Online ISSN: 2515-8260

Keywords : Phacoemulsification


EVALUATION OF CHANGES IN IOP FOLLOWING PHACOEMULSIFICATION WITH PCIOL IMPLANTATION AND ITS CORRELATION WITH OCULAR BIOMETRIC PARAMETERS

Dr Arun Kumar Sharma,Dr. LalitKumar,Dr. Bhavit Roat

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2065-2070

Background: Phacoemulsification with PCIOL decrease the intraocular pressure proportional to
the intraocular pressure seen preoperatively. Various preoperative factors are associated with the
reduction of IOP postoperatively.
Aim: The present study was conducted to assess the cataract surgery phacoemulsification with
PCIOL implantation on intraocular pressure postoperatively and the to assess the relationship
between preoperative ocular parameters including AL ACD, AL, and CCT with IOP change
postoperatively.
Methods:In 262 subjects from both the genders with cataract were treated surgically with
phacoemulsification and PCIOL implantation. Following surgery, all the subjects were followed
up on 1st operative surgical day and 1 month postoperatively for ocular biometric parameters and
reduction in IOP.
Results:BCVA in the study subjects via LogMAR chart was 1-0.76 preoperatively and was 0.16-
0 postoperatively. BCVA using Snellen chart was 72% preoperatively which reduced to 67%
postoperatively. ACD preoperatively was 3.25±0.26 which increased significantly to 3.64±0.29
(p<0.001). Mean IOP in the operated eyes was 13.42±1.98mm Hg which decreased
postoperatively to 11.50±1.68 significantly (p<0.001). It was seen that mean IOP preoperatively
was 13.46±1.96 mmHg which decreased postoperatively to 11.56±1.64 mmHg. The change in
mean IOP at 1 month recall was 1.92±0.59 mmHg. The IOP change at 1 month in percentage
was 14.11%. This change in mean Intraocular pressure was statistically significant with p<0.001.

Comparative evaluation of dry eye syndrome in patients following phacoemulsification and manual small incision cataract surgery

Dr. Harsimran Singh, Dr. Raminderjit Singh, Dr. Dipak Narwade, Dr. Akash, Dr. Subah Mahajan

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 4887-4896

Background: Cataract is the major cause of blindness in the developing world. This
study aimed at evaluation of tear film stability and tear secretion after
phacoemulsification compared with MSICS.
Materials and methods: This was a prospective, comparative randomized study that
included 100 patients diagnosed with senile cataract. Patients fulfilling the inclusion and
exclusion criteria were enrolled and randomized into 2 groups of 50 patients each:
Group A who underwent manual small incision cataract surgery (SICS) and Group B
who underwent cataract surgery with phacoemulsification technique. Post-operatively
follow up was done at 1 week, 1 month and 3 months respectively in both the groups.
The patients were subjected to same TBUT, Schirmer’s and OSDI scoring at each visit.
Results: Comparison between two groups showed non significant tear film and ocular
surface indices over period of three months. Both groups showed initial reduction in
mean Schirmer’s and TBUT at immediate postoperative period ( 1 week) followed by
gradual improvement to near baseline at 1 and 3 months postoperative follow up period
but still significantly lower than the preoperative values. Both groups showed initial
increased in mean OSDI score at 1 week followed by gradual decreased in mean OSDI
score at 1 and 3 months postoperative follow up period.
Conclusion: Cataract surgery has detrimental effect on tear function in the immediate
postoperative period. Effects gradually recover following a month of surgery but do not
come to preoperative levels even by 3 months. This holds true for both SICS and
phacoemulsification.