A clinical study of post cataract surgery epiphora in relation to the type of cataract surgery and different types of post-operative topical medication
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2018, Vol 4, Issue 1
Abstract
Aim To assess incidence determinants and outcome of epiphora after cataract surgeryMethods 650 eyes having uncomplicated senile cataract were enrolled routine preoperative evaluation underwent phacoemulsification n462 or SICS n188 Postoperatively patients were randomized into 2 groups according to the preservative status of steroid antibiotic drops Symptomatic patients were assessed at 5 weeks using slit lamp investigated using Fluoroscein Dye Disappearance Test FDDT sac syringing probing and TBUTResults At 5 weeks the incidence of epiphora after phacoemulsification was 71 and that after SICS was 69 4138 complained of epiphora after phacoemulsification and 5454 after SICS There was no difference in epiphora after phacoemulsification using preservative free or preservative containing drops Epiphora after SICS was more in the preservative group compared to preservative free group 44 which increased with frequency of dosage Epiphora after phacoemulsification was significantly more14 in patients above 70 yrs of age as compared to 4 in younger patients and more in the female population105 of total females as compared to 38 of males Epiphora after SICS was significantly more267 in patients above 70 yrs of age compared to 4 in younger patients and more in the female population95 of total females as compared to 194 of malesConclusion Epiphora occurs in 7 patients 5 weeks after cataract surgery irrespective of phacoemulsification or SICS It is significantly more in elderly age group and in females after SICS was more with the use of preservatives more frequent dosage and harder grade of cataractKeywords Epiphora Post cataract Preservative
Authors and Affiliations
Rahul Deshpande, Madan Deshpande, Kuldeep Dole, Khurshed Bharucha, Richa Dharap
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