Recent trends of ocular complications in patients with atopic dermatitis.
Atopic dermatitis
Atopic keratoconjunctivitis
Retinal detachment
Slapping around the eye
Tacrolimus
Journal
Japanese journal of ophthalmology
ISSN: 1613-2246
Titre abrégé: Jpn J Ophthalmol
Pays: Japan
ID NLM: 0044652
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
26
09
2018
accepted:
16
05
2019
pubmed:
28
6
2019
medline:
18
12
2019
entrez:
28
6
2019
Statut:
ppublish
Résumé
To elucidate the recent trends in prevalence and characteristics of ocular complications of atopic dermatitis (AD). Cross-sectional observational study. Among AD patients who visited our department between 2012 and 2015, 70 patients (140 eyes; recent AD group) who gave informed consent to participate in the study were analyzed. Following a medical interview, ophthalmological examinations were conducted for ocular complications related to AD. The data were compared to those of 280 AD patients (560 eyes) analyzed in a similar study conducted at our department in 1991-1993 (previous AD group). Blepharitis was found in 58 eyes (41%) in the recent AD group, and the frequency was significantly lower compared to the previous AD group (294 eyes, 53%) (p < 0.05). Tears in retina or pars plana ciliaris occurred in 22 eyes (4%) in the previous AD group, compared with none in the recent AD group (p < 0.01). Retinal detachment was observed in 12 eyes (2%) in the previous AD group, and none in the recent AD group (p < 0.01). Atopic keratoconjunctivitis (AKC) increased significantly in the recent AD group compared to the previous AD group (74.3% vs. 39.5%) (p < 0.001). Patients with a habit of slapping around the eye decreased significantly from 32.5% in the previous AD group to 12.1% in the recent AD group (p < 0.001). Ocular complications in AD patients show a trend of decrease in recent years, which presumably is attributed to educational activities to increase patient awareness and advances in therapeutic strategy.
Identifiants
pubmed: 31243592
doi: 10.1007/s10384-019-00678-3
pii: 10.1007/s10384-019-00678-3
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
410-416Références
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