Official ESCRS | European Society of Cataract & Refractive Surgeons


Short-term evaluation of tear film parameters in diabetic patients after cataract surgery

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Session Details

Session Title: Presented Poster Session: New & Interesting II

Venue: Poster Village: Pod 3

First Author: : O.Obada ROMANIA

Co Author(s): :    D. Chiseliță                       

Abstract Details


The aim of the study was to evaluate tear film and ocular surface in diabetic patients before and after cataract surgery.


Department of Ophthalmology, Sfântul Spiridon Emergency Clinical Hospital, Iași, Romania


Prospective, comparative, interventional study on 42 nondiabetic eyes (group 1) and 32 diabetic eyes (group 2) who underwent cataract surgery between July 2017 and October 2018. A comprehensive ocular examination and assessment of tear film break-up time (TBUT), Schirmer I test, lissamine green test, van Bijsterveld index and OSDI (Ocular Surface Disease Index) questionare were conducted in three points: before surgery, after one week and six weeks after surgery, respectively.


Mean preoperative OSDI score was higher in group 2 (24.53) compared to group 1 (19.50) (p=0.1). OSDI score was 17.83 in group 1 and 25.11 in group 2 (p=0.02) at one week and 16.59 in group 1 and 27.98 in group 2 (p=0.004) at six weeks, respectively. There were no significant statistical differences in group 1 and group 2 with respect to mean Schirmer I test, OSDI and TBUT at any point of the evaluation. One week after surgery, TBUT decreased in both groups (p>0.05) to increase six weeks after surgery at a level similar to the preoperative one.


Cataract surgery induces more important dry eye symptoms in diabetic patients. On short-term both diabetic and nondiabetic patients have transitory altered tear film parameters after cataract surgery.

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