofdryeyeinpostoperativecataractpatient
AT archanakumari incidenceofdryeyeinpostoperativecataractpatient
AT pummyroy incidenceofdryeyeinpostoperativecataractpatient