Short-Term Influence of Aspirating Speculum Use on Dry Eye After Cataract Surgery: A Prospective Study
- Authors
- Moon, Hoseok; Yoon, Je Hwan; Hyun, Sang Hun; Kim, Kyun Hyung
- Issue Date
- Apr-2014
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- aspirating speculum; dry eye; cataract surgery
- Citation
- CORNEA, v.33, no.4, pp.373 - 375
- Journal Title
- CORNEA
- Volume
- 33
- Number
- 4
- Start Page
- 373
- End Page
- 375
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/12755
- DOI
- 10.1097/ICO.0000000000000072
- ISSN
- 0277-3740
- Abstract
- Purpose:The aim of this study was to investigate the short-term influence of the use of an aspirating speculum on dry eye after performing cataract surgery. Methods:This study was conducted using a prospective, consecutive, comparative, interventional case series of 58 eyes of 58 patients who underwent clear corneal cataract surgery; 29 eyes were treated using an aspirating speculum, and 29 eyes were treated without using a nonaspirating speculum. The main outcome measures were sequential changes of dry eye parameters including conjunctival staining, tear film break-up time (tBUT), conjunctivochalasis grades, and ocular surface disease index (OSDI). Results:In the nonaspirating speculum group, tBUT and conjunctivochalasis grades were aggravated on day 1 postoperatively (P < 0.001), but conjunctival staining and OSDI did not show any significant change during the follow-up. In the aspirating speculum group, significant aggravation was observed by conjunctival staining on day 1 postoperatively (P = 0.001), tBUT and conjunctivochalasis grades were evaluated on day 1 and day 7 postoperatively (P < 0.001), and the OSDI was evaluated on day 7 postoperatively (P = 0.011). Conclusions:The use of an aspirating speculum aggravated dry eye parameters during the early postoperative period. Although these parameters returned to their preoperative values at 1 month postoperatively, the use of an aspirating speculum has the potential to aggravate dry eyes after cataract surgery is performed.
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