Main Article Content

Abstract

Highlights:


1. Females were the most gender who suffer from dry eye syndrome than males.
2. Undergone phacoemulsification patients had frequent dry eye syndrome.
3. Post-phacoemulsification patients were not statistically significant between the Ferning and the Schirmer test.


 


Abstract:


Dry eye syndrome is a multifactorial disease on the surface of the eyeball characterized by loss of tear film homeostasis, which is associated with eye symptoms, where there is tear instability and hyperosmolarity, inflammation, and damage to the surface of the eye, as well as neurosensory disorders that act as the cause of this syndrome. The aim of this study was to identify relationship between the Ferning pattern and the Schirmer test 1 in post-phacoemulsification patients. The design of this study was an analytical observational study with a cross-sectional data collection method where the Ferning and Schirmer test 1 were examined to determine the severity of dry eye syndrome in post-phacoemulsification patients. The Ferning test was assessed according to Rolando’s classification. In this study, it was found that the gender who suffer from dry eye syndrome are women. The most considerable age is age ≥ 60 years (56,7%). The results showed that the majority of patients experienced dry eyes measured with the Ferning test, and these results were following the previous Schirmer Test 1 examination. The Ferning and Schirmer tests were found to be abnormal in most of the subjects. It was found that there was a significant relationship between the Ferning pattern and the Schirmer test with the calculation of the t-value of 7.345 with a p-value of 0.001. There was a statistically significant difference between the results of Ferning and the Schirmer test in post-phacoemulsification patients.

Keywords

Ferning test Schirmer test dry eye syndrome phacoemulsification illness

Article Details

How to Cite
Zubaidah, T. S. H., Lubis, R. R. ., & Feriyawati, L. . (2022). Ferning and Schirmer Test 1 for the Detection of Grading Severity of Dry Eye Syndrome in Post Phacoemulsification Patients. Folia Medica Indonesiana, 58(3), 222–227. https://doi.org/10.20473/fmi.v58i3.34804

