Evaluasi Sindroma Mata Kering pada Pasien Katarak Senilis yang Diberikan dan yang Tidak Diberikan Diquafosol 3% Sebelum dan Sesudah Tindakan Fakoemulsifikasi + IOL

Abstract

Introduction : Dry eye syndrome is a multifactorial disease of the ocular surface characterized by loss of tear homeostasis and accompanied by symptoms of tear instability and hyperosmolarity, inflammation and damage to the ocular surface as well as neurosensory abnormalities, resulting in ocular discomfort, visual disturbances, stability of the tear film, with the potential for damage to the surface of the eye, on of the factors responsible is surgery there is a decrease in breakdown time of the tear film, a decrease in mucin production which can cause complain to patients Objective : To know the evaluation of dry eye syndrome in cataract patient who were given and not given diquafosol 3% before and after phacoemulsification + IOL Methods : The design this study was observational analytic using a prospective cohort design. Result: There was no difference in Schimer test results between the intervention group (p=0.157) and the control group (p=0.622) before and after cataract surgery by phacoemulsification + IOL method, and also no difference between two intervention and control groups. There was a significant difference in the Ferning test in the two groups. In the pre-operative intervention group, the predominant group was type 4, a total of 13 people (72.2%) 1 month after surgery, the predominant type was type 2, a total of 14 people (77.8%). The preoperative control group was dominated by type 2 with a total of 9 people (50%) one month after surgery, type 4 dominated with a total of 16 people (88.9%). The mean TBUT between the intervention group and the control group had a statistically significant difference, before surgery (p=0.032), 1 week after surgery (p<0.001) and 1 month after surgery (p<0.001) in terms of mean TBUT. average in the intervention group. in the intervention group was 11.44 seconds and in the control group it was 5.72 seconds. The results of the analysis showed that there was a significant difference in the SPEED test according to the observed time points in both the intervention group and the control group. The Mann Whitney test showed that there was a difference in the results of the SPEED test in the intervention group and the control group at 1 week postoperatively (p<0.001) and 1 month postoperatively (p<0.001). Conclusion : there are differences in the results of the TBUT test, ferning and the SPEED questionnaire in senile cataract patient who were given and not given diquafosol 3% before and after the phacoemulsification + IOL