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Changes of tear film and tear secretion after phacoemulsification and manual small incision cataract surgery (SICS)

Poster Details

First Author: M.Saif EGYPT

Co Author(s):    M. Ahmed   G. El Motaay   M. Saif   S. Mohammed           

Abstract Details


Evaluation of tear film stability and tear secretion after phacoemulsification and manual small incision cataract surgery.


Prospective comparative randomized clinical study, Beni Suef University hospital and Fayed general hospital, Egypt


40 patients included in this study divided into : Group A: 20 eyes with phacoemulsification . Group B: 20 eyes with manual small incision cataract surgery (SICS). All patients had full ophthalmic examination including Tear film break-up time, schirmer test, corneal fluorescein staining and dry eye symptoms recorded pre- and post- operatively. All patients were done by the same surgeon randomly selected standard coaxial phacoemulsification or SICS


The mean age in group A 55.8 ± 15.8 while 60.65 ± 9.2. Most of patients in group B were females (90%) versus 45% in group A with statistically significant difference (p-value < 0.05). grade of dry eye symptoms (DES) has significantly increased 1 week after each procedure and remained increased after 4 weeks of surgery. After 3 months, the grade of DES has decreased again and returned to near baseline data. There was no statistically significant difference between both groups regarding tear film break-up time , cornea fluorescein staining, and Schirmer test


The present study has shown that manual small incision cataract surgery is as effective as phacoemulsification with no difference between both techniques as regarding effect on tear film stability and tear secretion.

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