جستجوی مقالات مرتبط با کلیدواژه "meibomian gland" در نشریات گروه "پزشکی"
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زمینه
دیابت به عنوان شایع ترین بیماری ناشی از اختلالات متابولیسم با عوارض متعددی از جمله عوارض چشمی همراه می باشد. هدف از انجام این مطالعه مقطعی تعیین فراوانی اختلال عملکرد غدد میبومین و خشکی چشم در بیماران دیابتی بود.
مواد و روش هادر این مطالعه مقطعی توصیفی تحلیلی بیماران با تشخیص دیابت نوع 2 از آذر ماه سال 1398 تا مهر ماه سال 1399 که به درمانگاه چشم بیمارستان فرشچیان مراجعه کرده بودند وارد مطالعه شدند. اطلاعات مربوط به مشخصات دموگرافیک، مدت زمان ابتلا به دیابت، میزان هموگلوبین گلیکوزیله با استفاده از یک چک لیست از پیش طراحی شده جمع آوری شد. شدت خشکی چشم با استفاده از تست زمان تجزیه اشک (TBUT)، اختلال غدد میبومین و عوارض چشمی توسط اسلیت لامپ ارزیابی شد.
یافته هادر این مطالعه 267 بیمار وارد مطالعه شدند. میانگین سنی بیماران 59/8 سال بود و 44/2 درصد مرد بودند. خشکی خفیف، متوسط و شدید به ترتیب در 34/1، 18/0 و 5/2 درصد بیماران مشاهده شد. اختلال درجه یک، دو و سه غدد میبومین به ترتیب در 32/6، 15/7 و 5/2 درصد بیماران مشاهده شد. بیمارانی که کنترل قند خون ضعیف داشتند شدت بیشتر خشکی چشم (0/001>p) و اختلال عملکرد غدد میبومین در آن ها بیشتر بود (0/001>p).
نتیجه گیریدر بیماران مبتلا به دیابت، خشکی چشم و اختلال عملکرد غدد میبومین شیوع بالایی دارد و شدت بیشتر خشکی چشم و اختلال عملکرد غدد میبومین با کنترل ضعیف قند خون و مدت ابتلای بیشتر به دیابت ارتباط دارد.
کلید واژگان: دیابت نوع 2, خشکی چشم, غدد میبومین, اختلال عملکرد, شیوعBackgroundDiabetes, as the most common disease caused by metabolic disorders, is associated with several compli-cations, including ocular complications. The aim of this cross-sectional study was to determine the fre-quency of meibomian gland dysfunction and dry eye in patients with diabetes.
Materials and MethodsIn this descriptive-analytical cross-sectional study, patients with type 2 diabetes referred to the eye clinic of Farshchian Hospital (Sina) from December 2019 to October 2020 were included. Data were collected on the patients’ demographic characteristics, duration of diabetes, and HbA1c using a pre-designed checklist. The severity of dry eye was assessed by the tear breakup time (TBUT) test, while meibomian gland disorder and ocular complications were evaluated by a slit lamp.
ResultsIn this study, 267 patients with type 2 diabetes participated. The mean age of the patients was 59.8 years, and 44.2% of them were male. Mild, moderate, and severe dry eye were observed in 34.1%, 18.0% and 5.2% of the patients, respectively. Grades 1, 2, and 3 of meibomian gland dysfunction were observed in 32.6%, 15.7%, and 5.2% of the patients respectively. Patients with poor glycemic control had higher se-verity of dry eye (p<0.001) and more meibomian gland dysfunction (p<0.001).
ConclusionDry eye and meibomian gland dysfunction have a high prevalence in patients with diabetes mellitus, and more severe dry eye and meibomian gland dysfunction are associated with poor glycemic control and longer duration of diabetes diagnosis.
Keywords: Type 2 Diabetes Melli-Tus, Dry Eye, Meibomian Gland, Dysfunction, Prevalence -
Purpose
To investigate changes in meibomian gland morphology and impact of electronic device usage time on meibomian glands in pediatric age group.
MethodsIn this prospective study, 149 eyes of 149 children were enrolled. The participants also completed the Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire and provided information regarding weekly hours spent in front of a digital screen. Meibography was performed in all subjects. Grading of images was evaluated using a previously validated 5-point meiboscale (0–4) for meibomian gland atrophy and a 3-point scale for meibomian gland tortuosity (0–2).
ResultsOf the 149 enrolled children, 83 (55.7%) were female and 66 (44.3%) male. The mean age was 13.0 ± 3.0 (range, 5–18) years. The mean loss of meibomian gland area was 20.80 ± 9.32%. The mean meiboscore was 1.20 ± 0.58 for gland atrophy and the mean tortuosity score was 0.99 ± 0.62. The mean screen time was 29.32 ± 16.18 hr/week. There was a weak and significantly positive correlation between loss of meibomian gland area and screen time (r = 0.210, P = 0.010). There was a weak and significantly positive correlation between meiboscore for gland atrophy and screen time (r = 0.188, P = 0.022). We found a weak but significantly positive correlation between meibomian gland tortuosity and screen time (r = 0.142, P = 0.033).
ConclusionMeibomian gland morphology may show changes in pediatric age group and excessive screen time may be a factor triggering these changes in gland morphology
Keywords: Meibography, Meibomian Gland, Pediatric Age, SPEED Score -
PurposeTo evaluate the association between subjective dry eye symptoms and the results of the clinical examinations.MethodsThe study was a clinical-based survey involving 215 first-year students selected consecutively during a regular ocular health examination at the University of Cape Coast Optometry Clinic. The data collection process spanned for a period of four months. Out of the 215 students, 212 returned their completed questionnaires and were subsequently included in the study. Dry eye tests including meibomian gland assessment, tear break up time, fluorescein staining, Schirmer test, and blink rate assessment, were performed on each subject after completion of the Ocular Surface Disease Index (OSDI) questionnaire. Shapiro–Wilk test was used to determine the normality of the clinical tests, and Spearman's correlations co-efficient was used to determine the correlations between the clinical test results and dry eye symptoms.ResultsStatistically significant associations were found between OSDI scores and blink rate (rs = 0.140; P < 0.042), and associations between OSDI scores and contrast sensitivity scores (rs = 0.263; P < 0001). However, the results of corneal staining (rs = −0.006; P < 0.926), Schirmer test (rs = −0.033; P = 0.628), tear break up time (rs = −0.121; P < 0.078), meibomian gland expressibility (rs = 0.093; P < 0.180), and meibomian gland quality (rs = 0.080; P < 0.244) showed no significant association with OSDI. The correlation coefficients range from −0.006 to 0.263 showed low to moderate correlation between dry eye symptoms and the results of clinical test.ConclusionAssociations between dry eye symptoms and clinical examinations are low and inconsistent, which may have implications for the diagnoses and treatment of dry eye disease.Keywords: Dry eye, Meibomian gland, Tear break up time, Schirmer test, Contrast sensitivity, Blink rate
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