A clinical study to evaluate incidence of dry eye following cataract surgery Khadke Abhinav1, Khan Mansur Ali2,*, Moulick P S3, Gupta Sandeep4, Shankar Sandeep5 1Resident, Dept. of Ophthalmology, Armed Forces Medical College, Pune 2Professor and HOD, Dept. of Ophthalmology, Command Hospital Air Force, Bangalore 3Professor and HOD, Dept. of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra 4Associate Professor, Dept. of Ophthalmology, Command Hospital, Kolkata, West Bengal 5Associate Professor, Dept. of Ophthalmology, Armed Forces Medical College, Pune, Maharashtra, India *Corresponding Author: Email: mansurophthal@gmail.com
Online published on 24 September, 2018. Abstract Introduction Post cataract surgery dry eye in the susceptible population can adversely impact visual outcome and overall patient comfort. There are varying reports on the incidence of post cataract surgery dry eye depending on patient population and surgical technique. This study has evaluated the incidence and factors causing dry eye following phacoemulsification, small incisional cataract surgery (SICS) and conventional extracapsular cataract surgery (ECCE) Materials and Methods Patients with cataract in the age group of 40 to 80 years with normal ocular surface and schirmers test at baseline were followed up after cataract surgery with schirmers recording at 1 month and 3 months. Pre and post-surgery schirmers values were compared for estimation of dry eyes Results A total 390 patients underwent cataract surgery with an overall post surgery residual dry eye incidence of 22.1% (95% CI 17.94 to 26.17) at the end of 3 months follow up. Of these 31% had mild, 67% had moderate and 2% had severe dry eye. A higher incidence was seen in SICS as compared to phacoemulsification. A statistically significant association was noted between dry eye and diminution of vision (p = 0.001). Top Keywords Dry eye, Extra capsular, Phacoemulsification, Small incision, Schirmers test. Top |