The course of dry eye after phacoemulsification surgery

BMC Ophthalmology

Research Article

Emine Mestan¹  Yasemin Fatma Cetinkaya²  Zeynep Dadaci³  Nursen Oncel Acir³  Halil Ibrahim Yener⁴  Servet Cetinkaya⁵ 

[1] Department of Neurology, Dumlupinar University, Faculty of Medicine, Kutahya, Turkey;Department of Ophthalmology, Ataturk Training and Research Hospital, Ankara, Turkey;Department of Ophthalmology, Faculty of Medicine, Mevlana University, Konya, Turkey;Konya Eye Centre Hospital, Konya, Turkey;Ophthalmology Clinics, Turkish Red Crescent Hospital, Konya, Turkey;Turkish Red Crescent Hospital (Kizilay Hastanesi), Ophthalmology Clinics, Sukran Mah. Taskapu Medrese Sok. No:15, Meram, 42200, Konya, Turkey;

关键词: Phacoemulsification;    Dry eye;    Break-up Time;    Schirmer;   

DOI  :  10.1186/s12886-015-0058-3

 received in 2015-01-29, accepted in 2015-06-16,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThe aim of this retrospective study was to evaluate the course of dry eye syndrome after phacoemulsification surgery.MethodsOne hundred and ninety-two eyes of 96 patients (30 males, 66 females) with chronic dry eye syndrome and cataract, who had undergone phacoemulsification surgery were enrolled in this study.ResultsTheir mean age was 68.46 ± 8.14 standard deviation (SD) (range 56–83) years . Thirty of them (31 %) were males and 66 (69 %) were females. Ocular Surface Disease Index (OSDI) questionnaire scores increased postoperatively, but arrived preoperative levels at the end of 3rd month following the surgery. Fluorescein staining patterns according to Oxford Schema got worse postoperatively, however after postoperative 3rd month they got better and resembled preoperative patterns. The mean postoperative 1st day, 1st week and 1st month Break-up Time (BUT) values were significantly lower than preoperative BUT value (P < 0.001, P < 0.001, P < 0.001), however 3rd month, 6th month, 1st year and 2nd year values were not significantly different from preoperative value (P = 0.441, P = 0.078, P = 0.145, P = 0.125). The mean postoperative 1st day, 1st week and 1st month Schirmer Test 1 (ST1) values were significantly lower than preoperative ST1 value (P < 0.001, P < 0.001, P < 0.001), however 3rd month, 6th month, 1st year and 2nd year values were not significantly different from preoperative value (P = 0.748, P = 0.439, P = 0.091, P = 0.214).ConclusionPhacoemulsification surgery may aggravate the signs and symptoms of dry eye and affect dry eye test values in chronic dry eye patients in short-term. However, in long-term, signs and symptoms of dry eye decrease and dry eye test values return to preoperative values.

【 授权许可】

CC BY   
© Cetinkaya et al. 2015