Evaluation of dry eye and meibomian gland function in pregnancy.


Journal

International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 12 04 2023
accepted: 27 07 2023
medline: 23 10 2023
pubmed: 9 8 2023
entrez: 8 8 2023
Statut: ppublish

Résumé

To evaluate the signs and symptoms of dry eye in healthy pregnant women and investigate the effect of pregnancy on meibomian gland loss using non-contact meibography. Healthy pregnant women and age-matched healthy non-pregnant women were included in the study. Subjective symptoms were assessed using the Ocular Surface Disease Index (OSDI). The first and average non-invasive break-up times (first-NIBUT and avg-NIBUT, respectively) were determined, and the Schirmer test was applied. Non-contact meibography was performed. The study included a total of 62 women, 30 pregnant (study group) and 32 non-pregnant (control group). There was no significant difference between the groups in terms of OSDI score and the Schirmer test (p > 0.05). The mean first-NIBUT and avg-NIBUT values of the study group (13.1 ± 5.3 and 13.7 ± 4.5 s) were significantly lower than the control group (16.0 ± 2.4 and 16.4 ± 1.5 s) (p: 0.015 and p: 0.040, respectively). The mean meibomian gland losses in the upper and lower eyelids were significantly higher in the study group (16.9 ± 8.2% and 11.6 ± 10.2%) compared to the control group (9.7 ± 6.2% and 5.6 ± 4.7%) (p < 0.001 and p: 0.011, respectively). It is considered that loss of the meibomian glands may occur during pregnancy, and this may predispose pregnant women to evaporative dry eye. Although dry eye does not cause significant ocular surface symptoms in pregnancy, NIBUT and non-contact meibography can be considered as effective diagnostic methods for the detection of dry eye in pregnant women.

Identifiants

pubmed: 37553440
doi: 10.1007/s10792-023-02836-6
pii: 10.1007/s10792-023-02836-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4263-4269

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Nature B.V.

