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Short-Term Influence of Aspirating Speculum Use on Dry Eye After Cataract Surgery: A Prospective Study

Moon, Hoseok MD; Yoon, Je Hwan MD; Hyun, Sang Hun MD; Kim, Kyun Hyung MD

doi: 10.1097/ICO.0000000000000072
Clinical Science

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.

Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Republic of Korea.

Reprints: Kyun Hyung Kim, Department of Ophthalmology, Gachon University Gil Hospital, 1198, Kuwol-dong, Namdong-ku, Incheon 405-760, Republic of Korea (e-mail: tigerme@naver.com).

The authors have no funding or conflicts of interest to disclose.

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Received July 08, 2013

Accepted December 19, 2013

© 2014 by Lippincott Williams & Wilkins.