Authors : Dr. Kushal Kumar; Dr. Ganapathy Kalaiselvi; Dr. Sridhar Baratan

Volume/Issue : Volume 10 - 2025, Issue 4 - April

Google Scholar : https://tinyurl.com/3jn6kxep

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DOI : https://doi.org/10.38124/ijisrt/25apr1826

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Abstract : Aim: The purpose of this study was to investigate the incidence of dry eye development following cataract surgery and analyze whether phacoemulsification and SICS differ in their impact on postoperative dry eye. Methods: Eligible participants were aged 40–80 years, scheduled for cataract surgery, and had no ocular surface abnormalities with normal Schirmer’s test values at baseline. Postoperative follow-ups were conducted at 1 and 3 months, with Schirmer’s test done to evaluate dry eye development. Dry eye incidence was evaluated by comparing pre- and postoperative measurements. Results: In this study of 101 cataract surgery patients, the overall rate of postoperative dry eye at 3 months was 11.88% (95% CI: 17.94–26.17). Among affected cases, severity grading showed mild dry eye in 25%, moderate in 66.67%, and severe in 8.13%. Small incision cataract surgery (SICS) was associated with a higher incidence of dry eye compared to phacoemulsification. Conclusion: Compared to phacoemulsification, the study discovered a higher frequency of dry eye after SICS. Ophthalmologists must actively screen for dry eye after cataract surgery, as it can develop even in eyes with no prior pathology.

Keywords : dry eye, Small Incision cataract Surgery, phacoemulsification, post cataract surgery, Schirmers test

References :

1. Lemp MA, Baudouin C, Baum J et al. The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye Work Shop (2007). Ocul Surf. 2007 Apr 1;5(2):75-92.
2. Sahai A, Malik P. Dry eye: prevalence and attributable risk factors in a hospital-based population. Indian J Ophthalmol. 2005 Apr 1;53(2):87.
3. Fernando Murrilo LS, MJMEJH JH. Dry eye. Cornea.1997:663-86.
4. Zabel RW, Mintsioulis G, MacDonald IM, Valberg J, Tuft SJ. Corneal toxic changes after cataract extraction. Can J Ophthalmol. 1989 Dec;24(7):311-6.
5. Srinivasan R, Agarwal V, Suchismitha T, Kavitha S. Dry eye after Phacoemulsification. AIOC Proceedings. 2008.
6. Roberts CW. Dry eye symptoms following cataract surgery. Invest Ophthalmol Vis Sci. 2006 May 1;47(13):232.6. De Paiva CS, Chen Z, Koch DD, Hamill MB, Manuel FK, Hassan SS, Wilhelmus KR, Pflugfelder SC. The incidence and risk factors for developing dry eye after myopic LASIK. Am J Ophthalmol. 2006;141:438-445.
7. Cho YK, Kim MS. Dry eye after cataract surgery and associated intraoperative risk factors. Korean J Ophthalmol. 2009 Jun 1;23(2):65-73.
8. Bourne RR, Minassian DC, Dart JK, Rosen P, Kaushal S, Wingate N. Effect of cataract surgery on the corneal endothelium: modern phacoemulsification compared with extracapsular cataract surgery. Ophthalmol. 2004; 111: 679-685.
9. Nistor MC, Nistor C. Clinical correlations between dry eye and cataract surgery. Oftalmologia. 2006 Dec;51(4):79-82.
10. Saba Ishrat, Nitin Nema, S.C.L. Chandravanshi, Incidence and pattern of dry eye after cataract surgery, Saudi Journal of Ophthalmology (2019) 33, 34–40
11. Abhinav Khadke, Mansur Ali Khan,, P S Moulick, Sandeep Gupta, Sandeep Shankar, Clinical study to evaluate incidence of dry eye following cataract surgery, Indian Journal of Clinical and Experimental Ophthalmology, April-June 2018;4(2):213-216
12. Venugopal KC, Krishnaraj PA, Chandan N. Evaluation of Dryness of Eyes after Manual Small Incision Cataract Surgery with Corneoscleral Tunnel Incision. J Clin Diagn Res. 2012 Aug 1;6(6):1029-33.
13. Kasetsuwan N, Satitpitakul V, Changul T, Jariyakosol S. Incidence and pattern of dry eye after cataract surgery. PloS one. 2013 Nov 12;8(11):e78657.
14. Gharaee, H., M. N. Mousavi, R. Daneshvar, M. Hosseini, and S. Sazande. Effect of Clear Corneal Incision Location on Tear Film following Phacoemulsification Surgery. Iranian Journal of Ophthalmology2009; 21(3):29-34.
15. Miyake K, Yokoi N. Influence on ocular surface after cataract surgery and effect of topical diquafosol on postoperative dry eye: a multicenter prospective randomized study. Clinical Ophthalmology. 2017;11:529-540.
16. He Y, Li J, Zhu J, Jie Y, Wang N, Wang J. The improvement of dry eye after cataract surgery by intraoperative using ophthalmic viscosurgical devices on the surface of cornea: The results of a consort-compliant randomized controlled trial. Medicine (Baltimore). 2017;96:e8940.

17. 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;22:472- 477.