Assessment of dry eye in rural hospital setting, B.G. Nagara, Karnataka
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2016, Vol 2, Issue 3
Abstract
Abstract Background: Dry eye is a common condition that is often under diagnosed. Normal vision requires moist healthy ocular surface. A sufficient quality of tears, normal composition of tears film, lid closure to maintain healthy ocular surface. Due to lack of uniformity in definition and inability of any single diagnostic test or set of diagnostic test to confirm or rule out the condition. There has been a shift towards symptom based assessment as a key component in clinical diagnosis with grading of severity of dry eye. Use of symptom based validated questionnaire might be beneficial as it allows grading of symptoms and is repeatable for comparative purpose before, during and after treatment. Recent advances in treatment suggests the use of lubricants, anti-inflammatory drugs, plugs to augment the tear film. Objectives: A prospective study was conducted to assess the dry eye in rural hospital setting at B.G. Nagara Karnataka with the objective to study the frequency of occurrence of dry eye and identify risk factors, correlate dry eye status with clinical tests, demographic and disease profile and devise appropriate therapy. Methods: A total of 63 cases were chosen from the outpatient department of Sri Adichunchanagiri Institute Of Medical Sciences and assessment of dry eye were made by tests like Tear breakup time, Schirmer’s, Rose Bengal dye test with prior administered Ocular surface disease index (OSDI) questionnaire for subjective grading of dry eye. Results: In our study majority 31.7% patients were in the group 41-50 years. Prevalence of overall dry eye in our study was 85.7%. Prevalence was more in females as compared to males. Risk factors associated with dry eye were identified with diabetes mellitus type II being more prevalent among them. In the study Osdi questionnaire had a good reliability and consistency (p<0.001). Pearson correlation with r value among various test like Tear breakup time, Schirmer’s, Rose Bengal dye test and OSDI score showed a good correlation. Conclusion: Dry eye is a chronic disease and increase in prevalence of dry eye increases with age. Subjective tests like OSDI correlated well with objective tests in our study. Grading of dry eye helps in better management of dry eye and its complications.
Authors and Affiliations
Sundip Shenoy, Reagan Madan
Keywords
Related Articles
- EP ID EP241444
- DOI -
- Views 126
- Downloads 0
Comparison of macular thickness in myopia, hypermetropia and emmetropia: An OCT based study
Aim To make a comparative evaluation of macular thickness in myopia and hypermetropia versus emmetropiaMaterials and Methods A crosssectional OCT based study was done in randomly selected 100 emmetropes 93 myopes 67 hype...
A study to evaluate the keratoanalyzer in success of penetrating kertoplasty
Aims To evaluate donor cornea by using eye bank specular microscope and evaluate outcome of keratolplasty according to the graft conditionMaterials and Methods This was a prospective study of 30 patients who undergone ke...
Strabismus surgery complications
Serious complications during or after strabismus surgery are infrequent This article gives a brief idea of the complications either local or systemic that can occur during or after squint surgery Meticulous hemostasis is...
Clinical study to evaluate safety and efficacy of tacrolimus 0.1% eye ointment in treatment of vernal keratoconjunctivitis
Introduction: Vernal keratoconjunctivitis is a seasonally recurring, chronic, allergic bilateral inflammatory disorder of the conjunctiva and cornea caused due to immune mediated hypersensitivity reaction. Tacrolimus is...
Association of mean platelet volume and platelet distribution width with diabetic retinopathy in patients with diabetes mellitus
Introduction MPV and PDW are indicators of subclinical platelet hyperactivity and can be used as predictive factors for development and progression of diabetic retinopathyMaterials and Methods This prospective case contr...