Cross sectional study to evaluate the prevalence of changes in tear film and tear secretion after small incisional cataract surgery

Authors : Thokchom Arun, Kamson Anthony

DOI : 10.18231/2395-1451.2019.0013

Volume : 5

Issue : 1

Year : 2019

Page No : 52-57

Aims and Objectives: To clinically evaluate the prevalence of dry eyes after manual small incision cataract surgery based on signs and symptoms and, quantifying them using various test methods.
Materials and Methods: Follow up of 150 patients who had undergone SICS was done at regular interval starting at 1^st week post-operative and continued up to 3rd months. Evaluation is done by performing Schirmer’s test – I, TFBUT, Rose Bengal test followed by noting the symptoms which were relevant to the dry eyes. The observations were analyzed and graded according to the severity of dryness.
Results: Most of the patients had mild to moderate dry eye with male domination the female. Severe to very severe dry eyes was seen at 6^th post-operative week, mild to moderate dryness of eyes was seen at 2^nd & 3^rd. weeks.
Conclusion: Dryness of eyes is usually seen after small incision cataract surgery and majority being mild to moderate dryness of eyes. Worsening or aggravation of dryness occurred in 6^th week’s post-operative interval. Post-operative management of cataract surgery should also include medication to deal with altered ocular surface tears film.

Keywords: Cataract, Dry eye, Small incision cataract surgery, Schirmer’s test, Sclero corneal tunnel.

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