A CLINICAL STUDY OF DRY EYE DISEASE FOLLOWING CATARACT SURGERY IN A TERTIARY HOSPITAL OF ASSAM

Dr. A. Deuri, Dr. Himadri Das

Abstract


1) OBJECTIVE- a) To evaluate the symptoms and signs of dry eye disease following cataract surgery in a tertiary hospital of Assam b) To do
clinical tests to confirm the presence of dry eye disease following cataract surgery c) To evaluate about the factors contributing to the severity dry
eye disease after cataract surgery
2) MATERIALS & METHODS- A hospital based prospective study was conducted taking 200 patients in Assam Medical college and hospital in
a duration of one year. The patients were divided into two groups, one undergoing SICS and another undergoing PHACOEMULSIFICATION
3) RESULTS:-In the study population including 200 patients, the most common age group were 56-70 years. There was female preponderance
(F:M=52.5%:47.5%). The population was maximum (80%) from rural areas. 45 (22.5%) patients were smokers and 20(10%) patients gave the history
of computer use. The symptoms and signs related to dry eye disease were maximum on the 7th post operative period. The highest incidence found in 40-
55 years of age group with a female preponderance 53.3%. There was an occupational exposure which contributed to the dry eye disease. There was no
significant difference between PHACO and SICS group. Out 45 patients, who were the smoker, 23 (51.1%) patients had the dry eye on 7th post-op day.


Keywords


SICS(Small Incision Cataract Surgery), PHACO (phacoemulsification), DED(Dry Eye Disease)

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References


Definition DE. classification. The definition and classification of dry eye disease: Report of the Definition and Classification Subcommittee of International Dry Eye Workshop. Ocul Surf. 2007;5:75-92.

Craig JP, Nichols KK, Akpek EK, Barbara Caffery OD, Dua HS, Joo CK, Liu Z, Nelson JD, Nichols JJ, Tsubota K, Stapleton F. TFOS DEWS II-Relazione su Definizione e Classificazione. Ocular Surface. 2017;30:276-83.

Bron AJ, de Paiva CS, Chauhan SK, Bonini S, Gabison EE, Jain S, Knop E, Markoulli M, Ogawa Y, Perez V, Uchino Y. Tfos dews ii pathophysiology report. The ocular surface. 2017 Jul 1;15(3):438-510.

Willcox MD, Argüeso P, Georgiev GA, Holopainen JM, Laurie GW, Millar TJ, Papas EB, Rolland JP, Schmidt TA, Stahl U, Suarez T. TFOS DEWS II tear film report. The ocular surface. 2017 Jul 1;15(3):366-403.

Schaumberg DA, Sullivan DA, Buring JE, Dana MR. Prevalence of dry eye syndrome among US women. American journal of ophthalmology. 2003 Aug 1;136(2):318-26.

Bukhari A, Ajlan R, Alsaggaf H. Prevalence of dry eye in the normal population in Jeddah, Saudi Arabia. Orbit. 2009 Dec 1;28(6):392-7.

McCarty CA, Bansal AK, Livingston PM, Stanislavsky YL, Taylor HR. The epidemiology of dry eye in Melbourne, Australia1. Ophthalmology. 1998 Jun 1;105(6):1114-9.

Bjerrum KB. Keratoconjunctivitis sicca and primary Sjögren's syndrome in a Danish population aged 30–60 years. Acta Ophthalmologica Scandinavica. 1997 Jun;75(3):281-6.

Schein OD, MUÑO B, Tielsch JM, Bandeen-Roche K, West S. Prevalence of dry eye among the elderly. American journal of ophthalmology. 1997 Dec 1;124(6):723-8.

Ku HC, Lee YC, Kim HS. Corneal sensation and tear film stability after cataract surgery with temporal clear corneal incision. Journal of the Korean Ophthalmological Society. 2004 Dec 1;45(12):2000-6.

Al-Aqaba MA, Fares U, Suleman H, Lowe J, Dua HS Br J Ophthalmol. 2010 Jun; 94(6):784-9.

Müller LJ, Vrensen GF, Pels L, Cardozo BN, Willekens B Invest Ophthalmol Vis Sci. 1997 Apr; 38(5):985-94. [PubMed] [Ref list]

Khanal S, Tomlinson A, Esakowitz L, Bhatt P, Jones D, Nabili S, Mukerji S Ophthalmic Physiol Opt. 2008 Mar; 28(2):127-34.

[PubMed] [Ref list]

Belmonte C, Acosta MC, Gallar J Exp Eye Res. 2004 Mar; 78(3):513-25.

[PubMed] [Ref list]

Schaumberg DA, Sullivan DA, Dana MR. Epidemiology of dry eye syndrome. InLacrimal Gland, Tear Film, and Dry Eye Syndromes 3 2002 (pp. 989-998). Springer, Boston, MA.

Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Archives of ophthalmology. 2000 Sep 1;118(9):1264-8.

Lemp MA. Epidemiology and classification of dry eye. Adv Exp Med Biol 1998;438:791–803

Liu Z, Luo L, Zhang Z, Cheng B, Zheng D, Chen W, Lin Z, Yang W, Liu Y, Zhang M, Xiao Q. Tear film changes after phacoemulsification. [Zhonghua yan ke za zhi] Chinese journal of ophthalmology. 2002 May;38(5):274-7.

Dodia K, Bapat S, Chudasama RK. Dry eye risk factors after phacoemulsification cataract surgery at a secondary care hospital. International Journal of Health & Allied Sciences. 2013 Oct 1;2(4):242.

Sahu PK, Das GK, Malik A, Biakthangi L. Dry eye following phacoemulsification surgery and its relation to associated intraoperative risk factors. Middle East African journal of ophthalmology. 2015 Oct;22(4):472.

Jayshree MP, Shivkumar H, Monalisha P, Mallikarjun S (2017) A Prospective study of Dry Eye after manual Small Incision Cataract Surgery in rural population of Bagalkot. J Clin Res Ophthalmol 4(2): 025-029.

Gayathri Mohan, D K Sindal, V H Karambelkar, B S Joshi, Gaurav Paranjpe Comparative evaluation of dry eye before and after manual small incision cataract surgery. MedPulse International Journal of Ophthalmology. November 2017; 4(2) : 34-39.]

Gupta SK, Gupta V, Joshi S, Tandon R. Subclinically dry eyes in urban Delhi: an impact of air pollution?. Ophthalmologica. 2002;216(5):368-71.

Khurana AK, Choudhary R, Ahluwalia BK, Gupta S. Hospital epidemiology of dry eye. Indian J Ophthalmol. 1991;39:55–8.

Venugopal KC, Krishnaraj PA, Chandan N. Evaluation of Dryness of Eyes after Manual Small Incision Cataract Surgery with Corneoscleral Tunnel Incision. Journal of Clinical & Diagnostic Research. 2012 Aug 1;6(6).

Klein BE, Klein R. Lifestyle exposures and eye diseases in adults. American journal of ophthalmology. 2007 Dec 1;144(6):961-9.

Donnenfeld ED, Solomon K, Perry HD, Doshi SJ, Ehrenhaus M, Solomon R, Biser S. The effect of hinge position on corneal sensation and dry eye after LASIK. Ophthalmology. 2003 May 1;110(5):1023-9.


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