The Effect Of Eye Lubricants To Corneal Surface After Phakic Intraocular Lenses Implantation In Patients With High Myopia
Published 2024 - 42nd Congress of the ESCRS
Reference: PO1216 | Type: Free paper | DOI: 10.82333/797e-ap69
Authors: Nazim nodirkhodjayevich Zaynutdinov* 1 , Azamat Yusupov 1 , Muyassar Karimova 1 , Khalidjan Kamilov 2
1Ophthalmology,Republican Specialized Scientific and Practical Medical Center of Eye Microsurgery,Tashkent,Uzbekistan, 2Ophthalmology,Center for the development of professional qualification of medical workers,Tashkent,Uzbekistan
Purpose
Nowadays, refractive errors and dry eye syndrome are the leading pathologies of the eye among teenage patients. Mainly patients have long contact lens wearing history or postoperative refractive surgery status of the cornea. These factors would induce dry eye syndrome.
Setting
The aim of this study is to analize the effect of the lubricant eye tears drop, which contains sodium hyaluronate to corneal surface after phakic intraocular lenses implantation in patients with high myopia.
Methods
This study included 30 patients (58 eyes) with high myopia (age ranges from 20 to 45, myopia ranges from – 6.5 D to - 10.0 D) who had underwent phakic intraocular lenses (IOL) implantation surgery in NAZAR Eye Center from January 2023 to December 2023. All patients were divided into two groups (each group has 15 patients) based on using lubricant tears drop. In both group grade of noninvasive tear break-up time (NIBUT) was similar. The first group A received 0.1% sodium hyaluronate combined with dexpanthenole eye drops, and the 2nd group B received only 0.18% sodium hyaluronate eye drops. Both eye drops were administered to patients` eye surface 3 times a day after phakic IOL implantation surgery during 1 month in postoperative period.
Results
In groups A and B the grade of NIBUT was measured immediately after eye drops administration. In group A NIBUT grade was significantly increased up to 5 sec. In group B this grade was mild increased up to 3 sec. There was a similar significant increase (p < 0.05) in the surface regularity index (SRI) and the surface asymmetry index (SAI) in both groups. At the end of the investigation, all patients had completed a questionnaire to assess the quality of visual function. In group A after installation artificial tears drop to patients felt more comfort than in group B. Eye comfort feeling time was more prolonged in group A than group B.
Conclusions
The use of eye drops 0.1% sodium hyaluronate combined with dexpanthenole in patients with dry eye and high myopia will temporary recover corneal surface regularity and the stability of tear film. Artificial tears drop with dexpanthenole combination has a great role in dry eye syndrome treatment.