Dry Eye and Meibomian Glands in Vitiligo

Objectives:To evaluate aqueous and lipid tear film parameters and the meibomian glands (MGs) with non-contact meibography in patients with vitiligo.Materials and Methods:This case-control study was conducted in the right (OD) and left (OS) eyes of 43 patients with vitiligo and 43 controls in Birjand...

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Main Authors: Ahmad Reza Taheri, Elahe Allahyari, Borhan Haghi Rudi, Malihe Nikandish
Format: Article
Language:English
Published: Galenos Yayinevi 2021-04-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/dry-eye-and-meibomian-glands-in-vitiligo/47342
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author Ahmad Reza Taheri
Elahe Allahyari
Borhan Haghi Rudi
Malihe Nikandish
author_facet Ahmad Reza Taheri
Elahe Allahyari
Borhan Haghi Rudi
Malihe Nikandish
author_sort Ahmad Reza Taheri
collection DOAJ
description Objectives:To evaluate aqueous and lipid tear film parameters and the meibomian glands (MGs) with non-contact meibography in patients with vitiligo.Materials and Methods:This case-control study was conducted in the right (OD) and left (OS) eyes of 43 patients with vitiligo and 43 controls in Birjand, Iran. In addition to demographic information and skin disease characteristics, the Ocular Surface Disease Index (OSDI) questionnaire was completed for each patient, followed by eye examinations including slit lamp examination, Schirmer test, strip meniscometry (SMTube), and tear break-up time (TBUT) measurement. The MGs were also imaged using a non-contact meibography system (SBM System, Italy). The data were analyzed using SPSS version 22.0 with a significant level of less than 0.05.Results:Patients had higher OSDI score than controls but it was not significant (10.90±13.03 vs. 5.57±6.85; p=0.07). There were significant differences between the groups in mean Schirmer test values for both eyes (OD: 8.07±5.47 vs. 17.37±6.52; OS: 7.60±5.00 vs. 17.30±6.44, p<0.001) and mean SMTube results (OD: 4.49±2.40 vs. 9.74±3.67; OS: 4.30±2.81 vs. 9.65±4.52; p<0.001). However, mean TBUT did not differ between the groups (OD: 9.14±3.17 vs. 10.12±2.08, p=0.27; OS: 9.16±3.30 vs. 10.05±2.10, p=0.25). Meibography also showed no significant difference in MG dropout between the groups (OD: 20.86±9.79 vs. 21.05±12.07; p=0.74; OS: 18.16±8.83 vs. 19.53±10.30; p=0.51).Conclusion:Vitiligo is associated with a reduction in the production of aqueous tear film, but does not affect the structure and function of the MGs.
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spelling doaj.art-7af70958d0734cbfb8f70ae03ec36e3b2023-02-15T16:21:39ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612021-04-01512707410.4274/tjo.galenos.2020.7802713049054Dry Eye and Meibomian Glands in VitiligoAhmad Reza Taheri0Elahe Allahyari1Borhan Haghi Rudi2Malihe Nikandish3 Meşhed Tıp Bilimleri Üniversitesi, Kutanöz Leishmaniasis Araştırma Merkezi, Meşhed, İran Birjand Tıp Bilimleri Üniversitesi Sağlık Yüksekokulu, Epidemiyoloji ve Biyoistatistik Anabilim Dalı, Sağlık Araştırma Merkezinin Sosyal Belirleyicileri, Birjand, İran Birjand Tıp Bilimleri Üniversitesi Valiasr Hastanesi, Göz Hastalıkları Anabilim Dalı, Birjand, İran Birjand Tıp Bilimleri Üniversitesi Valiasr Hastanesi, Göz Hastalıkları Anabilim Dalı, Birjand, İran Objectives:To evaluate aqueous and lipid tear film parameters and the meibomian glands (MGs) with non-contact meibography in patients with vitiligo.Materials and Methods:This case-control study was conducted in the right (OD) and left (OS) eyes of 43 patients with vitiligo and 43 controls in Birjand, Iran. In addition to demographic information and skin disease characteristics, the Ocular Surface Disease Index (OSDI) questionnaire was completed for each patient, followed by eye examinations including slit lamp examination, Schirmer test, strip meniscometry (SMTube), and tear break-up time (TBUT) measurement. The MGs were also imaged using a non-contact meibography system (SBM System, Italy). The data were analyzed using SPSS version 22.0 with a significant level of less than 0.05.Results:Patients had higher OSDI score than controls but it was not significant (10.90±13.03 vs. 5.57±6.85; p=0.07). There were significant differences between the groups in mean Schirmer test values for both eyes (OD: 8.07±5.47 vs. 17.37±6.52; OS: 7.60±5.00 vs. 17.30±6.44, p<0.001) and mean SMTube results (OD: 4.49±2.40 vs. 9.74±3.67; OS: 4.30±2.81 vs. 9.65±4.52; p<0.001). However, mean TBUT did not differ between the groups (OD: 9.14±3.17 vs. 10.12±2.08, p=0.27; OS: 9.16±3.30 vs. 10.05±2.10, p=0.25). Meibography also showed no significant difference in MG dropout between the groups (OD: 20.86±9.79 vs. 21.05±12.07; p=0.74; OS: 18.16±8.83 vs. 19.53±10.30; p=0.51).Conclusion:Vitiligo is associated with a reduction in the production of aqueous tear film, but does not affect the structure and function of the MGs. http://www.oftalmoloji.org/archives/archive-detail/article-preview/dry-eye-and-meibomian-glands-in-vitiligo/47342 vitiligodry eyemeibomian glands
spellingShingle Ahmad Reza Taheri
Elahe Allahyari
Borhan Haghi Rudi
Malihe Nikandish
Dry Eye and Meibomian Glands in Vitiligo
Türk Oftalmoloji Dergisi
vitiligo
dry eye
meibomian glands
title Dry Eye and Meibomian Glands in Vitiligo
title_full Dry Eye and Meibomian Glands in Vitiligo
title_fullStr Dry Eye and Meibomian Glands in Vitiligo
title_full_unstemmed Dry Eye and Meibomian Glands in Vitiligo
title_short Dry Eye and Meibomian Glands in Vitiligo
title_sort dry eye and meibomian glands in vitiligo
topic vitiligo
dry eye
meibomian glands
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/dry-eye-and-meibomian-glands-in-vitiligo/47342
work_keys_str_mv AT ahmadrezataheri dryeyeandmeibomianglandsinvitiligo
AT elaheallahyari dryeyeandmeibomianglandsinvitiligo
AT borhanhaghirudi dryeyeandmeibomianglandsinvitiligo
AT malihenikandish dryeyeandmeibomianglandsinvitiligo