Ocular Manifestations in Patients with Psoriasis

Background and purpose: Psoriasis is a systemically pathogenic immune-mediated, chronic inflammatory disease that mostly affects the skin. Ocular diseases, which are frequently nonspecific or just slightly bothersome in psoriasis, are not well-known. This study investigated ocular manifestations in...

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Main Authors: Haniyeh Ghasrsaz, Reza Jafari, Zohreh Haj Heydari, Ghasem Rahmatpour Rokni
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2023-09-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-18798-en.pdf
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author Haniyeh Ghasrsaz
Reza Jafari
Zohreh Haj Heydari
Ghasem Rahmatpour Rokni
author_facet Haniyeh Ghasrsaz
Reza Jafari
Zohreh Haj Heydari
Ghasem Rahmatpour Rokni
author_sort Haniyeh Ghasrsaz
collection DOAJ
description Background and purpose: Psoriasis is a systemically pathogenic immune-mediated, chronic inflammatory disease that mostly affects the skin. Ocular diseases, which are frequently nonspecific or just slightly bothersome in psoriasis, are not well-known. This study investigated ocular manifestations in patients with psoriasis. Materials and methods: This cross-sectional study was conducted at Bu-Ali Sina hospital in Sari, Iran. Seventy-five patients with psoriasis matched by age and sex with 75 non-psoriatic controls were examined. Dermatology life quality index (DLQI) and psoriasis area and severity index (PASI) scores were calculated for every patient with psoriasis. Ocular surface disease index (OSDI) was measured in both groups. We did a slit-lamp examination, Schirmer I test, tear breakup time (TBUT) and fundoscopy in both groups. Results: The mean age of patients was 40.11±13.88 years. The most common findings on our examinations were conjunctival hyperemia (38%), blepharitis (36%), MGD (33%), and pinguecula (26%). MGD and low TBUT were more common in patients with higher PASI and DLQI scores. OSDI score was also higher in patients with psoriasis. Conclusion: Ocular surface conditions such as dry eye were more common among the participants and were correlated with duration and severity of the disease. Therefore, psoriasis patients should get frequent and routine eye exams to detect ocular disorders quicly and avoid their unintended effects.
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spelling doaj.art-4febcba7717c49e787ce8d7fd4432c212023-11-21T07:44:40ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792023-09-01332247789Ocular Manifestations in Patients with PsoriasisHaniyeh Ghasrsaz0Reza Jafari1Zohreh Haj Heydari2Ghasem Rahmatpour Rokni3 Medical Student, Bu-Ali Educational, Research and Therapeutic Hospital, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Ophthalmology, Bu-Ali Educational, Research and Therapeutic Hospital, Mazandaran University of Medical Sciences, Sari, Iran Professor, Department of Dermatology, Bu-Ali Educational, Research and Therapeutic Hospital, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Department of Dermatology, Bu-Ali Educational, Research and Therapeutic Hospital, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Psoriasis is a systemically pathogenic immune-mediated, chronic inflammatory disease that mostly affects the skin. Ocular diseases, which are frequently nonspecific or just slightly bothersome in psoriasis, are not well-known. This study investigated ocular manifestations in patients with psoriasis. Materials and methods: This cross-sectional study was conducted at Bu-Ali Sina hospital in Sari, Iran. Seventy-five patients with psoriasis matched by age and sex with 75 non-psoriatic controls were examined. Dermatology life quality index (DLQI) and psoriasis area and severity index (PASI) scores were calculated for every patient with psoriasis. Ocular surface disease index (OSDI) was measured in both groups. We did a slit-lamp examination, Schirmer I test, tear breakup time (TBUT) and fundoscopy in both groups. Results: The mean age of patients was 40.11±13.88 years. The most common findings on our examinations were conjunctival hyperemia (38%), blepharitis (36%), MGD (33%), and pinguecula (26%). MGD and low TBUT were more common in patients with higher PASI and DLQI scores. OSDI score was also higher in patients with psoriasis. Conclusion: Ocular surface conditions such as dry eye were more common among the participants and were correlated with duration and severity of the disease. Therefore, psoriasis patients should get frequent and routine eye exams to detect ocular disorders quicly and avoid their unintended effects.http://jmums.mazums.ac.ir/article-1-18798-en.pdfpsoriasiseyedry eyeocular psoriasismgd
spellingShingle Haniyeh Ghasrsaz
Reza Jafari
Zohreh Haj Heydari
Ghasem Rahmatpour Rokni
Ocular Manifestations in Patients with Psoriasis
Journal of Mazandaran University of Medical Sciences
psoriasis
eye
dry eye
ocular psoriasis
mgd
title Ocular Manifestations in Patients with Psoriasis
title_full Ocular Manifestations in Patients with Psoriasis
title_fullStr Ocular Manifestations in Patients with Psoriasis
title_full_unstemmed Ocular Manifestations in Patients with Psoriasis
title_short Ocular Manifestations in Patients with Psoriasis
title_sort ocular manifestations in patients with psoriasis
topic psoriasis
eye
dry eye
ocular psoriasis
mgd
url http://jmums.mazums.ac.ir/article-1-18798-en.pdf
work_keys_str_mv AT haniyehghasrsaz ocularmanifestationsinpatientswithpsoriasis
AT rezajafari ocularmanifestationsinpatientswithpsoriasis
AT zohrehhajheydari ocularmanifestationsinpatientswithpsoriasis
AT ghasemrahmatpourrokni ocularmanifestationsinpatientswithpsoriasis