Predictors of severity in prostaglandin-associated periorbitopathy.

IF 1.6 4区 医学 Q3 OPHTHALMOLOGY
Cutaneous and Ocular Toxicology Pub Date : 2025-03-01 Epub Date: 2025-03-07 DOI:10.1080/15569527.2025.2475450
Meryem Altın Ekin, Gul Arıkan, Eren Yagmurlu, Ozlem Ural Fatihoglu, Ali Devebacak, Omer Kartı, Ziya Ayhan, Meltem Soylev Bajin
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引用次数: 0

Abstract

Objective: To determine the predictive factors for severity in prostaglandin-associated periorbitopathy (PAP) using an objective grading system.

Methods: The study included patients diagnosed with glaucoma or ocular hypertension who had used a topical prostaglandin analog (PGA) unilaterally for at least three months. Clinical characteristics and PAP signs were compared based on the types of PGAs used. The severity of PAP signs was categorised according to an objective grading system. Univariate and multivariate logistic regression analyses were performed to identify risk factors for different grades of PAP.

Results: Among the 86 patients included in the study, 24 (27.9%) used bimatoprost, 35 (40.7%) used latanoprost, and 27 (31.4%) used travoprost. The most commonly observed feature of PAP was orbital fat atrophy (48.8%), followed by deepening of the upper eyelid sulcus (38.4%), involution of dermatochalasis (32.6%), and enophthalmos (26.7%). Fifty-eight patients (67.4%) exhibited at least one periorbital change associated with PGA use. Multivariate logistic regression analysis revealed that age >60 years (p < 0.05), the use of bimatoprost (p < 0.05) and travoprost (p < 0.05), and PGA therapy duration >1 year (p < 0.05) were independent risk factors for higher grades of PAP.

Conclusion: Older age, longer duration of PGA therapy, and the use of bimatoprost and travoprost were significant and independent predictors of severe PAP in patients with glaucoma. Patients with these risk factors should be identified and managed to prevent the development of severe PAP.

前列腺素相关性眼周病变严重程度的预测因素。
目的:采用客观分级系统确定前列腺素相关性眼周病(PAP)严重程度的预测因素。方法:该研究纳入了诊断为青光眼或高眼压的患者,这些患者单方面使用局部前列腺素类似物(PGA)至少三个月。根据使用的PGAs类型比较临床特征和PAP体征。根据客观评分系统对PAP症状的严重程度进行分类。进行单因素和多因素logistic回归分析,以确定不同级别PAP的危险因素。结果:纳入研究的86例患者中,使用比马前列素24例(27.9%),使用拉坦前列素35例(40.7%),使用曲伏前列素27例(31.4%)。PAP最常见的特征是眼眶脂肪萎缩(48.8%),其次是上睑沟加深(38.4%)、皮肤松弛(32.6%)和眼球内陷(26.7%)。58例患者(67.4%)表现出至少一种与PGA使用相关的眶周改变。结论:年龄较大、PGA治疗时间较长、使用比马前列素和曲伏前列素是青光眼患者重度PAP的显著独立预测因素。有这些危险因素的患者应该被识别和管理,以防止发展为严重的PAP。
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来源期刊
CiteScore
3.30
自引率
6.20%
发文量
40
审稿时长
1 months
期刊介绍: Cutaneous and Ocular Toxicology is an international, peer-reviewed journal that covers all types of harm to cutaneous and ocular systems. Areas of particular interest include pharmaceutical and medical products; consumer, personal care, and household products; and issues in environmental and occupational exposures. In addition to original research papers, reviews and short communications are invited, as well as concise, relevant, and critical reviews of topics of contemporary significance.
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