References

  1. Alanazi S, Aldawood M, Badawood Y, et al (2019). A comparative study of the quality of non-stimulated and stimulated tears in normal eye male subjects using the tear Ferning test. Clin. Optom. 11, 65–71.
  2. Aslan B, Müftüoglu O, Gayretli D, et al (2012). Crater-and-split technique for phacoemulsification. J. Cataract Refract. Surg. 38, 1526–1530.
  3. Bobrow J (2011). Lens and cataract. American Academy of Opthalmology, San Francisco.
  4. Braga-Mele R, Mednick Z (2016). Pocket-chop technique for phacoemulsification. J. Cataract Refract. Surg. 42, 1531–1532.
  5. Brayan J, Chandrakanth P, Narendran S, et al (2022). PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery. Indian J. Ophthalmol. 70, 1396–1401.
  6. Cakir H, Utine C (2010). Lift and crack technique for risky cataract cases. J. Cataract Refract. Surg. 36, 539–541.
  7. Cantor L, Rapuano C, Cioffi G (2014). External disease and cornea. American Academy of Ophthalmology, San Francisco.
  8. Chao P, Lim-Bon-Siong R (2017). Dry eye after clear cornea phacoemulsification. Philipp. J. Ophthalmol. 38, 5–12.
  9. Chia E, Mitchell P, Rochtchina E, et al (2003). Prevalence and associations of dry eye syndrome in an older population: The blue mountains eye study. Clin. Experiment. Ophthalmol. 31, 229–232.
  10. Eah K, Lee H, Kim J, et al (2021). Changes in tear osmolarity and matrix metalloproteinase-9 relative to ocular discomfort after femtosecond laser-assisted cataract surgery. Appl. Sci. 11, 1–11.
  11. Ernawati T, Hendrawan K, Samantha O, et al (2020). Evaluation of surgical induced astigmatism in 2.75 Mm temporal clear corneal incision after phacoemulsification. J. Widya Med. 6, 95–102.
  12. Falabella P, Yogi M, Teixeira A, et al (2013). Retrochop technique for rock-hard cataracts. J. Cataract Refract. Surg. 39, 826–829.
  13. Galor A, Feuer W, Lee D, et al (2011). Prevalence & risk factor of dry eye syndrome in a United State veterans affairs population. Am. J. Ophthalmol. 152, 377–384.
  14. Gimbel H (1991). Divide and conquer nucleofractis phacoemulsification: Development and variations. J. Cataract Refract. Surg. 17, 281–291.
  15. Hunter L (1995). Standing while performing phacoemulsification. J. Cataract Refract. Surg. 21, 111.
  16. Jick S (2019). Basic and clinical science course section 11 lens and cataract. American Academy of Ophthalmology, San Francisco.
  17. Joshi R (2022). Flower petal chop: Technique for nuclear cataract phacoemulsification. Pan-American J. Ophthalmol. 4, 1–5.
  18. Kaur I, Lal S, Rana C, et al (2009). Ocular preservatives: Associated risks and newer options. Cutan. Ocul. Toxicol. 28, 93–103.
  19. Kim D (2009). Cross chop: Modified rotation less horizontal chop technique for weak zonules. J. Cataract Refract. Surg. 35, 1335–1337.
  20. Kim D, Jang J (2012). Drill and chop: Modified vertical chop technique for hard cataracts. Ophthalmic Surgery, Lasers Imaging Retin. 43, 169–172.
  21. Koch P, Katzen L (1994). Stop and chop phacoemulsification. J. Cataract Refract. Surg. 20, 566–570.
  22. Korb D (2018). The effect of two novel lubricant eye drops on tear film lipid layer thickness in subjects with dry eye symptoms. Optom. Vis. Sci. 7, 1–17.
  23. Masmali A, Purslow C, Murphy P (2014). The tear Ferning test: A simple clinical technique to evaluate the ocular tear film. Clin. Exp. Optom. 97, 399–406.
  24. Naderi K, Gormley J, O’Brart D (2020). Cataract surgery and dry eye disease: A review. Eur. J. Ophthalmol. 30, 840–855.
  25. Noor N, Rahayu T, Gondhowiardjo T (2020). Prevalence of dry eye and its subtypes in an elderly population with cataracts in Indonesia. Clin. Ophthalmol. 14, 2143–2150.
  26. Sahu P, Das G, Malik A, et al (2015). Dry eye following phacoemulsification surgery and its relation to associated intraoperative risk factors. Middle East Afr. J. Ophthalmol. 22, 472–477.
  27. Schaumberg D, Sullivan D, Buring J, et al (2003). Prevalence of dry eye syndrome among US women. Am. J. Ophthalmol. 136, 318–326.
  28. Shi Y, Li X, Yang J (2022). Mutations of CX46/CX50 and cataract development. Front. Mol. Biosci. 9, 1–9.
  29. Stapleton F, Alves M, Bunya V, et al (2017). TFOS DEWS II epidemiology report. Ocul. Surf. 15, 344–365.
  30. Tarigan A (2020). Pengaruh operasi katarak dengan metode fakoemulsifikasi terhadap dry eye yang dinilai dengan kuesioner speed. Universitas Sumatera Utara.
  31. Tribowo A, Solahuddin A, Kavotiner L, et al (2021). Ferning, Schimer I and tear break up time (TBUT) accuracy test in post-operative cataract patient with extra capsular cataract extraction (ECCE) technique. Biosci. Med. J. Biomed. Transl. Res. 5, 248–254.
  32. Tsubota K (2017). New perspectives on dry eye definition and diagnosis: A consensus report by The Asia Dry Eye Society. Ocul. Surf. 15, 65–76.
  33. Vanathi M, Vajpayee R, Tandon R, et al (2001). Crater-and-chop technique for phacoemulsification of hard cataracts. J. Cataract Refract. Surg. 27, 659–661.
  34. Vasavada A, Raj S (2011). Multilevel chop technique. J. Cataract Refract. Surg. 37, 2092–2094.
  35. Zaidi F (2013). Cataract surgery. InTech, Rijeka.
  36. Zhang S, Li Y (2010). Research of ocular surface changer after incision of cataract surgery. Int. J. Ophthalmol. 10, 1719–1721.