Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed Pinguecula

Purpose. In this study, we evaluated corneal epithelial integrity and tear film parameters in patients with inflamed pinguecula and compared these findings with their fellow eyes and with healthy controls. Methods. We evaluated the fluorescein staining properties and performed the tear break-up time...

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Main Authors: Erkut Küçük, Uğur Yılmaz, Kürsad Ramazan Zor
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/2474173
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author Erkut Küçük
Uğur Yılmaz
Kürsad Ramazan Zor
author_facet Erkut Küçük
Uğur Yılmaz
Kürsad Ramazan Zor
author_sort Erkut Küçük
collection DOAJ
description Purpose. In this study, we evaluated corneal epithelial integrity and tear film parameters in patients with inflamed pinguecula and compared these findings with their fellow eyes and with healthy controls. Methods. We evaluated the fluorescein staining properties and performed the tear break-up time (TBUT) test and Schirmer 2 test (ST2) measurements of 32 patients who had symptomatic unilateral inflamed pinguecula and compared the results with their fellow eyes and also with an age- and sex-matched control group. Results. Twenty-three eyes (72%) in the inflamed pinguecula group and 1 eye (3.1%) in the fellow eyes group had punctate epithelial staining (PES) or epithelial defect on the nasal cornea (p<0.001). There was no PES or epithelial defect in the control group. Eyes with inflamed pinguecula (n = 32) had lower TBUT and ST2 values compared to the control group (n = 32) (p<0.001 for both). Fellow eyes (n = 32) also had lower TBUT and ST2 values compared to the control group (p=0.003 for both). There was no difference in the TBUT and ST2 results between the eyes with inflamed pinguecula and fellow eyes (p=0.286 and p=0.951, respectively). Conclusion. A high percentage of eyes with inflamed pinguecula had nasal corneal epithelial staining or epithelial defect. We also found lower TBUT and ST2 results in eyes with inflamed pinguecula and the fellow eyes compared to the control group. These findings may be important in pathogenesis of pinguecula and pterygium and also in uncovering their relation.
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institution Kabale University
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spelling doaj-art-2e3e85e9eee44c10823723e4cffd70b22025-08-20T03:55:07ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/24741732474173Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed PingueculaErkut Küçük0Uğur Yılmaz1Kürsad Ramazan Zor2Ophthalmology Department, Niğde Ömer Halisdemir University, Faculty of Medicine, 51240 Niğde, TurkeyOphthalmology Department, Pamukkale University Faculty of Medicine, 20160 Denizli, TurkeyOphthalmology Department, Niğde Ömer Halisdemir University, Faculty of Medicine, 51240 Niğde, TurkeyPurpose. In this study, we evaluated corneal epithelial integrity and tear film parameters in patients with inflamed pinguecula and compared these findings with their fellow eyes and with healthy controls. Methods. We evaluated the fluorescein staining properties and performed the tear break-up time (TBUT) test and Schirmer 2 test (ST2) measurements of 32 patients who had symptomatic unilateral inflamed pinguecula and compared the results with their fellow eyes and also with an age- and sex-matched control group. Results. Twenty-three eyes (72%) in the inflamed pinguecula group and 1 eye (3.1%) in the fellow eyes group had punctate epithelial staining (PES) or epithelial defect on the nasal cornea (p<0.001). There was no PES or epithelial defect in the control group. Eyes with inflamed pinguecula (n = 32) had lower TBUT and ST2 values compared to the control group (n = 32) (p<0.001 for both). Fellow eyes (n = 32) also had lower TBUT and ST2 values compared to the control group (p=0.003 for both). There was no difference in the TBUT and ST2 results between the eyes with inflamed pinguecula and fellow eyes (p=0.286 and p=0.951, respectively). Conclusion. A high percentage of eyes with inflamed pinguecula had nasal corneal epithelial staining or epithelial defect. We also found lower TBUT and ST2 results in eyes with inflamed pinguecula and the fellow eyes compared to the control group. These findings may be important in pathogenesis of pinguecula and pterygium and also in uncovering their relation.http://dx.doi.org/10.1155/2018/2474173
spellingShingle Erkut Küçük
Uğur Yılmaz
Kürsad Ramazan Zor
Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed Pinguecula
Journal of Ophthalmology
title Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed Pinguecula
title_full Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed Pinguecula
title_fullStr Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed Pinguecula
title_full_unstemmed Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed Pinguecula
title_short Corneal Epithelial Damage and Impaired Tear Functions in Patients with Inflamed Pinguecula
title_sort corneal epithelial damage and impaired tear functions in patients with inflamed pinguecula
url http://dx.doi.org/10.1155/2018/2474173
work_keys_str_mv AT erkutkucuk cornealepithelialdamageandimpairedtearfunctionsinpatientswithinflamedpinguecula
AT uguryılmaz cornealepithelialdamageandimpairedtearfunctionsinpatientswithinflamedpinguecula
AT kursadramazanzor cornealepithelialdamageandimpairedtearfunctionsinpatientswithinflamedpinguecula