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8 ± 7.4 four weeks after surgery. The TBUT was 12 ± 4.1s pre-operatively, but significantly reduced to 11.2 ± 3.9s (p 0.001) at 4-week post-operative period. At 6 weeks, patients with normal CIC reduced from 53 (75.8%) pre-operatively to 8 (11.4%) (p 0.001, z = -7.24). Fifty percent of patients with severe post-operative ocular surface disease reported dissatisfaction with their surgical outcome (p = 0.024). Manual small incision cataract surgery can significantly impair the ocular surface health profile of patients. The presenc
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