A Clinical Study on Severity of Dry Eye in Individuals with Pterygium at a Tertiary Hospital in South Kerala.

IF 0.5 Q4 OPHTHALMOLOGY

Middle East African Journal of Ophthalmology Pub Date : 2024-09-13 eCollection Date: 2023-07-01 DOI:10.4103/meajo.meajo_65_23

Hari Ramakrishnan, Jewel John

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Abstract

Purpose: To assess the severity of dry eye in individuals with pterygium in a tertiary care hospital.

Methods: This cross-sectional study was done on 70 individuals with pterygium who were attending the outpatient department of ophthalmology. Objective dry eye tests were done, including Schirmer's tests 1 and 2, tear film breakup time, and tear meniscus height (TMH). In this study, patients with one or more positive clinical tests were diagnosed to have dry eyes. Dry eye was graded as mild, moderate, severe, or severe disabling.

Results: Among 140 eyes, 79 eyes had pterygium. According to Schirmer's test 1 in eyes with pterygium, 29.1% of the eyes had mild dry eyes, and 26.6% had moderate dry eyes. According to Schirmer's test 2 in eyes with pterygium, 25.3% of the eyes had mild dry eyes, and 26.6% had moderate dry eyes. Tear film breakup time in eyes with pterygium showed a mild dry eye in 25.3% and moderate dry eye in 17.7%. TMH in eyes with pterygium was low at 7.6%.

Conclusion: The majority of eyes with pterygium have mild or moderate dry eye according to Schirmer's test 1, Schirmer's test 2, and tear film breakup time. No eyes with pterygium have severe dry eyes. TMH was also low in a small proportion of eyes with pterygium. Dry eye evaluation by Schirmer's test and tear breakup time is, therefore, a crucial clinical tool for early detection and prompt management of dry eye syndrome in pterygium patients.

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关于南喀拉拉邦一家三甲医院翼状胬肉患者干眼症严重程度的临床研究。

目的：评估一家三级医院中翼状胬肉患者干眼症的严重程度：这项横断面研究的对象是在眼科门诊部就诊的 70 名翼状胬肉患者。进行了客观的干眼测试，包括施尔默试验 1 和 2、泪膜破裂时间和泪液半月板高度（TMH）。在这项研究中，有一项或多项临床测试呈阳性的患者被诊断为干眼症。干眼分为轻度、中度、重度或重度致残：在 140 只眼睛中，有 79 只眼睛患有翼状胬肉。根据翼状胬肉患者的 Schirmer's 测试 1，29.1% 的人患有轻度干眼症，26.6% 的人患有中度干眼症。根据施尔默试验 2，患有翼状胬肉的眼睛中有 25.3% 患有轻度干眼症，26.6% 患有中度干眼症。翼状胬肉患者的泪膜破裂时间显示，25.3% 的人患有轻度干眼症，17.7% 的人患有中度干眼症。翼状胬肉患者的泪膜破裂时间较低，仅为 7.6%：根据Schirmer测试1、Schirmer测试2和泪膜破裂时间，大多数患有翼状胬肉的眼睛都有轻度或中度干眼症。没有患有翼状胬肉的眼睛患有重度干眼症。在一小部分患有翼状胬肉的眼睛中，TMH 也很低。因此，通过施尔默试验和泪膜破裂时间评估干眼症是早期发现和及时处理翼状胬肉患者干眼症的重要临床工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Middle East African Journal of Ophthalmology OPHTHALMOLOGY-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The Middle East African Journal of Ophthalmology (MEAJO), published four times per year in print and online, is an official journal of the Middle East African Council of Ophthalmology (MEACO). It is an international, peer-reviewed journal whose mission includes publication of original research of interest to ophthalmologists in the Middle East and Africa, and to provide readers with high quality educational review articles from world-renown experts. MEAJO, previously known as Middle East Journal of Ophthalmology (MEJO) was founded by Dr Akef El Maghraby in 1993.