Tear and ocular surface profile in adult anophthalmic sockets
- Author:
Marie Christine T. Marcelo
1
;
Joseph Maylem Ranche
1
;
Mary Rose Pe-Yan
1
;
Prospero Ma. C Tuaño
1
;
Felice Katrina Trio-Ranche
1
Author Information
- Publication Type:Journal Article
- Keywords: Anophthalmic socket; Lid wiper epitheliopathy; Schirmer test; Conjunctival inflammation; conjunctival impression cytology
- MeSH: onjunctiva; Cytology
- From: Philippine Journal of Ophthalmology 2012;37(2):104-110
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To determine the tear and ocular surface profile of the anophthalmic socket in relation to the contralateral
normal eye.
Methods:Twenty-five adult patients with unilateral anophthalmic sockets were included into the study. They were at least 2 months post-enucleation or post-evisceration and without any topical medications on the anophthalmic socket and control eye for at least 2 weeks. Assessment was performed using the following parameters: (1) meibomian gland evaluation, (2) ocular surface staining, (3) degree of conjunctival inflammation, (4) Schirmer I and II, and (5) conjunctival impression cytology.
Results:Mucoid discharge (52%) was the most common complaint in anophthalmic sockets, followed by itchiness (40%), tearing (36%), and dryness (4%). Compared to control eyes, the anophthalmic sockets had more pronounced and statistically significant lid wiper epitheliopathy, conjunctival staining, and bulbar inflammation. Meibomian gland dysfunction, Schirmer I and II, and conjunctival impression cytology showed no difference between the 2 groups. There was a correlation between the symptoms complained and the ocular staining patterns of the anophthalmic sockets.
Conclusion:Anophthalmia predisposes to various ocular surface problems, such as a change in the composition of tears, specifically an increase in the mucin component and a decrease in the aqueous and lipid components, resulting to increased tear viscosity. - Full text:PJO 86.pdf
