Abstract : Objective: The aim of this study was to assess the efficacy of commercially available sterile lid wipes in
reducing the incidence of MGD and dry eye after cataract surgery.
Materials and Methods: In this prospective clinical study 40 patients undergoing uneventful cataract
surgery were included. They were divided randomly into 2 groups of 20 patients each. The control group
was prescribed standard postoperative regimen consisting of topical steroid, antibiotic and NSAID. The
study group was prescribed in addition to the above topical regimen, sterile lid wipes for cleaning of
lid margin and lashes. The signs and symptoms of all patients were assessed and scoring was done
based on severity grading of a structured symptom based Standard Patient Evaluation of Eye Dryness
(SPEED) questionnaire, corneal staining, meibum expressibility and meibum quality at preoperative and at
postoperative 3 weeks and 6 weeks. The data obtained was analysed statistically.
Results: The SPEED questionnaire, corneal staining, meibum expressibility and meibum quality mean
scores worsened statistically significantly in the control group as compared to the study group (p
In control group, the mean score of all the parameters were statistically significantly worsened at all follow
up visits. (p
Conclusion: Maintaining lid hygiene with lid wipes in post cataract surgery period is effective in prevention
of MGD and dry eye.
Keywords: Dry eye, Meibomian gland dysfunction (MGD), Lid wipes, Post cataract surgery.