Posters

Ocular discomfort after cataract surgery in patients with meibomian dysfunction

Poster Details

First Author: I.Er-Rachiq MOROCCO

Co Author(s): I. Elboukhani   R. Boubsir   A. Mchachi   L. Benhmidoune   R. Rachid   M. Elbelhadji     

Abstract Details

Purpose:

Cataract surgery is the most common surgical procedure in the world. Despite a good functional outcome for the majority of patients, eye irritation symptoms associated with lachrymal instability are frequently reported after surgery. Meibomus gland dysfunction is the leading cause of dry syndrome, but few studies have investigated the impact of meibomous gland dysfunction on eye surgery and vice versa. The purpose of the work is to evaluate the influence of cataract surgery on meibomian dysfunction and the ocular surface

Setting:

Adult ophthalmology department 20 August Hospital Chu Ibn Rochd Casablanca Morocco

Methods:

This is a prospective study conducted within our ophthalmology department, spread over a period of 6 months from October 2018 to March 2019, patients with meibomian dysfunction, operated for cataract. All evaluations were performed three times: during the initial preoperative assessment, at 1 month and at least 3 months after cataract surgery as part of the usual follow-up of each patient.

Results:

Our study focused on 32 patients.The evaluation of functional symptomatology based on the OSDI score was significantly reduced at 3 months postoperatively. AIM was significantly reduced at 1 and 3 months postoperatively compared to baseline. The Oxford score was significantly increased at 1 month postoperatively compared with baseline values (0.7 ± 0.6 vs. 0.4 ± 0.4).The meibopression test worsened at 1 month and 3 months postoperatively. Several strong associations were demonstrated between the OSDI score and the BUT as well as the OSDI score and the oxford score,but no correlation was demonstrated between the OSDI score and the meibopression test.

Conclusions:

The signs of dry eye are frequent complaints reported by patients after cataract surgery. Evaluation and management of meibomian dysfunction, pre- and postoperative, would prevent ocular surface damage.

Financial Disclosure:

None