J Korean Ophthalmol Soc > Volume 58(4); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(4):395-400.
DOI: https://doi.org/10.3341/jkos.2017.58.4.395    Published online April 15, 2017.
A Pilot Study of Changes in Tear Film Short-term Dynamics with Infrared Imaging after Phacoemulsification.
Seonjoo Kim, Yuli Park, Kyung Sun Na, Hyun Seung Kim
Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. sara514@catholic.ac.kr
적외선 영상을 이용한 백내장수술 전후 눈물막의 단기 변화의 예비연구
김선주⋅박율리⋅나경선⋅김현승
가톨릭대학교 의과대학 여의도성모병원 안과 및 시과학교실
Correspondence:  Hyun-Seung Kim, MD, PhD
Email: sara514@catholic.ac.kr
Received: 3 November 2016   • Revised: 2 February 2017   • Accepted: 30 March 2017
Abstract
PURPOSE
To evaluate the short-term changes in tear film dynamics with non-invasive infrared imaging measurement before and after cataract surgery as a pilot study. METHODS: Seventeen eyes of 17 patients without preoperative dry eye were enrolled in this study. Non-invasive keratograph tear break-up time (NIK-TBUT) and non-invasive keratograph tear meniscus height (NIK-TMH) were measured before and 1 day, 1 week, and 1 month after cataract surgery using a keratograph. RESULTS: The mean patient age was 64.47 ± 10.28 years, and 78.95% were female. Although the mean postoperative 1 day NIK-TBUT-first value was not significantly different from the preoperative value, the mean postoperative 1 week and 1 month NIK-TBUT-first values were significantly lower than preoperative values (p < 0.05). The postoperative 1 day, 1 week, and 1 month NIK-TBUT-average and the NIK-TMH values were not different from preoperative values. CONCLUSIONS: Our study showed that cataract surgery can lead to tear film instability. And it is important to determine the long-term outcomes of surgery and whether NIK-TBUT and NIK-TMH correlate with slit lamp examination tear break-up time (SLE-TBUT) and slit lamp examination tear meniscus height (SLE-TMH).
Key Words: Cataract surgery;Dry eye;Keratograph;Tear film


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