Références

Garg P, Aggarwal P (2012) Ocular changes in pregnancy. Nepal J Ophthalmol 4:150–161. https://doi.org/10.3126/nepjoph.v4i1.5867
doi: 10.3126/nepjoph.v4i1.5867 pubmed: 22344013
Samra KA (2013) The eye and visual system in pregnancy, what to expect? An in-depth review. Oman J Ophthalmol 6:87–91. https://doi.org/10.4103/0974-620X.116626
doi: 10.4103/0974-620X.116626 pubmed: 24082665 pmcid: 3779421
Lemp MA, Crews LA, Bron AJ, Foulks GN, Sullivan BD (2012) Distribution of aqueous-deficient and evaporative dry eye in a clinic-based patient cohort: a retrospective study. Cornea 31:472–478. https://doi.org/10.1097/ICO.0b013e318225415a
doi: 10.1097/ICO.0b013e318225415a pubmed: 22378109
Arita R, Itoh K, Inoue K, Amano S (2008) Noncontact infrared meibography to document age-related changes of the meibomian glands in a normal population. Ophthalmology 115:911–915. https://doi.org/10.1016/j.ophtha.2007.06.031
doi: 10.1016/j.ophtha.2007.06.031 pubmed: 18452765
Finis D, Pischel N, Schrader S, Geerling G (2013) Evaluation of lipid layer thickness measurement of the tear film as a diagnostic tool for Meibomian gland dysfunction. Cornea 32:1549–1553. https://doi.org/10.1097/ICO.0b013e3182a7f3e1
doi: 10.1097/ICO.0b013e3182a7f3e1 pubmed: 24097185
Pult H, Nichols JJ (2012) A review of meibography. Optom Vis Sci 89:E760–E769. https://doi.org/10.1097/OPX.0b013e3182512ac1
doi: 10.1097/OPX.0b013e3182512ac1 pubmed: 22488268
Nkiru ZN, Stella O, Udeh N, Polycarp UA, Daniel CN, Ifeoma RE (2019) Dry eye disease: a longitudinal study among pregnant women in Enugu, south east, Nigeria. Ocul Surf 17:458–463. https://doi.org/10.1016/j.jtos.2019.05.001
doi: 10.1016/j.jtos.2019.05.001
Truong S, Cole N, Stapleton F, Golebiowski B (2014) Sex hormones and the dry eye. Clin Exp Optom 97:324–336. https://doi.org/10.1111/cxo.12147
doi: 10.1111/cxo.12147 pubmed: 24689906
Rizyal A, Shrestha B, Khadka A (2020) Dry eye disease among pregnant women at a tertiary care hospital in Kathmandu. Nep Med Coll J 22:146–152
doi: 10.3126/nmcj.v22i3.32640
Wong J, Ding C, Yiu S, Smith R, Goodwin T, Schechter J (2004) An epidemiological study of pregnancy and dry eye. Ocul Surf 3(Supp 1):127
Ibraheem WA, Ibraheem AB, Tjani AM, Oladejo S, Adepoju S, Folohunso B (2015) Tear film functions and intraocular pressure changes in pregnancy. Afr J Reprod Health 19:118–122
pubmed: 27337861
Skare TL, Gehlen ML, Silveira DM, Uema MM (2012) Gravidez e disfunção lacrimal [Lacrimal dysfunction and pregnancy]. Rev Bras Ginecol Obstet 34:170–174. https://doi.org/10.1590/s0100-72032012000400006
doi: 10.1590/s0100-72032012000400006 pubmed: 22584813
Asiedu K, Kyei S, Adanusa M, Ephraim RKD, Animful S, Ali-Baya SK, Akorsah B, Sekyere MA (2021) Dry eye, its clinical subtypes and associated factors in healthy pregnancy: a cross-sectional study. PLoS One 16:e0258233. https://doi.org/10.1371/journal.pone.0258233
doi: 10.1371/journal.pone.0258233 pubmed: 34618845 pmcid: 8496781
Schechter JE, Pidgeon M, Chang D, Fong YC, Trousdale MD, Chang N (2002) Potential role of disrupted lacrimal acinar cells in dry eye during pregnancy. Adv Exp Med Biol 506(Pt A):153–157. https://doi.org/10.1007/978-1-4615-0717-8_20
doi: 10.1007/978-1-4615-0717-8_20 pubmed: 12613902
Ding C, Lu M, Huang J (2011) Changes of the ocular surface and aquaporins in the lacrimal glands of rabbits during pregnancy. Mol Vis 17:2847–2855
pubmed: 22128232 pmcid: 3224838
Sarikaya S, Acet Y (2022) The effect of pregnancy on meibomian gland, tear film, cornea and anterior segment parameters. Photodiag Photodyn Ther 40:103070
doi: 10.1016/j.pdpdt.2022.103070

Auteurs

Merve Sena Kunduracı (MS)

Department of Ophthalmology, Umraniye Educational and Research Hospital, Elmalıkent Mah. Adem Yavuz Cad. No: 1, Ümraniye, Istanbul, Turkey. drmervesena@hotmail.com.

Alev Koçkar (A)

Department of Ophthalmology, Umraniye Educational and Research Hospital, Elmalıkent Mah. Adem Yavuz Cad. No: 1, Ümraniye, Istanbul, Turkey.

Çağlar Helvacıoğlu (Ç)

Department of Obstetrics and Gynecology, Umraniye Educational and Research Hospital, Istanbul, Turkey.

Furkan Kırık (F)

Department of Ophthalmology, Bezmialem Vakif University, Istanbul, Turkey.

Gülay Karakuş Hacıoğlu (G)

Department of Ophthalmology, Umraniye Educational and Research Hospital, Elmalıkent Mah. Adem Yavuz Cad. No: 1, Ümraniye, Istanbul, Turkey.

Betül İlkay Sezgin Akçay (BİS)

Department of Ophthalmology, Umraniye Educational and Research Hospital, Elmalıkent Mah. Adem Yavuz Cad. No: 1, Ümraniye, Istanbul, Turkey.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH