Posters

Incidence of dry eye after temporal limbal micro incisional cataract surgery (MICS)

Poster Details

First Author: S.Sarkar INDIA

Co Author(s):    S. Kaliaperumal   A. Deb   N. Bardoloi              

Abstract Details

Purpose:

To determine the incidence of dry eye in patients undergoing temporal limbal phacoemulsification

Setting:

Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India

Methods:

Single-center, prospective, non-randomized study involving 89 eyes without a preoperative dry eye, who underwent temporal limbal phacoemulsification for age-related cataract. The main outcome measures were subjective grading of ocular discomfort, ocular surface disease index (OSDI), fluorescein tear break-up time (FTBUT), and Schirmer tests without anesthesia. They were measured before surgery and day1, day7, day30 and day90 after surgery.

Results:

Preoperative FTBUT (14.01 ± 0.35seconds) decreased at 1 week (5.27 ± 0.21 seconds; p<0.001) and at 1 month (7.82 ± 0.32 seconds; p<0.001) after the surgery and gradually improved by 3 months (9.26 ± 0.54 seconds; p<0.001) after surgery. Preoperative Schirmer test without anesthesia (18.78 ± 1.17 mm) decreased at 1 week (13.02 ± 1.52 mm; p<0.001) and subsequently recovered by 3 months (16.21 ± 1.24 mm; p>0.05). Preoperative Schirmer test with anesthesia (14.24 ± 0.64mm) decreased at 1 week (10.98 ± 1.00 mm;) after surgery and went back to baseline levels by 3 months (13.80 ± 1.03 mm;).

Conclusions:

Temporary reduction in physiologic tear levels seen 1-week post-surgery gradually returned to near-normal baseline levels by the 3rd postoperative month. So we recommend proper evaluation of dry eye syndrome before and after phacoemulsification to improve the quality of life of the patient.

Financial Disclosure:

None