DRY EYE SEVERITY IN PATIENTS UNDERGOING CATARACT SURGERY WITH M-SICS VS PHACOEMULSIFICATION
Published 2024 - 28th ESCRS Winter Meeting
Reference: P023 | Type: Submission | DOI: 10.82333/bkk9-7z80
Authors: Leticia Flores Ortiz* 1 , Erick Rosas Lezama 1 , Claudia Palacio Pastrana 1 , Yareni Irais Martinez Montoya 1 , Rodrigo Isaac Lozano Garza 2
1cataract,ophthalmology clinic " Sala Uno",Mexico city,Mexico, 2Ophthalmology,Hospital Angeles Universidad,Mexico city,Mexico
Purpose
To determine the degree of dry eye in cataract patients operated using manual small incision cataract surgery (M-SICS) versus those treated by phacoemulsification.
Setting
Sala uno Ophthalmology Clinic, Cataract and refractive surgery department, Mexico City, Mexico.
Methods
In this observational, analytical, cross-sectional, and prospective study, 44 eyes of 39 patients were analyzed. They were divided into two groups based on the surgical technique: the M-SICS group and the phacoemulsification group. We assessed tear meniscus height, redness, corneal staining, tear breakup time, and the OSDI test using the Keratograph device both preoperatively and one month postoperatively.
Results
Of the 44 eyes analyzed, 27 (61%) were male, and 17 (39%) were female, with an average age of 68 years. Preoperatively, 36% of the patients had dry eye. The preoperative non-invasive tear breakup time (NIK-BUT) was 7.12 seconds, and postoperatively, it was 5.42 ± 1.56 seconds for the M-SICS group and 6.42 ± 1.26 and 5.21 ± 1.22 seconds pre and postoperatively, respectively, for the phacoemulsification group. One month after surgery, patients exhibited a mild degree of dry eye according to the OSDI test, with 57% in the M-SICS group and 44% in the phacoemulsification group. Dry eye presence was determined by surgical group, finding that 95% of those operated on with M-SICS had dry eye, while 83% of those treated with phacoemulsification did. However, this observed difference in the proportion of patients by surgical technique was not statistically significant (χ² = 1.862, df = 1, p > 0.05)
Conclusion
There was no statistically significant disparity between M-SICS and phacoemulsification concerning the incidence and symptomatic presentation of postoperative dry eye at the one-month mark. Consequently, one might infer that the occurrence of dry eye is associated with the surgical intervention itself and not exclusively linked to the chosen technique.