Comparative Study of Dry Eye after Phacoemulsification and Manual SICS in Tertiary Centre of Jharkhand

ABSTRACT

Introduction: Cataract is the major cause of blindness inthe developing world. Study aimed at evaluation of tearfilm stability and tear secretion after phacoemulsificationcompared with MSICS.Material and methods: This prospective comparativerandomized study was performed in a tertiary centre ofJharkhand between June 2018 to March 2019. 187 patientswith senile cataract were included in this study. Group A had110 patients undergoing MSICS and group B 77 patientsundergoing phacoemulsification. Dry eye symptoms(DES)characterizedby redness, burning, stinging, foreign bodysensation, photophobia. Corneal fluorescein staining wasperformed. Basal Schirmer test was performed for assessmentof aqueous tear production. Patients were examined postoperatively on 1st week, 4th week and 3rd month.Results: Out of 187 patients 103(55.08%) were male and84(44.91%) were female. Grade of DES increased significantly1 week after each procedure compared to pre-operative dataand remained increased after 4 weeks of surgery. After 3months the symptoms decreased and returned to baseline data.Conclusion: MSICS is as effective as phacoemulsificationwith no difference between both techniques regarding tearfilm stability and tear secretion.