Meibomian Gland Assessment in Routine Ophthalmology Practice
This cross-sectional study aimed to investigate the connection between meibomian gland (MG) excreta quantity and quality after MG expression (MGX), dry eye disease (DED) symptoms, and objective DED signs and to clarify the relationship between dry eye and MG function in DED pathophysiology. The stud...
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| Format: | Article |
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MDPI AG
2023-01-01
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| Series: | Metabolites |
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| Online Access: | https://www.mdpi.com/2218-1989/13/2/157 |
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| author | Igor Petriček Martina Tomić Tomislav Bulum Dina Lešin Gaćina Sania Vidas Pauk |
| author_facet | Igor Petriček Martina Tomić Tomislav Bulum Dina Lešin Gaćina Sania Vidas Pauk |
| author_sort | Igor Petriček |
| collection | DOAJ |
| description | This cross-sectional study aimed to investigate the connection between meibomian gland (MG) excreta quantity and quality after MG expression (MGX), dry eye disease (DED) symptoms, and objective DED signs and to clarify the relationship between dry eye and MG function in DED pathophysiology. The study included 200 subjects, 100 with and 100 without dry eye symptoms. Schein questionnaire was used to determine the severity of dry eye symptoms and self-reported skin type for facial skin dryness self-evaluation. Objective dry eye signs were assessed by monitoring conjunctival hyperemia, lid parallel conjunctival folds (LIPCOF), tear break-up time (TBUT), fluorescein surface staining and digital MGX. Subjects with DED symptoms had significantly lower MG quantity scores than healthy controls (<i>p</i> < 0.001). Meibum quality and quantity scores significantly correlated with female gender (<i>p</i> = 0.002), Schein questionnaire score (<i>p</i> < 0.001), fluorescein corneal staining score (<i>p</i> = 0.019), self-reported skin type (<i>p</i> < 0.001), TBUT (<i>p</i> < 0.001) and LIPCOF (<i>p</i> = 0.041). After adjustment for age and gender in a logistic regression analysis, dry eye was independently and significantly associated with self-reported skin type (OR 0.73, <i>p</i> < 0.001), LIPCOF (OR 1.04, <i>p</i> < 0.001), fluorescein corneal staining (OR 1.05, <i>p</i> = 0.019), TBUT (OR 0.77, <i>p</i> < 0.001) and meibum quantity score (OR 0.59, <i>p</i> < 0.001). Dry eye symptoms and objective signs correlated well in this study. MGX discriminated between the subjects with and without DED symptoms and was associated with other objective DED signs. Results showed a significant association between meibum quality and quantity, MG function, DED and facial skin dryness self-perception. This paper established a correlation between dry eye symptoms caused by MG dysfunction and dry skin, which can help general health practitioners consider dry eye as a cause of chronic eye complaints with patients who report dry skin. |
| first_indexed | 2024-03-11T08:26:19Z |
| format | Article |
| id | doaj.art-7615ff12d47c493abe0d16e7f39227e6 |
| institution | Directory Open Access Journal |
| issn | 2218-1989 |
| language | English |
| last_indexed | 2024-03-11T08:26:19Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Metabolites |
| spelling | doaj.art-7615ff12d47c493abe0d16e7f39227e62023-11-16T22:03:41ZengMDPI AGMetabolites2218-19892023-01-0113215710.3390/metabo13020157Meibomian Gland Assessment in Routine Ophthalmology PracticeIgor Petriček0Martina Tomić1Tomislav Bulum2Dina Lešin Gaćina3Sania Vidas Pauk4Department of Ophthalmology, Zagreb University Hospital Center, 10000 Zagreb, CroatiaVuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, 10000 Zagreb, CroatiaSchool of Medicine, University of Zagreb, 10000 Zagreb, CroatiaDepartment of Ophthalmology, Zagreb University Hospital Center, 10000 Zagreb, CroatiaDepartment of Ophthalmology, Zagreb University Hospital Center, 10000 Zagreb, CroatiaThis cross-sectional study aimed to investigate the connection between meibomian gland (MG) excreta quantity and quality after MG expression (MGX), dry eye disease (DED) symptoms, and objective DED signs and to clarify the relationship between dry eye and MG function in DED pathophysiology. The study included 200 subjects, 100 with and 100 without dry eye symptoms. Schein questionnaire was used to determine the severity of dry eye symptoms and self-reported skin type for facial skin dryness self-evaluation. Objective dry eye signs were assessed by monitoring conjunctival hyperemia, lid parallel conjunctival folds (LIPCOF), tear break-up time (TBUT), fluorescein surface staining and digital MGX. Subjects with DED symptoms had significantly lower MG quantity scores than healthy controls (<i>p</i> < 0.001). Meibum quality and quantity scores significantly correlated with female gender (<i>p</i> = 0.002), Schein questionnaire score (<i>p</i> < 0.001), fluorescein corneal staining score (<i>p</i> = 0.019), self-reported skin type (<i>p</i> < 0.001), TBUT (<i>p</i> < 0.001) and LIPCOF (<i>p</i> = 0.041). After adjustment for age and gender in a logistic regression analysis, dry eye was independently and significantly associated with self-reported skin type (OR 0.73, <i>p</i> < 0.001), LIPCOF (OR 1.04, <i>p</i> < 0.001), fluorescein corneal staining (OR 1.05, <i>p</i> = 0.019), TBUT (OR 0.77, <i>p</i> < 0.001) and meibum quantity score (OR 0.59, <i>p</i> < 0.001). Dry eye symptoms and objective signs correlated well in this study. MGX discriminated between the subjects with and without DED symptoms and was associated with other objective DED signs. Results showed a significant association between meibum quality and quantity, MG function, DED and facial skin dryness self-perception. This paper established a correlation between dry eye symptoms caused by MG dysfunction and dry skin, which can help general health practitioners consider dry eye as a cause of chronic eye complaints with patients who report dry skin.https://www.mdpi.com/2218-1989/13/2/157meibomian glanddry eye syndromemeibomian gland dysfunctionmeibomian gland lipidssebaceous glandssex hormones |
| spellingShingle | Igor Petriček Martina Tomić Tomislav Bulum Dina Lešin Gaćina Sania Vidas Pauk Meibomian Gland Assessment in Routine Ophthalmology Practice Metabolites meibomian gland dry eye syndrome meibomian gland dysfunction meibomian gland lipids sebaceous glands sex hormones |
| title | Meibomian Gland Assessment in Routine Ophthalmology Practice |
| title_full | Meibomian Gland Assessment in Routine Ophthalmology Practice |
| title_fullStr | Meibomian Gland Assessment in Routine Ophthalmology Practice |
| title_full_unstemmed | Meibomian Gland Assessment in Routine Ophthalmology Practice |
| title_short | Meibomian Gland Assessment in Routine Ophthalmology Practice |
| title_sort | meibomian gland assessment in routine ophthalmology practice |
| topic | meibomian gland dry eye syndrome meibomian gland dysfunction meibomian gland lipids sebaceous glands sex hormones |
| url | https://www.mdpi.com/2218-1989/13/2/157 |
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