Common ocular findings in patients with acne rosacea

Purpose To evaluate ocular surface manifestations in patients with acne rosecea (AR) and to find out main features indicating a propensity toward an association with disease diagnosis. Methods Right eyes of consecutive 76 AR patients and 113 age-gender matched healthy subjects were enrolled. Ophthal...

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Veröffentlicht in:International ophthalmology 2022-04, Vol.42 (4), p.1077-1084
Hauptverfasser: Ozturk, Taylan, Kayabasi, Mustafa, Ozbagcivan, Ozlem, Ayhan, Ziya, Utine, Canan Asli
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container_issue 4
container_start_page 1077
container_title International ophthalmology
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creator Ozturk, Taylan
Kayabasi, Mustafa
Ozbagcivan, Ozlem
Ayhan, Ziya
Utine, Canan Asli
description Purpose To evaluate ocular surface manifestations in patients with acne rosecea (AR) and to find out main features indicating a propensity toward an association with disease diagnosis. Methods Right eyes of consecutive 76 AR patients and 113 age-gender matched healthy subjects were enrolled. Ophthalmologic examinations including tear break-up time (t-BUT) and Schirmer-2 tests to analyze tear film insufficiency, optical coherence tomography (OCT)-assisted infrared meibography to analyze meibomian gland drop-out, and Ocular Surface Disease Index (OSDI) questionnaire were performed in all participants. Results No statistically differences were found in visual acuity, intraocular pressure, central corneal thickness, and axial length assessments between the study and control eyes. Study eyes had more foreign body sensation, itching, dryness, hyperemia, conjunctival telangiectasia, and meibomitis ( p  ≤ 0.005, for all). Significantly higher t-BUT and Schirmer-2 tests; lower-eyelid and total OCT meibography; and OSDI scores were found in AR patients ( p  
doi_str_mv 10.1007/s10792-021-02093-5
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Methods Right eyes of consecutive 76 AR patients and 113 age-gender matched healthy subjects were enrolled. Ophthalmologic examinations including tear break-up time (t-BUT) and Schirmer-2 tests to analyze tear film insufficiency, optical coherence tomography (OCT)-assisted infrared meibography to analyze meibomian gland drop-out, and Ocular Surface Disease Index (OSDI) questionnaire were performed in all participants. Results No statistically differences were found in visual acuity, intraocular pressure, central corneal thickness, and axial length assessments between the study and control eyes. Study eyes had more foreign body sensation, itching, dryness, hyperemia, conjunctival telangiectasia, and meibomitis ( p  ≤ 0.005, for all). Significantly higher t-BUT and Schirmer-2 tests; lower-eyelid and total OCT meibography; and OSDI scores were found in AR patients ( p  &lt; 0.05, for all). Among all, only conjunctival telangiectasia ( p  = 0.001; OR:0.070, 95% CI:0.015–0.330) was found to be major independent predictor for AR diagnosis. Conclusion Detailed slit-lamp examination to detect any conjunctival telangiectasia seems to be crucial in recalcitrant dry eye cases, not to miss underlying AR. Especially, lower-eyelid OCT meibography score may be sensitively used for disease staging.</description><identifier>ISSN: 1573-2630</identifier><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-021-02093-5</identifier><identifier>PMID: 34727263</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acne ; Acuity ; Cornea ; Diagnosis ; Dry Eye Syndromes - complications ; Dry Eye Syndromes - etiology ; Eye (anatomy) ; Eyelid ; Eyelid Diseases - diagnosis ; Humans ; Hyperemia ; Infrared analysis ; Intraocular pressure ; Itching ; Medicine ; Medicine &amp; Public Health ; Meibomian Glands - diagnostic imaging ; Ophthalmology ; Optical Coherence Tomography ; Original Paper ; Pruritus ; Rosacea ; Rosacea - complications ; Rosacea - diagnosis ; Sensation ; Skin diseases ; Tears ; Telangiectasis ; Visual acuity</subject><ispartof>International ophthalmology, 2022-04, Vol.42 (4), p.1077-1084</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021</rights><rights>2021. 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Methods Right eyes of consecutive 76 AR patients and 113 age-gender matched healthy subjects were enrolled. Ophthalmologic examinations including tear break-up time (t-BUT) and Schirmer-2 tests to analyze tear film insufficiency, optical coherence tomography (OCT)-assisted infrared meibography to analyze meibomian gland drop-out, and Ocular Surface Disease Index (OSDI) questionnaire were performed in all participants. Results No statistically differences were found in visual acuity, intraocular pressure, central corneal thickness, and axial length assessments between the study and control eyes. Study eyes had more foreign body sensation, itching, dryness, hyperemia, conjunctival telangiectasia, and meibomitis ( p  ≤ 0.005, for all). Significantly higher t-BUT and Schirmer-2 tests; lower-eyelid and total OCT meibography; and OSDI scores were found in AR patients ( p  &lt; 0.05, for all). Among all, only conjunctival telangiectasia ( p  = 0.001; OR:0.070, 95% CI:0.015–0.330) was found to be major independent predictor for AR diagnosis. Conclusion Detailed slit-lamp examination to detect any conjunctival telangiectasia seems to be crucial in recalcitrant dry eye cases, not to miss underlying AR. 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Methods Right eyes of consecutive 76 AR patients and 113 age-gender matched healthy subjects were enrolled. Ophthalmologic examinations including tear break-up time (t-BUT) and Schirmer-2 tests to analyze tear film insufficiency, optical coherence tomography (OCT)-assisted infrared meibography to analyze meibomian gland drop-out, and Ocular Surface Disease Index (OSDI) questionnaire were performed in all participants. Results No statistically differences were found in visual acuity, intraocular pressure, central corneal thickness, and axial length assessments between the study and control eyes. Study eyes had more foreign body sensation, itching, dryness, hyperemia, conjunctival telangiectasia, and meibomitis ( p  ≤ 0.005, for all). Significantly higher t-BUT and Schirmer-2 tests; lower-eyelid and total OCT meibography; and OSDI scores were found in AR patients ( p  &lt; 0.05, for all). Among all, only conjunctival telangiectasia ( p  = 0.001; OR:0.070, 95% CI:0.015–0.330) was found to be major independent predictor for AR diagnosis. Conclusion Detailed slit-lamp examination to detect any conjunctival telangiectasia seems to be crucial in recalcitrant dry eye cases, not to miss underlying AR. Especially, lower-eyelid OCT meibography score may be sensitively used for disease staging.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>34727263</pmid><doi>10.1007/s10792-021-02093-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6633-0553</orcidid></addata></record>
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subjects Acne
Acuity
Cornea
Diagnosis
Dry Eye Syndromes - complications
Dry Eye Syndromes - etiology
Eye (anatomy)
Eyelid
Eyelid Diseases - diagnosis
Humans
Hyperemia
Infrared analysis
Intraocular pressure
Itching
Medicine
Medicine & Public Health
Meibomian Glands - diagnostic imaging
Ophthalmology
Optical Coherence Tomography
Original Paper
Pruritus
Rosacea
Rosacea - complications
Rosacea - diagnosis
Sensation
Skin diseases
Tears
Telangiectasis
Visual acuity
title Common ocular findings in patients with acne rosacea
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