CHANGES IN TEAR FILM OF DIABETIC PATIENTS IN PRE AND POST PHACOEMULSIFICATION: A COMPARATIVE STUDY

Dr. Chandrashekharay ya. H. Hiremath, Dr. Hrishikesh Amin

Abstract


Phacoemulsification is preferred choice in the management of cataract because of earlier refractive stabilization, reduced astigmatism, and milder postoperative inflammation. After phacoemulsification in diabetic cataract patients, with tear secretion reduction, what worsened in them was worsened dry eye symptoms and predisposed them to ocular damage.

Aim: The aim of this study was to assess the changes of Tear film in diabetic patient’s pre and post phacoemulsification.

Methods: Pre and post comparative study. Patients were examined preoperatively. A standard phacoemulsification technique was used beginning with clear corneal incision at 12 o’clock position.

A foldable posterior chamber intraocular lens was implanted in the capsular bag.

Patients were examined on days 1, 7 and 30 postoperatively.

Results: The mean and standard deviation values of TBUT in the preoperative, postoperative day 1, 1 week, 1 month, were 19.36+/-2.41, 19.91+/-1.81, 16.84+/-3.60, 14.04+/-4.04 respectively in the present study.

The mean and standard deviation values of ST in the preoperative, postoperative day 1, 1 week, 1 month, were 17.75+/-2.16,19.40+/-2.38,15.18+/-2.16 and 12.10+/-2.25   respectively in the present study.

Conclusion: This study proved that there exists a significant association between tear film of pre and post phacoemulsification in diabetic patients.


Keywords


phacoemulsification, Tear film, diabetes.

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