Dry Eye Disease after Cataract Surgery: Study of its Determinants and Risk Factors

• Published in: Turk oftalmoloji gazetesi 2020-06, Vol.50 (3), p.133-142
• Main Authors: Garg, Pragati, Gupta, Aditi, Tandon, Nishi, Raj, Priyanka
• Format: Article
• Language: English
• Subjects: cataract; Cataract extraction; Cataracts; dry eye disease; Medical research; ocular surface disease index; Original; phacoemulsification; Risk factors; schirmer’s test; Tıp
• ISSN: 1300-0659; 2149-8695; 2149-8709; 2147-2661
• DOI: 10.4274/tjo.galenos.2019.45538

To study the incidence of dry eye and its determinants in patients undergoing cataract surgery. One hundred twenty patients with senile cataract underwent Schirmer's test, tear break-up time (TBUT) test, lissamine green staining of the cornea and conjunctiva, and Ocular Surface Disease Index (OSDI) for evaluation of dry eye preoperatively and again at first and second follow-up examinations at 1 week and 1 month after cataract surgery. Mean age of the patients was 59.25+9.77 years and 73 (60.8%) were men. None of the patients had dry eye at the time of enrollment as per the criteria of our study. Postoperatively, Schirmer's test values ranged from 12-35 mm and 8-24 mm at first and second follow-ups, respectively. Mean TBUT was 13.16±2.45 and 9.64±2.20 seconds, while lissamine green staining score was 3 in 67 (55.8%) and 1 in 67 (55.8%) subjects at first and second follow-up, respectively. OSDI values ranged from 1-30 and 10-33 with a mean of 25.97±5.34 and 11.96±7.47 respectively at first and second follow-up. At first follow-up, 89.1% of the 56 patients who underwent phacoemulsification were found to have grade 2 dry eye (p