Changes In Ocular Surface Status After Phacoemulsification Cataract Surgery
Published 2023 - 41st Congress of the ESCRS
Reference: PO0812 | DOI: 10.82333/4s10-wv61
Authors: Vedran Nemet* 1 , Suzana Matić 1 , Ivana Strunje 1 , Marija Jelić-Vuković 1 , Josip Barać 1 , Dubravka Biuk 1
1Department of Ophthalmology,Osijek University Hospital Centre,Osijek,Croatia;Faculty of Medicine Osijek,Osijek,Croatia
The aim of the study was to compare subjective symptoms of ocular surface disease and the results of objective tests such as Shirmer's test and Tear break up time test (TBUT) before and after phacoemulsification cataract surgery in patients without previous ocular surface disease.
This prospective cohort study included 60 patients of both gender who underwent phacoemulsification cataract surgery. Exclusion criteria were pre-existing ocular surface disease, pevious refractive surgery or any other ocular surgery and diabetic patients.
To evaluate subjective symptoms, all patients completed Ocular surface disease index questionnaire immediately before the surgery, one week and one month after the surgery. Objective tests such as TBUT and Schirmer's test were done immediately before the surgery, one week and one month after the surgery. The differences between the results of Ocular surface disease index questionnaire, Schirmers test and TBUT before and after the cataract surgery were observed. Numerical values of Ocular surface disease index, Schirmer's test and Tear break up time test are presented as median and interquartile range (IQR).
The preoperative median values for OSDI questionnaire, Schirmer's test, and TBUT were 8.75 (IQR 5.0 to 10.0), 12 (IQR 11 to 14) millimeters, and 11 (IQR 10 to 12) seconds, respectively. One week postoperative median values for OSDI questionnaire, Scirmer's test, and TBUT were 13,75 (IQR 10 to 35), 10 (IQR 7-12) millimeters, and 10 (7 to 11) seconds, respectively. One month postoperative median values for OSDI questionnaire, Scirmer's test, and TBUT were 12,50 (IQR 10 to 20), 10 (IQR 7-11) millimeters, and 10 (8 to 11) seconds, respectively. One week and one month postoperative values of both test and OSDI score were statistically significant worse compared to preoprative values (Wilcoxon test, p<0,001).
Phacoemulsification surgery can trigger dry eye disease even in patients without prior ocular surface disease. This dry eye disease is usually mild and temporary.