RESUMO
@#【Objective】To evaluate the effect of preoperative conjunctival sac irrigation with Anerdian Ⅲ disinfectant and its effect on the function of eye surface and tear film. 【Methods】 This clinical study was involved of thirty cases （30 eyes） undergoing phacoemulsification. Conjunctiva sac irrigation with Anerdian disinfectant （type III ，5g/L） was performed before the phacoemulsification procedure. Secretions of conjunctiva sac were examined by bacterial culture pre-and post-irrigation. Schirmer test，non-invasive first tear break-up time（NITBUT-F），non-invasive average tear break-up time（NITBUT-A），tear meniscus height（TMH），and goblet cell density（GCD）were also evaluated day 1 before and day 7 ，day 30 after operation.【Results】3 cases were positive in bacterial culture pre-irrigation ，while all were negative post-irrigation. There was no significantly change between Schirmer test and TMH from day 1 before ，day 7 and day 30 after operation . NITBUT-F，NITBUT-A，and GCD were significantly different between day 1 before and day 7 after operation（P<0.05），and shown no significantly difference between day 1 before and day 30 after operation.【Conclusions】 Our results suggested that conjunctiva sac irrigation with Anerdian disinfectant was efficient，while it might be related to the decrease of GCD and dysfunction of tear film. However，GCD would gradually improve as pre-operation and function of tear film could restore to normal.