Evidence map›Paper›PMID 41247629›Full record

Observational studyInternational ophthalmology2025

Meibomian gland changes and influencing factors following cataract surgery.

Fuat Yavrum, Berra Alcıkaya, Ayşegül Acar, Nedime Şahinoğlu-Keşkek

Abstract readObservational Study
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Observational study in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Fuat YavrumOphthalmology Department Faculty of Medicine, Alanya Alaaddin Keykubat University, Kestel District, University St., no:80, PC: 07425, Antalya, Turkey. fuatyavrum@gmail.com.
Berra AlcıkayaOphthalmology Department Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkey.
Ayşegül AcarOphthalmology Department Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkey.
Nedime Şahinoğlu-KeşkekOphthalmology Department Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMeibomian gland dysfunction (MGD) is a leading cause of evaporative dry eye disease (DED), and its exacerbation after cataract surgery has been reported. This study aims to evaluate meibomian gland (MG) morphological and functional changes following cataract surgery and identify influencing factors.

methodsThis prospective, observational study included 132 patients who underwent phacoemulsification with intraocular lens implantation. Meibomian gland loss (MGL) and non-invasive tear break-up time (NI-BUT) were assessed preoperatively at postoperative week one, and at month one using a corneal topography device via infrared meibography (Sirius, CSO, Italy). Correlations between MGL, NI-BUT, cataract grade, and surgery duration were analyzed.

resultsPostoperatively, MGL increased at week one (32.0% ± 15.1) and month one (30.9% ± 14.5) compared to preoperative values (15.1% ± 7.0). NI-BUT decreased at both time points (week one: 6.8 s ± 4.3; month one: 6.7 s ± 4.6; preoperative: 9.4 s ± 4.5). A significant correlation was found between increased MGL and longer surgery duration (p < 0.001). ROC analysis identified a surgical duration threshold of 11.5 min, beyond which MGL changes were more pronounced.

conclusionsCataract surgery induces significant MG changes, with increased MGL and reduced NI-BUT postoperatively. Longer surgical duration is a key risk factor for MG deterioration. These findings highlight the importance of ocular surface management in cataract surgery to improve postoperative outcomes.

Indexed as

Dry Eye SyndromesLens Implantation, IntraocularMeibomian Gland DysfunctionMeibomian GlandsPhacoemulsificationPostoperative ComplicationsAgedAged, 80 and overCorneal TopographyFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTearsCataract surgeryMeibomian glandsOcular surfaceTear break up time

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.