Dry Eye Severity In Patients Undergoing Cataract Surgery With M-Sics Vs Phacoemulsification
Published 2024 - 42nd Congress of the ESCRS
Reference: PO917 | Type: Free paper | DOI: 10.82333/0fz4-ne57
Authors: Leticia Flores Ortiz* 1 , Erick Rosas LEzama 1 , Claudia Palacio Pastrana 1 , Yareni Irais Martínez 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 using the Keratograph device both preoperatively and one month postoperatively
Results
The preoperative non-invasive keratograph tear breakup time 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. 1 month after surgery, patients exhibited a mild degree of dry eye according to the ocular surface disease index 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.
Conclusions
It was observed that 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.