13.Post Cataract Surgery Incidence of Dry Eye Disease: An Experience from a Tertiary Care Hospital of South Punjab
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Nadia Nazir, Zulfiqar Ali and Soufia Farrukh |
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ABSTRACT
Objective: To find out the incidence of dry eye among patients who underwent cataract surgery.
Study Design: Prospective observational study.
Place and Duration of Study: This study was conducted at the Department of Ophthalmology, Bahawal Victoria Hospital, Bahawalpur for a period of six months from January 2020 to June 2020.
Materials and Methods: A total of 136 patients, having visually significant cataract and listed for cataract surgery, aged 40-80 years, were enrolled for this study. Ocular examination including “slit lamp examination” was done among all enrolled patients for ruling out any possible ocular surface disorders. Dry eye was labeled with “Schirmer’s strip” test after 5 minutes the filter paper is removed and the amount of wetting from the fold measured. Less than 10 mm of wetting after 5 minutes without anesthesia and less than 6 mm with anesthesia is considered abnormal. Gender, age, area of residence, and type of surgery was noted for all patients. All patients data was analyzed at 1-month and 3-months follow-up.
Results: Out of a total of 136 patients, 74 (54.5%) were male and 62 (45.6%) were female. Majority of the patients, 118 (86.8%) aged above 50 years. There were 85 (62.5%) patients who belonged to rural areas. Phacoemulsification was the commonest type of surgery performed in 124 (91.2%) patients. There were 24 (17.6%) patients who reported dry eyes at 1-month follow up while at the end of 3-months period, 26 (19.1%) were having dry eye disease. No significant difference was noted in characteristics of patients with regards to presence of dry eye disease (P>0.05).
Conclusion: Incidence of dry eye following cataract surgery was high. Characteristics of the patients or the types of cataract surgery did not seem to influence occurrence of dry eye. Further studies adopting prospective designs with long follow ups involving patients undergoing cataract surgery are needed to further enlighten us regarding different aspects of commonly occurring complications like dry eye.
Key Words: Cataract, dry eye, schirmer test, phacoemulcification, SICS (small incision cataract surgery).
Citation of article: Nazir N, Ali Z, Farrukh S. Post Cataract Surgery Incidence of Dry Eye Disease: An Experience from a Tertiary Care Hospital of South Punjab. Med Forum 2021;32(1):51-54.