International Journal For Multidisciplinary Research

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Pre and postoperative comparative evaluation of tear film stability and conjunctival impression cytology after phacoemulsification using clear corneal temporal incision

Author(s) Praveen Kumar Singh, Ambrish Kumar, Amit Kumar Jain
Country India
Abstract Abstract
Introduction: Development of significant dry eye symptoms and visual disturbances after successful cataract surgery remains the common and unsatisfying experience for ophthalmologists. Corneal incision site and surgical technique contribute in ocular surface damage after cataract surgery. To assess the pre and post-operative conjunctival impression cytology and tear film stability after phacoemulsification by clear corneal temporal incision.
Methodology: This prospective interventional study was conducted in department of ophthalmology at tertiary care teaching hospital. 72 patients were enrolled and the dry eye assessment was done considering the Schirmer’s test, tear meniscus height, tear breakup time and conjunctival impression cytology; preoperatively and then at 1 week and 4 weeks postoperatively. ANOVA and Post Hoc test were used for statistical analysis and p value of <0.05 was considered significant.
Results: Mean age of the patients was 59.86±9.56 years and most of the males were employed while females were mostly homemakers. The overall trend for dry eye tests showed significant (P<0.0001 on ANOVA) increase at 1st week postoperatively, while the significant recovery was achieved by 4th week postoperatively. There was a significant decline (p<0.0001) in goblet cell density (GCD) at 1st week, which was reversed by the 4th week postoperatively.
Conclusion: The transient dry eye was seen in the patient’s undergoing phacoemulsification by 1st week postoperatively, which resolved spontaneously but partially with routine postoperative care by the 4th week follow up.
Keywords Dry eye, Schirmer’s test (ST-1), tear meniscus height (TMH), tear film breakup time (TBUT), conjunctival impression cytology (CIC), goblet cell density (GCD), phacoemulsification
Field Medical / Pharmacy
Published In Volume 6, Issue 5, September-October 2024
Published On 2024-10-31
Cite This Pre and postoperative comparative evaluation of tear film stability and conjunctival impression cytology after phacoemulsification using clear corneal temporal incision - Praveen Kumar Singh, Ambrish Kumar, Amit Kumar Jain - IJFMR Volume 6, Issue 5, September-October 2024. DOI 10.36948/ijfmr.2024.v06i05.29791
DOI https://doi.org/10.36948/ijfmr.2024.v06i05.29791
Short DOI https://doi.org/g8p2rj
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