Comparative Study between Dryness Post Phacoemulsification and Post Extra Capsular Cataract Extraction
| Autor: | Mahmoud A Elsamkary, Saad Mohammed Rashad, Ayman Mohamed Elsaka, Samah M. Fawzy, Mohammed Elgeshy Alm Eldin |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Capsular cataract genetic structures business.industry medicine.medical_treatment Extraction (chemistry) Dry Eye Syndromes General Medicine Phacoemulsification Cataract surgery Joint meniscus eye diseases Ophthalmology medicine Dryness sense organs medicine.symptom business |
| Zdroj: | QJM: An International Journal of Medicine. 114 |
| ISSN: | 1460-2393 1460-2725 |
| Popis: | Purpose This study aims to detect and compare the severity and pattern of dry eye occurrence after phacoemulsification and extra capsular cataract extraction surgeries. Methods Twenty eyes of twenty patients in two groups, ten eyes planned for Phacoemulsification(phaco) and ten eyes planned for Extra Capsular Cataract Extraction (ECCE) enrolled in a prospective comparative study. All patients underwent full history taking and full ophthalmological clinical evaluation including (tear film meniscus height, Schirmer 1 test, tear break up time). Evaluations will be done one week before cataract surgery then three and six weeks after the surgery.Also, goblet cell count is measured twice, before and 6 weeks after the operation. Results After both Phaco, andECCE, the changes between means of pre-operative, 3 weeks and 6 weeks visits were significant in tear film meniscus height (p = 0.01) and were insignificant in both Schirmer 1 and tear break up time (p > 0.05). There was a significant deterioration after 3 weeks of surgery in tear film meniscus height followed by significant increase between 3rd and 6th weeks post-operative measurements (p = 0.01). There was a significant difference between the 2 groups in the total change of Schirmer 1 and tear break up time between the6th weeks and the pre-operative measure with more deterioration in group 2. There was no significant difference between the 2 groups in tear film meniscus height 6 weeks post operation.The deterioration in goblet cell count was significantly worse in the ECCE group (mean difference of -22.1±8.5 and was -7.5±5.1 in the phaco group), (p = 0.0005). Conclusions Phacoemulsification surgery may aggravate the signs and symptoms of dry eye and affect dry eye test values in patients in short-term but less than ECCE. |
| Databáze: | OpenAIRE |
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