Research Article
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Year 2016, Volume: 2 Issue: 3, 195 - 199, 04.11.2016
https://doi.org/10.18621/eurj.2016.5000186858

Abstract

References

  • Li XM, Hu L, Hu J, Wang W. Investigation of dry eye disease and analysis of pathogenic factors in patients after cataract surgery. Cornea 2007;26(9 Suppl 1):S16-20.
  • Khanal S, Tomlinson A, Esakowitz L, Bhatt P, Jones D, Nabili S, et al. Changes in corneal sensitivity and tear physiology after phacoemulsification. Ophthalmic Physiol Opt 2008;28:127-34.
  • Walker TD. Benzalkonium toxicity. Clin Experiment Ophthalmol 2004;32:657.
  • Cho YK, Kim MS. Dry eye after cataract surgery and associated intraoperative risk factors. Korean J Ophthalmol 2009;23:65-73.
  • Kohlhaas M. Corneal sensation after cataract and refractive surgery. J Cataract Refract Surg 1998;24:1399-409.
  • Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Arch Ophthalmol 2000;118:1264-8.
  • Schiffman RM, Christianson MD, Jacobsen G, Hirsch JD, Reis BL. Reliability and validity of the Ocular Surface Disease Index. Arch Ophthalmol 2000;118:615-21.
  • Lyne A. Corneal sensitivity after surgery. Trans Ophthalmol Soc U K 1982;102 (pt 2):302-5.
  • Sitompul R, Sancoyo GS, Hutauruk JA, Gondhowiardjo TD. Sensitivity change in cornea and tear layer due to incision difference on cataract surgery with either manual small-incision cataract surgery or phacoemulsification. Cornea 2008;27:13-8.
  • Oh T, Jung Y, Chang D, Kim J, Kim H. Changes in the tear film and ocular surface after cataract surgery. Jpn J Ophthalmol 2012;56:113-8.
  • Ram J, Gupta A, Brar G, Kaushik S, Gupta A. Outcomes of phacoemulsification in patients with dry eye. J Cataract Refract Surg 2002;28:1386-9.
  • Micheal R, Wegener A. Estimation of safe exposure time from an ophthalmic operating microscope with regard to ultraviolet radiation and blue-light hazards to the eye. J Opt Soc Am A Opt Image Sci Vis 2004;21:1388-92.

Evaluation of dry eye-associated symptoms and signs after microincision cataract surgery

Year 2016, Volume: 2 Issue: 3, 195 - 199, 04.11.2016
https://doi.org/10.18621/eurj.2016.5000186858

Abstract

Objectives. To evaluate the effects of microincision cataract surgery on dry eye-associated symptoms and signs. Methods. This prospective study included 40 eyes of 32 patients. Microincision cataract surgery was performed to eyes through 2.2 mm superior clear corneal incision. Dry eye-associated symptom scoring, corneal sensitivity test, Schirmer 1 test, tear break-up time (tBUT) were measured at 3 days before and 3 days, 10 days, 1 month, 3 months after surgery. ‘One way ANOVA for repeated measures’, and Pearson correlation tests were used for statistical analysis. Results. The postoperative symptom scores were significantly different from preoperative value at all consecutive examinations (p<0.01). The decrease in superior corneal sensitivity was significant at 3 and 10 days (p<0.001), and recovery to preoperative level had occured at 1 month. The decrease in tBUT was significant up to 1 month (p=0.007 for 3 days, p=0.008 for 10 days, and p=0.018 for 1 month). The difference in Schirmer 1 test between pre- and postoperative each visit was not significant (p=0.32, p=0.12, p=0.092 and p=0.088; respectively). Symptom score was highly correlated with operative time (r=0.72, p<0.01), and there was an inverse correlation between operative time and postoperative mean tBUT values (r=-0.52, p<0.01). Conclusions. Despite microincision cataract surgery, an aggravation of dry-eye associated symptoms, and temporary dry eye-associated signs might develop. Operative time and exposure to operating microscope light seem to an important factor on symptoms and tear film stability.

References

  • Li XM, Hu L, Hu J, Wang W. Investigation of dry eye disease and analysis of pathogenic factors in patients after cataract surgery. Cornea 2007;26(9 Suppl 1):S16-20.
  • Khanal S, Tomlinson A, Esakowitz L, Bhatt P, Jones D, Nabili S, et al. Changes in corneal sensitivity and tear physiology after phacoemulsification. Ophthalmic Physiol Opt 2008;28:127-34.
  • Walker TD. Benzalkonium toxicity. Clin Experiment Ophthalmol 2004;32:657.
  • Cho YK, Kim MS. Dry eye after cataract surgery and associated intraoperative risk factors. Korean J Ophthalmol 2009;23:65-73.
  • Kohlhaas M. Corneal sensation after cataract and refractive surgery. J Cataract Refract Surg 1998;24:1399-409.
  • Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Arch Ophthalmol 2000;118:1264-8.
  • Schiffman RM, Christianson MD, Jacobsen G, Hirsch JD, Reis BL. Reliability and validity of the Ocular Surface Disease Index. Arch Ophthalmol 2000;118:615-21.
  • Lyne A. Corneal sensitivity after surgery. Trans Ophthalmol Soc U K 1982;102 (pt 2):302-5.
  • Sitompul R, Sancoyo GS, Hutauruk JA, Gondhowiardjo TD. Sensitivity change in cornea and tear layer due to incision difference on cataract surgery with either manual small-incision cataract surgery or phacoemulsification. Cornea 2008;27:13-8.
  • Oh T, Jung Y, Chang D, Kim J, Kim H. Changes in the tear film and ocular surface after cataract surgery. Jpn J Ophthalmol 2012;56:113-8.
  • Ram J, Gupta A, Brar G, Kaushik S, Gupta A. Outcomes of phacoemulsification in patients with dry eye. J Cataract Refract Surg 2002;28:1386-9.
  • Micheal R, Wegener A. Estimation of safe exposure time from an ophthalmic operating microscope with regard to ultraviolet radiation and blue-light hazards to the eye. J Opt Soc Am A Opt Image Sci Vis 2004;21:1388-92.
There are 12 citations in total.

Details

Primary Language English
Subjects Ophthalmology
Journal Section Original Articles
Authors

Pelin Ozyol

Erhan Ozyol

Publication Date November 4, 2016
Submission Date April 24, 2016
Acceptance Date April 28, 2016
Published in Issue Year 2016 Volume: 2 Issue: 3

Cite

AMA Ozyol P, Ozyol E. Evaluation of dry eye-associated symptoms and signs after microincision cataract surgery. Eur Res J. November 2016;2(3):195-199. doi:10.18621/eurj.2016.5000186858

e-ISSN: 2149-3189 


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