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Wydanie 3/2017
str. 24 - 28

Zmiany w topografii rogówki po zabiegu fakoemulsyfikacji zaćmy z wszczepieniem soczewki wewnątrzgałkowej w zależności od stopnia zaawansowania zespołu suchego oka

Changes in Corneal Topography after Cataract Phacoemulsification with Intraocular Lens Implantation in Correlation to Dry Eye Syndrome Severity

Ewa Kurzak ^1,2 , Ewa Mrukwa-Kominek ^1,2

¹ Oddział Okulistyki Dorosłych Uniwersyteckiego Centrum Klinicznego im. prof. K. Gibińskiego Śląskiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Ewa Mrukwa-Kominek
² Klinika Okulistyki Katedry Okulistyki Wydziału Lekarskiego w Katowicach Śląskiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Ewa Mrukwa-Kominek

Summary: Purpose: The dry eye syndrome is considered to be an inflammatory disease of the ocular surface and as such, it may have an impact on corneal healing. It has been reported that patients who underwent phacoemulsification with intraocular lens implantation complain of increased intensity of dry eye symptoms. The purpose of this paper is to evaluate whether a correlation between dry eye syndrome and changes in corneal topography values after cataract surgery exists.
Materials and Methods: 30 patients were asked questions from OSDI questionnaire prior to cataract surgery. Additionally, Schirmer test I was performed to objectively assess the severity of dry eye syndrome. Anterior segment optical coherence tomography, CASIA Tomey, was used to measure corneal topography prior and one day after phacoemulsification with intraocular lens implantation. Additionally, a short medical history was recorded. The statistical analysis based on Spearman and U-Mann-Whitney test was performed.
Results: The study group composed of 11 males and 19 females, mean age 75 years. There was a statistically significant correlation between Schirmer test I and sum of points from the OSDI questions 1–3 (R – 0.53, p< 0.05). Statistically values of Schirmer test I were lower in patients with diagnosed glaucoma (Z – 2.45; p< 0.005). Patients with diagnosed diabetes had statistically higher values of Ks and Kf (U 27, U 48, p< 0.05 respectively). There was no statistically significant correlation between OSDI/ Schirmer and corneal topography values.
Conclusion: It seems that the severity of dry eye syndrome does not affect changes in corneal topography during the initial period after cataract surgery. Small study group, short observation period and properties of anterior segment optical coherence tomography device stand as major limitations of this study. Further studies must be conducted in order to confirm obtained data.

Słowa kluczowe: topografia rogówki, fakoemulsyfikacja zaćmy, zespół suchego oka.

Keywords: corneal topography, cataract phacoemulsification, dry eye syndrome.

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