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International Ophthalmology

, Volume 39, Issue 4, pp 745–752 | Cite as

Influence of glaucoma surgery on the ocular surface using oculus keratograph

  • Sue Zhong
  • Hezheng ZhouEmail author
  • Xiao Chen
  • Wenqiang Zhang
  • Liqun Yi
Original Paper

Abstract

Purpose

To investigate the influence of trabeculectomy and phacotrabeculectomy on the ocular surface.

Design

Retrospective, case–control study.

Methods

Eighty-one samples without dry eyes were recruited and divided into three groups, including phacoemulsification group (N = 30) as control group, trabeculectomy group (N = 27) and phacotrabeculectomy group (N = 24) as study groups. Ocular surface parameters, including noninvasive keratograph first (NifBUT) and average (NiaBUT) tear film breakup time, tear meniscus height (TMH) and corneal fluorescein stain (CFS), were estimated preoperatively, at 3 days, 1 month and 3 months postoperatively using oculus keratograph.

Results

No significant difference was observed in ocular surface parameters at baseline among three groups (p > 0.05). The magnitude of NifBUT and NiaBUT was reduced at 3 days and 1 month postoperatively in phacotrabeculectomy group, but greater than that in the other two groups (All p < 0.001). In all the groups, both the NifBUT and NiaBUT tended to recover at 1 and 3 months postoperatively, whereas both of them did not recover to baseline at 3 months postoperatively in trabeculectomy (NifBUT, p = 0.001; NiaBUT, p < 0.001) and phacotrabeculectomy group (NifBUT, p < 0.001; NiaBUT, p = 0.020). TMH was raised at 3 days postoperatively and restored to the baseline level at 1 and 3 months postoperatively for three groups (p > 0.05). CFS was elevated at 3 days postoperatively and different in recovery at 1 and 3 months postoperatively for three groups.

Conclusions

The influence of phacotrabeculectomy on ocular surface is worse than that of trabeculectomy for the short run and is not distinct different for a long time.

Keywords

Glaucoma Dry eye Ocular surface Breakup time Oculus keratograph 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  • Sue Zhong
    • 1
    • 2
    • 3
  • Hezheng Zhou
    • 1
    • 2
    Email author
  • Xiao Chen
    • 2
  • Wenqiang Zhang
    • 2
  • Liqun Yi
    • 3
  1. 1.Southern Medical UniversityGuangzhouChina
  2. 2.Department of OphthalmologyWuhan General Hospital of the People’s Liberation ArmyWuhanChina
  3. 3.Department of OphthalmologyThe Second People’s Hospital of Three Gorges UniversityYichangChina

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