Evidence map›Paper›PMID 37957641›Full record

ArticleBMC ophthalmology2023

Non-contact meibography changes according to disease activity in rheumatoid arthritis cases.

Amr Mounir, Mohamed Anbar, Islam Awny, Tasneem Mohammed Bakheet, Ola Mounir, Elshimaa A Mateen Mossa

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Article in BMC ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Amr MounirOphthalmology Department, Sohag Faculty of Medicine, Sohag University, Almohafza St., Sohag, Sohag City, 82511, Egypt. dramrmonir@yahoo.com.
Mohamed AnbarOphthalmology Department, Sohag Faculty of Medicine, Sohag University, Almohafza St., Sohag, Sohag City, 82511, Egypt.
Islam AwnyOphthalmology Department, Sohag Faculty of Medicine, Sohag University, Almohafza St., Sohag, Sohag City, 82511, Egypt.
Tasneem Mohammed BakheetPublic Health and Community Medicine Department, Faculty of Medicine, Sohag University, Sohag City, Egypt.
Ola MounirRheumatology and Rehabilitation Department, Faculty of Medicine, Sohag University, Sohag City, Egypt.
Elshimaa A Mateen MossaOphthalmology Department, Sohag Faculty of Medicine, Sohag University, Almohafza St., Sohag, Sohag City, 82511, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo measure dry eye disease (DED) activity in rheumatoid arthritis (RA) patients, correlate it with the activity and duration of RA, and objectively measure the degree extent of DED in RA active cases.

methodsThe paper studied the meibomian gland of 30 RA cases referred by the Rheumatology Department, Sohag University Hospitals to Sohag Cornea and Refractive Center, Sohag, Egypt, by infrared non-contact meibography in the Scheimpflug topographer (Sirius, CSO, Italy) from July 2021 to July 2022. The cases fulfilled the RA classification criteria according to the 2010 American College of Rheumatology and European League and underwent full lab investigations. They were distributed to two groups based on the DAS-28 questionnaire. The patients were distributed into low to moderate activity (3.2 < score <  = 5.1) and high activity groups (score > 5.1).

resultsThis study included 60 eyes of 30 RA patients. They scored a mean age of (44 ± 10 years), number of swollen joints (3 ± 3), number of tender joints (5 ± 3), duration of disease (8 ± 4), activity of the disease measured by DAS-28 (4.4 ± 0.9), and sex (males were 9.7% vs females 90.3%). The number of swollen joints, tender joints, ESR and DAS-28 were more in the high activity group with the p-value of (0.018, 0.001, < 0.003 and < 0.004), respectively. There are no statistically significant differences between both groups as regards disease duration (p-value of 3.8). The high activity group showed significant affection regarding the mebioscore of the lower and upper lids, total mebioscore, percentage of meibomian glands in upper and lower lids, first non-invasive break-up time test (NIV-BUT) of the tear film, as well as average non-invasive break-up time test (NIavg-BUT). There were moderate correlations between the activity of the disease represented by (DAS-28) and different parameters evaluating eye dryness (meiboscore of the lower and upper lids, total meiboscore, percentage of meibomian glands in upper and lower lids, NIV-BUT of the tear film, and NIavg-BUT of the tear film).

conclusionThere was no correlation with duration of RA but moderate correlations between the activity of the disease represented by (DAS-28) and different parameters evaluating eye dryness in RA patients with valuable use of noncontact Meibography to evaluate eye dryness in RA cases. Both Meiboscore and Meiboscale of Non-contact Meibography were found to be useful tools in grading of dry eye disease in different activity grades of Rheumatoid Arthritis.

Indexed as

Arthritis, RheumatoidDry Eye SyndromesAdultFemaleHumansMaleMeibomian GlandsMiddle AgedPhysical ExaminationTearsMebioscoreMeibographyRheumatoid ArthritisScheimpflug topographer

Identifiers

PMID37957641
PMCPMC10641933

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