Effects of aromatase inhibitors on the ocular surface microenvironment

AIM: To analyze the effects of aromatase inhibitors(AIs)on the ocular surface microenvironment of the users.METHODS: A cross-sectional observational study was conducted. The study included postmenopausal women who received AIs treatment at galactophore department of our hospital from November 2022 t...

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Main Authors: Peng Xu, Yuan-Yuan Zhao, Chen Yuan, Chao Liu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2023-10-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2023/10/202310026.pdf
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author Peng Xu
Yuan-Yuan Zhao
Chen Yuan
Chao Liu
author_facet Peng Xu
Yuan-Yuan Zhao
Chen Yuan
Chao Liu
author_sort Peng Xu
collection DOAJ
description AIM: To analyze the effects of aromatase inhibitors(AIs)on the ocular surface microenvironment of the users.METHODS: A cross-sectional observational study was conducted. The study included postmenopausal women who received AIs treatment at galactophore department of our hospital from November 2022 to May 2023. Participants were divided into two groups based on the mechanism of AIs: the steroidal group and the non-steroidal group. The control group consisted of age-matched women who underwent occupational health examinations. All participants completed the ocular surface disease index(OSDI)questionnaire and underwent detailed ophthalmic examinations, including best-corrected visual acuity, intraocular pressure, axial length, corneal curvature, radius of curvature of curved lacrimal river surface, tear osmolarity, tear film break-up time, corneal fluorescein staining score, Schirmer Ⅰ test, and meibomian gland infrared score.RESULTS: There were no statistically significant differences in age, best-corrected visual acuity, intraocular pressure, axial length, and corneal curvature between control group and steroidal and non-steroidal group(P>0.05). The duration of drug treatment between the steroidal group and the non-steroidal group also showed no statistically significant difference(P>0.05). However, statistically significant differences were observed between the control group and the steroidal and non-steroidal group in OSDI scores, radius of curvature of curved lacrimal river surface, tear osmolarity, tear film break-up time, corneal fluorescein staining score, Schirmer Ⅰ test, and meibomian gland infrared score(P<0.05). The Schirmer Ⅰ test also showed statistically significant differences between the steroidal group and the non-steroidal group(P<0.05), while other data showed no statistically significant differences(P>0.05).CONCLUSION: Postmenopausal patients receiving AIs treatment experienced significant changes in the ocular microenvironment, with both decreased tear secretion and excessive tear evaporation contributing to the occurrence of dry eye. Notably, patients receiving non-steroidal AIs treatment showed a more significant reduction in main lacrimal gland secretion.
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spelling doaj.art-64afe43b8a4f4464904da403f776b8f32023-09-19T03:02:27ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-10-0123101741174410.3980/j.issn.1672-5123.2023.10.26202310026Effects of aromatase inhibitors on the ocular surface microenvironmentPeng Xu0Yuan-Yuan Zhao1Chen Yuan2Chao Liu3Affiliated Qingdao Central Hospital of Qingdao University;Qingdao Cancer Hospital, Qingdao 266042, Shandong Province, ChinaAffiliated Qingdao Central Hospital of Qingdao University;Qingdao Cancer Hospital, Qingdao 266042, Shandong Province, ChinaAffiliated Qingdao Central Hospital of Qingdao University;Qingdao Cancer Hospital, Qingdao 266042, Shandong Province, ChinaAffiliated Qingdao Central Hospital of Qingdao University;Qingdao Cancer Hospital, Qingdao 266042, Shandong Province, ChinaAIM: To analyze the effects of aromatase inhibitors(AIs)on the ocular surface microenvironment of the users.METHODS: A cross-sectional observational study was conducted. The study included postmenopausal women who received AIs treatment at galactophore department of our hospital from November 2022 to May 2023. Participants were divided into two groups based on the mechanism of AIs: the steroidal group and the non-steroidal group. The control group consisted of age-matched women who underwent occupational health examinations. All participants completed the ocular surface disease index(OSDI)questionnaire and underwent detailed ophthalmic examinations, including best-corrected visual acuity, intraocular pressure, axial length, corneal curvature, radius of curvature of curved lacrimal river surface, tear osmolarity, tear film break-up time, corneal fluorescein staining score, Schirmer Ⅰ test, and meibomian gland infrared score.RESULTS: There were no statistically significant differences in age, best-corrected visual acuity, intraocular pressure, axial length, and corneal curvature between control group and steroidal and non-steroidal group(P>0.05). The duration of drug treatment between the steroidal group and the non-steroidal group also showed no statistically significant difference(P>0.05). However, statistically significant differences were observed between the control group and the steroidal and non-steroidal group in OSDI scores, radius of curvature of curved lacrimal river surface, tear osmolarity, tear film break-up time, corneal fluorescein staining score, Schirmer Ⅰ test, and meibomian gland infrared score(P<0.05). The Schirmer Ⅰ test also showed statistically significant differences between the steroidal group and the non-steroidal group(P<0.05), while other data showed no statistically significant differences(P>0.05).CONCLUSION: Postmenopausal patients receiving AIs treatment experienced significant changes in the ocular microenvironment, with both decreased tear secretion and excessive tear evaporation contributing to the occurrence of dry eye. Notably, patients receiving non-steroidal AIs treatment showed a more significant reduction in main lacrimal gland secretion.http://ies.ijo.cn/cn_publish/2023/10/202310026.pdfdry eyearomatase inhibitorbreast cancerocular surface microenvironment
spellingShingle Peng Xu
Yuan-Yuan Zhao
Chen Yuan
Chao Liu
Effects of aromatase inhibitors on the ocular surface microenvironment
Guoji Yanke Zazhi
dry eye
aromatase inhibitor
breast cancer
ocular surface microenvironment
title Effects of aromatase inhibitors on the ocular surface microenvironment
title_full Effects of aromatase inhibitors on the ocular surface microenvironment
title_fullStr Effects of aromatase inhibitors on the ocular surface microenvironment
title_full_unstemmed Effects of aromatase inhibitors on the ocular surface microenvironment
title_short Effects of aromatase inhibitors on the ocular surface microenvironment
title_sort effects of aromatase inhibitors on the ocular surface microenvironment
topic dry eye
aromatase inhibitor
breast cancer
ocular surface microenvironment
url http://ies.ijo.cn/cn_publish/2023/10/202310026.pdf
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