Abstract
TO EVLUATE THE INCIDENCE AND SEVERITY PATTER OF DRY EYE AFTER PHACOEMULSIFICATION

Dr. Monika Singh Thakur, Dr. Pradeep Sune* and Dr. Mona Sune

ABSTRACT

Purpose: To evaluate the incidence and severity pattern of dry eye after phacoemulsification. Setting- Department of Ophhalmology, Jawaharlal Nehru Medical College, Sawangi (meghe), Wardha (M.H.) Methods And Material: A total of 100 eyes of patients undergoing cataract extraction by phacoemulsification in Ophthalmology department were selected. A detailed study of tear film stability and severity of dry eye was assessed pre-operatively and post operatively of each eye to asses the incidence and severity pattern of dry eye after phacoemulsification. Results: The incidence of dry eye on post-operative day 7 was found to be 57% by TBUT and severity pattern of dry eye peaks on the post -operative day -7 and gradually improves with time. It was also noted that maximum patients had mild degree of dry eye on 7th post operative day. There was similarity found in severity pattern between the two clinical tests and the OSDI questionnaire. Conclusion: Cataract extraction by phacoemulsification can induce dry eye by decreasing the TBUT and Schirmers’ I test values. The incidence of tear film instability was more than that of decreased Schirmer’s I Test values Dry eye symptoms developed immediately after phacoemulsification and the severity peaked on day 7. Both the symptoms and signs of dry eye were improved over time usually 30th post-operative day and 45th post-operative day.

Keywords: OSDI questionnaire, TBUT and Schirmers’ I.


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