Abstract
Purpose :
Ocular surface disease (OSD) is worldwide presented. Increase with aging, is associated with glaucoma management and is relevant for refractive surgery success. Also, due to the high nervous sensory innervation, people feel deeply discomfort and pain when OSD happen. The objective of this work was to review clinic and demographic characteristics along twelve years from patients with OSD, in Entre Rios, Argentina.
Methods :
A retrospective clinical study was performed, reviewing clinical charts from new patients who were evaluated in the OS service (in a private ophthalmic clinic), from January 2006 to January 2018. Cases were excluded if they not reach at least three consecutive visits and/or three months follow up. Age, gender and OS pathologies were classified according to their diagnosis. Symptoms and signs were evaluated. Psychological/psychiatric aspects were also described, as well as concomitant clinical disease and pharmacological treatments that could be possibly associated. A clinical/serological test was summarized when was performed due to the OSD (to rule out associated pathologies).
Results :
A total of 1752 patients were evaluated and included (women: 1511(86.2%); men: 241(13.8%) Mean age: 47.5 years old. Classification of OSD observed were (some are presented together): evaporative dry eye: 1312 (74.8%); hyposecretory dry eye: 153 (8.7%); blepharitis: 1392 (79.4%): allergic conjunctivitis: 527 (30%); cicatricial conjunctivitis: 24 (1.3%); infectious keratitis (bacterial/mycotic/amebas/virus): 84 (4.8%); OSD related glaucoma topical treatment: 543 (31%); OSD related glaucoma surgical procedures: 318 (18.5%) 402 eyes. Clinical associated disease: rheumatologic: 298 (17%); thyroid:523 (29.8%); diabetes: 406 (23.2%); parkinson: 38 (2.1%); psychiatric (with medical diagnosis and treatment): 97 (5.2%); psychological problems (without psychiatric management): 388 (22.1%). Clinical/serological test was performed in 554 cases (31.6%).
Conclusions :
OSD in Entre Rios, Argentina was more frequent in women (86.2%), associated with evaporative dry eye (74.8%) and blepharitis (79.4%). The most clinical condition presented was diabetes and more cases were associated with psychological problems (without management) than psychiatric diagnosticated pathologies.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.