TY - JOUR
T1 - Influence of Meibomian Gland Dysfunction and Friction-Related Disease on the Severity of Dry Eye
AU - Dry Eye Cross-Sectional Study in Japan Study Group
AU - Vu, Chi Hoang Viet
AU - Kawashima, Motoko
AU - Yamada, Masakazu
AU - Suwaki, Kazuhisa
AU - Uchino, Miki
AU - Shigeyasu, Chika
AU - Hiratsuka, Yoshimune
AU - Yokoi, Norihiko
AU - Tsubota, Kazuo
N1 - Funding Information:
Supported by the Japan Dry Eye Society, Tokyo, Japan, and Santen Pharmaceutical Co., Ltd., Osaka, Japan. The joint study organization of the Japan Dry Eye Society and Santen Pharmaceutical Co., Ltd., conducted the present study. Both organizations contributed to the creation of documents including the study protocol, management of the study progress, providing information and support to the study sites, evaluation of the data analysis, disclosure of the outcomes of the present study, and the entry and updating of the present study in a public registration system. Biostatistical Research Corporation, Tokyo, Japan, performed the data analysis.
Publisher Copyright:
© 2018 American Academy of Ophthalmology
PY - 2018/8
Y1 - 2018/8
N2 - Purpose: To evaluate the effect of meibomian gland dysfunction (MGD) and friction-related disease (FRD) on the severity of dry eye disease (DED). Design: Cross-sectional observational study. Participants: This study enrolled 449 patients with DED (63 men and 386 women; mean age, 62.6±15.7 years [range, 21–90 years]) for analysis. Methods: Subjective symptoms, the ocular surface, tear function, and the presence of MGD and FRD (superior limbic keratoconjunctivitis, conjunctivochalasis, and lid wiper epitheliopathy) were investigated. Main Outcome Measures: Schirmer value, tear film breakup time (TBUT), and keratoconjunctival score. Results: We classified the participants into aqueous-deficient dry eye (ADDE; n = 231 [51.4%]) and short TBUT dry eye subtype (TBUT-DE; n = 109 [24.3%]) subgroups. The TBUT was shorter in patients with MGD than in those without MGD, whereas other ocular signs showed no difference (TBUT: MGD present, 1.97±1.02 seconds; MGD absent, 2.94±1.63 seconds [P < 0.001]; ADDE/MGD present, 1.94±1.08 seconds; ADDE/MGD absent, 2.77±1.61 seconds [P < 0.001]; short TBUT-DE/MGD present, 2.07±0.97 seconds; short TBUT-DE/MGD absent, 2.94±1.23 seconds [P = 0.01]). The ADDE patients with FRD showed a worse TBUT than ADDE patients without FRD (TBUT: ADDE/FRD present, 2.08±1.39 seconds; ADDE/FRD absent, 2.92±1.54 seconds; P < 0.001). Conclusions: This study showed associations between MGD, FRD, or both and ocular signs in DED. In the presence of MGD, FRD, or both, TBUT was significantly shortened regardless of the dry eye status or subtype.
AB - Purpose: To evaluate the effect of meibomian gland dysfunction (MGD) and friction-related disease (FRD) on the severity of dry eye disease (DED). Design: Cross-sectional observational study. Participants: This study enrolled 449 patients with DED (63 men and 386 women; mean age, 62.6±15.7 years [range, 21–90 years]) for analysis. Methods: Subjective symptoms, the ocular surface, tear function, and the presence of MGD and FRD (superior limbic keratoconjunctivitis, conjunctivochalasis, and lid wiper epitheliopathy) were investigated. Main Outcome Measures: Schirmer value, tear film breakup time (TBUT), and keratoconjunctival score. Results: We classified the participants into aqueous-deficient dry eye (ADDE; n = 231 [51.4%]) and short TBUT dry eye subtype (TBUT-DE; n = 109 [24.3%]) subgroups. The TBUT was shorter in patients with MGD than in those without MGD, whereas other ocular signs showed no difference (TBUT: MGD present, 1.97±1.02 seconds; MGD absent, 2.94±1.63 seconds [P < 0.001]; ADDE/MGD present, 1.94±1.08 seconds; ADDE/MGD absent, 2.77±1.61 seconds [P < 0.001]; short TBUT-DE/MGD present, 2.07±0.97 seconds; short TBUT-DE/MGD absent, 2.94±1.23 seconds [P = 0.01]). The ADDE patients with FRD showed a worse TBUT than ADDE patients without FRD (TBUT: ADDE/FRD present, 2.08±1.39 seconds; ADDE/FRD absent, 2.92±1.54 seconds; P < 0.001). Conclusions: This study showed associations between MGD, FRD, or both and ocular signs in DED. In the presence of MGD, FRD, or both, TBUT was significantly shortened regardless of the dry eye status or subtype.
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U2 - 10.1016/j.ophtha.2018.01.025
DO - 10.1016/j.ophtha.2018.01.025
M3 - Article
C2 - 29459039
AN - SCOPUS:85042056310
SN - 0161-6420
VL - 125
SP - 1181
EP - 1188
JO - Ophthalmology
JF - Ophthalmology
IS - 8
ER -