Comparative Study of Dry Eye Disease after Phacoemulsification in Diabetic Patients with Different Stages of Diabetic Retinopathy | ||||
| Benha Medical Journal | ||||
| Article 766, Volume 42, Issue 3, March 2025, Page 228-234 PDF (567.41 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2024.337241.2257 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Rana Ahmed Attia Gewida  1; Ahmed Elhusseiny Daifalla2; Mohamed Taha Ibrahim Khalil3; Husam Mustafa Faramawi4
| ||||
| 1MB.B.CH. Of Ophthalmology, Faculty of Medicine, Benha University | ||||
| 2Department of Ophthalmology, Faculty of Medicine, Benha University, Egypt. | ||||
| 3Department of Ophthalmology, Faculty of Medicine, Benha University | ||||
| 4Department of Ophthalmology, Faculty of Medicine - Benha University | ||||
| Abstract | ||||
| Background: Diabetes mellitus (DM) affects over 240 million people globally, with ocular complications like dry eye disease (DED) being particularly prevalent. DED impacts the quality of life significantly, affecting 52.8% of DM patients compared to 9.3% of healthy individuals. This study aims to evaluate and compare the severity and pattern of DED post-phacoemulsification cataract surgery among non-diabetic patients, diabetics without diabetic retinopathy, and diabetics with diabetic retinopathy and/or macular edema. Methods: this cross-sectional study done at Benha University Hospital, 45 patients were divided into three groups (15 each): non-diabetic, diabetic without retinopathy, and diabetic with retinopathy and or macular edema. Comprehensive ocular examinations, including Tear Film Break-Up Time (TBUT), Schirmer I test (SIT), Ocular Surface Disease Index (OSDI), Tear Meniscus Height (TMH), corneal staining, and corneal epithelial thickness by anteing OCT were conducted. Results: The mean age was 54.3 ± 6.6 years. Statistically significant differences were found across groups for TBUT (P = .003), SIT (P = .022), OSDI (P = .001), and TMH (P = .031). Specifically, diabetics with retinopathy exhibited the most severe DED, with OSDI scores averaging 45.6 ± 9.4 (P < .001). Corneal staining was significantly higher in diabetic patients (P = .004).Superior corneal epithelial thickness was significantly thinner in diabetic patients (P = .025). Conclusion: Post-phacoemulsification cataract surgery, DED incidence is significantly higher in diabetic patients, particularly those with retinopathy and/or macular edema. These findings underscore the need for vigilant monitoring and management of DED in diabetic patients undergoing cataract surgery. | ||||
| Keywords | ||||
| Diabetes Mellitus; Dry Eye Disease; Phacoemulsification; Ocular Surface Disease Index; Tear Film Break-Up Time | ||||
|
Statistics Article View: 127 PDF Download: 117 |
||||
