Does Sjogren's syndrome affect only the lacrimal gland in the eye? Time to replace the missing stones

dc.contributor.authorGürlevik, Uğur
dc.contributor.authorKarakoyun, Ahmet
dc.contributor.authorYaşar, Erdoğan
dc.date.accessioned2021-05-03T09:32:33Z
dc.date.available2021-05-03T09:32:33Z
dc.date.issued2021
dc.departmentTıp Fakültesi
dc.description.abstractPurpose: This study aimed to reveal the cause of meibomian gland disease and meibomian gland loss in patients with Sjogren's syndrome (SS) as the leading factor for dry eyes. Methods: The study included a total of 30 patients with SS and dry eye symptoms and a control group of 50 age- and gender-matched healthy subjects. The dryness parameters of all the participants were evaluated. At first, meibography was performed to measure meibomian gland loss using noninvasive methods. Later, meibomian gland expression and secretion quality were evaluated using silt-lamp biomicroscopy. Correlations between the measurements were analyzed statistically. Results: In patients with SS, MG loss was significantly greater than in the control group (19.7 +/- 71%, 12.7 +/- 9.6%, P < 0.001). All dry eye parameters (tear film breakup time, Schirmer's test score, OSDI, stain score, dry eye disease) were statistically significant in the SS group. There was an extremely negative correlation between upper MB loss and BUT (P = 0.08, r: -0.781). There was an extremely positive correlation between upper MB loss and staining (P = 0.015, r: 0.739). An extremely negative correlation was determined between sub-MB loss and BUT (P = 0.18, r:-0.781), and a moderately positive significant correlation was found between sub-MB loss and staining (P = 0.031, r: 0.659). Conclusion: The results of this study demonstrated that patients with SS were at a higher risk of being exposed to meibomian gland loss, which directly leads to the severe dry eye symptoms associated with SS.
dc.identifier.doi10.4103/ijo.IJO_2383_19
dc.identifier.endpage57en_US
dc.identifier.issue1en_US
dc.identifier.pmid33323573
dc.identifier.scopusqualityQ2
dc.identifier.startpage53en_US
dc.identifier.urihttps:/dx.doi.org/10.4103/ijo.IJO_2383_19
dc.identifier.urihttps://hdl.handle.net/20.500.12451/7923
dc.identifier.volume69en_US
dc.identifier.wosWOS:000601311400014
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofIndian Journal of Ophthalmology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDry Eye Disease
dc.subjectMeibography
dc.subjectMGD
dc.subjectTBUT
dc.subjectSjogren's Syndrome
dc.titleDoes Sjogren's syndrome affect only the lacrimal gland in the eye? Time to replace the missing stones
dc.typeArticle

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