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Phacoemulsification surgery in patients with trachomatous dry eye and corneal opacification

Poster Details

First Author: M.Guzey TURKEY

Co Author(s):                  

Abstract Details


To evaluate the properties of cataract surgery with clear corneal phacoemulsification in the cases of trachomatous dry eye and corneal opacity.


This prospective, single center study was conducted at the outpatient and surgical unit of Department of Ophthalmology, Harran University School of Medicine, Sanliurfa, Turkey.


The study group included 25 cataractous eyes of 18 cases (10 male and 8 female) with trachomatous dry eye with corneal opacity and the control group included 27 cataractous eyes of 24 cases without dry eye and corneal pathologies. Peroperative difficulties and complication rates, and active phaco times in study groups were compared.


Some difficulties were observed in the cases with trachomatous corneal opacity in capsulorhexis, dividing of nucleus, completion of emulsification of nucleus and cortical aspiration. The active phaco time and the whole duration of the operation extended significantly compared with control group. Staining of the anterior capsule was required in 14 of the cases with trachomatous corneal opacity. The incidence of posterior capsular rupture increased as well.


The presence of trachomatous dry eye and corneal opacity causes the extension of whole operation time and incidence of peroperative and postoperative complications. In case of corneal opacity, additional technical solutions for the enhancement of the visualization of anterior chamber are necessary. Tear secretion may reduce in dry eye patients after phacoemulsification, which worsened dry eye symptoms and predisposed those patients to ocular surface damage.

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