Indian Journal of Clinical and Experimental Ophthalmology

Cross sectional study to evaluate the prevalence of changes in tear film and tear secretion after small incisional cataract surgery

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Author Details: Thokchom Arun,Kamson Anthony*

Volume : 5

Issue : 1

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 52

Article End Page : 57


Aims and Objectives: To clinically evaluate the prevalence of dry eyes after manual small incision cataract surgery based on signs and symptoms and, quantifying them using various test methods.
Materials and Methods: Follow up of 150 patients who had undergone SICS was done at regular interval starting at 1st week post-operative and continued up to 3rd months. Evaluation is done by performing Schirmer’s test – I, TFBUT, Rose Bengal test followed by noting the symptoms which were relevant to the dry eyes. The observations were analyzed and graded according to the severity of dryness.
Results: Most of the patients had mild to moderate dry eye with male domination the female. Severe to very severe dry eyes was seen at 6th post-operative week, mild to moderate dryness of eyes was seen at 2nd & 3rd. weeks.
Conclusion: Dryness of eyes is usually seen after small incision cataract surgery and majority being mild to moderate dryness of eyes. Worsening or aggravation of dryness occurred in 6th week’s post-operative interval. Post-operative management of cataract surgery should also include medication to deal with altered ocular surface tears film.

Keywords: Cataract, Dry eye, Small incision cataract surgery, Schirmer’s test, Sclero corneal tunnel.

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