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Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population

PURPOSE: To assess the comorbidity of dry eye syndrome (DES) and changes in corneal curvature in children with allergies. MATERIALS AND METHODS: This prospective, comparative, and observational interventional study included 49 patients, who presented to the Ophthalmology Clinic of a State Hospital i...

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Autores principales: Akil, Handan, Celik, Fatih, Ulas, Fatih, Kara, Ilknur Surucu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660534/
https://www.ncbi.nlm.nih.gov/pubmed/26692719
http://dx.doi.org/10.4103/0974-9233.167814
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author Akil, Handan
Celik, Fatih
Ulas, Fatih
Kara, Ilknur Surucu
author_facet Akil, Handan
Celik, Fatih
Ulas, Fatih
Kara, Ilknur Surucu
author_sort Akil, Handan
collection PubMed
description PURPOSE: To assess the comorbidity of dry eye syndrome (DES) and changes in corneal curvature in children with allergies. MATERIALS AND METHODS: This prospective, comparative, and observational interventional study included 49 patients, who presented to the Ophthalmology Clinic of a State Hospital in Turkey. There were 25 patients with clinically diagnosed seasonal allergic conjunctivitis (AC) (with complaints of itching and papilla formation of conjunctiva; AC group) and 24 healthy children (control group). There with no significant differences in age between groups. Using the ocular surface disease index (OSDI) questionnaire, we performed tear film break-up time (BUT), central reflex tear meniscus height (TMH-R) measurement, Schirmer test on both groups and evaluated keratometry (K1, K2) and spherical equivalent (SE). RESULTS: Patients ranged in age from 6 to 18 years (median age, 11.79 years; 46.9% male; 53.1% female). The papillary reaction was severe in 10% of patients with AC. The prevalence of dry eye in children with AC was 12%. There was no statistically significant difference between groups for K1, K2, and SE (P > 0.05, all comparisons). BUT was statistically different (P = 0.004) between groups, indicating that a higher OSDI the tear film BUT was lower (ρ = 0.567). Statistically, significant negative moderate correlations were found between papillary reaction and the Schirmer test, BUT, and TMH-R (ρ = 0.454, −0.412, −0.419, and P = 0.001, 0.003, 0.002, respectively) CONCLUSIONS: The evaluation of pediatric patients with AC requires further attention to ensure an adequate diagnosis of DES.
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spelling pubmed-46605342015-12-11 Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population Akil, Handan Celik, Fatih Ulas, Fatih Kara, Ilknur Surucu Middle East Afr J Ophthalmol Original Article PURPOSE: To assess the comorbidity of dry eye syndrome (DES) and changes in corneal curvature in children with allergies. MATERIALS AND METHODS: This prospective, comparative, and observational interventional study included 49 patients, who presented to the Ophthalmology Clinic of a State Hospital in Turkey. There were 25 patients with clinically diagnosed seasonal allergic conjunctivitis (AC) (with complaints of itching and papilla formation of conjunctiva; AC group) and 24 healthy children (control group). There with no significant differences in age between groups. Using the ocular surface disease index (OSDI) questionnaire, we performed tear film break-up time (BUT), central reflex tear meniscus height (TMH-R) measurement, Schirmer test on both groups and evaluated keratometry (K1, K2) and spherical equivalent (SE). RESULTS: Patients ranged in age from 6 to 18 years (median age, 11.79 years; 46.9% male; 53.1% female). The papillary reaction was severe in 10% of patients with AC. The prevalence of dry eye in children with AC was 12%. There was no statistically significant difference between groups for K1, K2, and SE (P > 0.05, all comparisons). BUT was statistically different (P = 0.004) between groups, indicating that a higher OSDI the tear film BUT was lower (ρ = 0.567). Statistically, significant negative moderate correlations were found between papillary reaction and the Schirmer test, BUT, and TMH-R (ρ = 0.454, −0.412, −0.419, and P = 0.001, 0.003, 0.002, respectively) CONCLUSIONS: The evaluation of pediatric patients with AC requires further attention to ensure an adequate diagnosis of DES. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4660534/ /pubmed/26692719 http://dx.doi.org/10.4103/0974-9233.167814 Text en Copyright: © Middle East African Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Akil, Handan
Celik, Fatih
Ulas, Fatih
Kara, Ilknur Surucu
Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population
title Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population
title_full Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population
title_fullStr Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population
title_full_unstemmed Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population
title_short Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population
title_sort dry eye syndrome and allergic conjunctivitis in the pediatric population
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660534/
https://www.ncbi.nlm.nih.gov/pubmed/26692719
http://dx.doi.org/10.4103/0974-9233.167814
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