Back to Search
Start Over
Evaluation of dry eye and meibomian gland dysfunction after cataract surgery.
- Source :
-
American journal of ophthalmology [Am J Ophthalmol] 2014 Jun; Vol. 157 (6), pp. 1144-1150.e1. Date of Electronic Publication: 2014 Feb 19. - Publication Year :
- 2014
-
Abstract
- Purpose: To evaluate dry eye and meibomian gland dysfunction after cataract surgery.<br />Design: Prospective observational case series.<br />Methods: We studied 58 eyes of 48 patients who underwent phacoemulsification and evaluated them preoperatively and at 1 month and 3 months postoperatively. Ocular symptom scores, lid margin abnormalities, superficial punctate keratopathies (SPKs), tear film break-up time (TBUT), Schirmer test, lower tear meniscus height, depth, and area using Fourier domain optical coherence tomography, meibum expressibility and images of the meibomian glands using meibography were measured.<br />Results: The ocular symptom scores were worse at 1 month and 3 months postoperatively (P < 0.001 and P < 0.001, respectively). Lid margin abnormalities were significantly increased (P < 0.001 and P < 0.001, respectively) and TBUT decreased postoperatively (P < 0.001 and P < 0.001, respectively). Meibum expressibility decreased at 3 months postoperatively (P = 0.016); however, meibography score, SPK, lower tear meniscus height, depth and area and the Schirmer test did not change significantly postoperatively (all P values >0.05).<br />Conclusion: Meibomian gland function may be altered without accompanying structural changes after cataract surgery.<br /> (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Dry Eye Syndromes etiology
Dry Eye Syndromes physiopathology
Eyelid Diseases etiology
Eyelid Diseases physiopathology
Female
Humans
Lens Implantation, Intraocular
Male
Middle Aged
Prospective Studies
Tears chemistry
Visual Acuity physiology
Dry Eye Syndromes diagnosis
Eyelid Diseases diagnosis
Meibomian Glands pathology
Phacoemulsification
Postoperative Complications
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1891
- Volume :
- 157
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- American journal of ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 24561172
- Full Text :
- https://doi.org/10.1016/j.ajo.2014.02.036