Leticia Flores Ortiz¹*, Erick Rosas Lezama¹, Claudia Palacio Pastrana¹, Yareni Irais Martinez Montoya¹ and Rodrigo Isaac Lozano Garza²

¹Cataract, Ophthalmology Clinic Sala Uno, Mexico
²Ophthalmology, Hospital Angeles Universidad, Mexico

*Corresponding Author: Leticia Flores Ortiz, Cataract, Ophthalmology Clinic Sala Uno, Mexico.

Received: November 07, 2023; Published: November 21, 2023

Abstract

Introduction: To determine the degree of dry eye in cataract patients operated using manual small incision cataract surgery (M-SICS) versus those treated by phacoemulsification.

Setting: Sala uno Ophthalmology Clinic, Cataract and refractive surgery department, Mexico City, Mexico.

Methods: In this observational, analytical, cross-sectional, and prospective study, 44 eyes of 39 patients were analyzed. They were divided into two groups based on the surgical technique: the M-SICS group and the phacoemulsification group. We assessed tear meniscus height, redness, corneal staining, tear breakup time using the Keratograph device both preoperatively and one month postoperatively.

Results: Of the 44 eyes analyzed, 27 (61%) were male, and 17 (39%) were female, with an average age of 68 years. Preoperatively, 36% of the patients had dry eye. The preoperative non-invasive keratograph tear breakup time (NIK-BUT) was 7.12 seconds, and postoperatively, it was 5.42 ± 1.56 seconds for the M-SICS group and 6.42 ± 1.26 and 5.21 ± 1.22 seconds pre and postoperatively, respectively, for the phacoemulsification group. One month after surgery, patients exhibited a mild degree of dry eye according to the ocular surface disease index (OSDI) test, with 57% in the M-SICS group and 44% in the phacoemulsification group. Dry eye presence was determined by surgical group, finding that 95% of those operated on with M-SICS had dry eye, while 83% of those treated with phacoemulsification did. However, this observed difference in the proportion of patients by surgical technique was not statistically significant (χ² = 1.862, df = 1, p > 0.05)

Conclusion: It was observed that there was no statistically significant disparity between M-SICS and phacoemulsification concerning the incidence and symptomatic presentation of postoperative dry eye at the one-month mark. Consequently, one might infer that the occurrence of dry eye is associated with the surgical intervention itself and not exclusively linked to the chosen technique.

Keywords: Cataract; Cataract Complication; Dry Eye; Keratograph; M-SICS; Phacoemulsification; Post-Surgical Dry Eye

References

1. Clinical Practice Guideline for the Diagnosis and Treatment of Cataract without Anterior Segment Comorbidities. Mexico: Ministry of Health, (2013).
2. Olson RJ., et al. “Cataract in the Adult Eye Preferred Practice Pattern®”. Ophthalmology2 (2017): P1-119.
3. Gogate P. “Comparison of various techniques for cataract surgery, their efficacy, safety, and cost”. Oman Journal of Ophthalmology 3 (2010): 105.
4. Sutu C., et al. “Mechanisms and management of dry eye in cataract surgery patients”. Current Opinion on Ophthalmology1 (2016): 24-30.
5. Choi YJ., et al. “Perioperative Ocular Parameters Associated With Persistent Dry Eye Symptoms After Cataract”. Surgery 6 (2018): 734-739.
6. Garg P., et al. “Dry Eye Disease after Cataract Surgery: Study of its Determinants and Risk Factors”. Turkish Journal of Ophthalmology3 (2020): 133-142.
7. Ishrat S., et al. “Incidence and pattern of dry eye after cataract surgery”. Saudi Journal of Ophthalmology1 (2019): 34-40.
8. Clinical Practice Guideline for the Diagnostic and Therapeutic Approach to Patients with Dry Eye Syndrome. (2011): 1-52.
9. Stapleton F., et al. “TFOS DEWS II Epidemiology Report”. Ocular Surface3 (2017): 334-365.
10. Szakáts I., et al. “Dry Eye Symptoms, Patient-Reported Visual Functioning, and Health Anxiety Influencing Patient Satisfaction After Cataract Surgery”. Current Eye Research6 (2017): 832-836.
11. Iglesias E., et al. “Epidemiology of Persistent Dry Eye-Like Symptoms After Cataract Surgery”. Cornea 7 (2018): 893-898.
12. Akpek EK., et al. “Dry Eye Syndrome Preferred Practice Pattern®”. Ophthalmology 1 (2019): P286-334.
13. Naderi K., et al. “Cataract surgery and dry eye disease: A review”. European Journal of Ophthalmology 5 (2020): 840-855.
14. Kato K., et al. “Management of Postoperative Inflammation and Dry Eye After Cataract Surgery”. Cornea 38 (2019): S25-S33.
15. Oh T., et al. “Changes in the tear film and ocular surface after cataract surgery”. Japanese Journal of Ophthalmology 2 (2012): 113-118.
16. Bron AJ., et al. “TFOS DEWS II pathophysiology report”. Ocular Surface3 (2017): 438-510.
17. Lewallen S and Courtright P. “Gender and use of cataract surgical services in developing countries”. Bulletin of the World Health Organization4 (2002): 300-303.
18. Yoo TK and Oh E. “Diabetes mellitus is associated with dry eye syndrome: a meta-analysis”. International Ophthalmology (2019).
19. Sullivan DA., et al. “TFOS DEWS II Sex, Gender, and Hormones Report”. Ocular Surface3 (2017): 284-333.
20. Yu D., et al. “Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China”. Japanese Journal of Ophthalmology 17 (2019): 46.
21. Craig JP., et al. “TFOS DEWS II Definition and Classification Report”. Ocular Surface3 (2017): 276-283.
22. Wolffsohn JS., et al. “TFOS DEWS II Diagnostic Methodology report”. Ocular Surface3 (2017): 539-574.
23. Sullivan BD., et al. “Correlations between commonly used objective signs and symptoms for the diagnosis of dry eye disease: Clinical implications”. Acta Ophthalmology2 (2014): 161-166.
24. Bista B., et al. “Comparative Study of Dry Eye Indices Following Cataract Surgery. Nepal J Ophthalmol 13.25 (2021): 104-111.
25. Sahu PK., et al. “Dry eye following phacoemulsification surgery and its relation to associated intraoperative risk factors”. Middle East African Journal of Ophthalmology 4 (2015): 472-477.
26. Fermon S., et al. “Schirmer I test and break-up time test standardization in the Mexican population without dry eye”. Revista Mexicana de Oftalmología 4 (2010): 228-232.

Citation

Citation: Leticia Flores Ortiz., et al. “Dry Eye Severity in Patients Undergoing Cataract Surgery with M-SICS Vs Phacoemulsification".Acta Scientific Ophthalmology 6.12 (2023): 29-36.

Copyright

Copyright: © 2023 Leticia Flores Ortiz., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.