Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis

Background: Dry eye is a condition of the tear film and ocular surface that causes discomfort, visual disturbance, and tear film instability. The subjective symptoms in dry eye disease (DED) are often nonspecific. More or less common are conjunctival redness and damage to the ocular surface with pun...

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Main Authors: Priyanshi Ashishbhai Gandhi, Arun Kumar Samar, Nitish Kathuria, Avinash Mishra, Harbeer Singh Chhabra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:The Pan-American Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/pajo.pajo_87_24
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author Priyanshi Ashishbhai Gandhi
Arun Kumar Samar
Nitish Kathuria
Avinash Mishra
Harbeer Singh Chhabra
author_facet Priyanshi Ashishbhai Gandhi
Arun Kumar Samar
Nitish Kathuria
Avinash Mishra
Harbeer Singh Chhabra
author_sort Priyanshi Ashishbhai Gandhi
collection DOAJ
description Background: Dry eye is a condition of the tear film and ocular surface that causes discomfort, visual disturbance, and tear film instability. The subjective symptoms in dry eye disease (DED) are often nonspecific. More or less common are conjunctival redness and damage to the ocular surface with punctate epithelial erosions. Rheumatoid arthritis (RA) is a systemic autoimmune disease with approximately 25% of patients having ocular manifestations. Methodology: A prospective observational study was carried out in the ophthalmology outpatient department of a tertiary care center. There were 200 RA patients enrolled. Dry eye workup was done using various tests and the Ocular Surface Disease Index questionnaire. RA patients were divided on the basis of duration of illness into two groups. The results of dry eye tests were compared between these two groups. Results: Out of 200 RA patients, 89% were females. The overall prevalence of dry eye was 52.5% according to Schirmer’s test without anesthesia. There were 112 patients who were suffering from RA for <5 years and another group of 88 patients who were suffering for ≥5 years. Schirmer’s test and corneal fluorescein staining suggested that the patients with longer duration of RA are more prone to DED. Conclusion: The prevalence of dry eyes in patients with RA is high. Chronic ocular surface changes were observed with the longer duration of RA disease activity which affects the quality of life in such patients.
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spelling doaj-art-83e684f2082947948df0cb4bbcea5bda2025-01-14T08:39:27ZengWolters Kluwer Medknow PublicationsThe Pan-American Journal of Ophthalmology2666-49092024-12-0163414110.4103/pajo.pajo_87_24Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritisPriyanshi Ashishbhai GandhiArun Kumar SamarNitish KathuriaAvinash MishraHarbeer Singh ChhabraBackground: Dry eye is a condition of the tear film and ocular surface that causes discomfort, visual disturbance, and tear film instability. The subjective symptoms in dry eye disease (DED) are often nonspecific. More or less common are conjunctival redness and damage to the ocular surface with punctate epithelial erosions. Rheumatoid arthritis (RA) is a systemic autoimmune disease with approximately 25% of patients having ocular manifestations. Methodology: A prospective observational study was carried out in the ophthalmology outpatient department of a tertiary care center. There were 200 RA patients enrolled. Dry eye workup was done using various tests and the Ocular Surface Disease Index questionnaire. RA patients were divided on the basis of duration of illness into two groups. The results of dry eye tests were compared between these two groups. Results: Out of 200 RA patients, 89% were females. The overall prevalence of dry eye was 52.5% according to Schirmer’s test without anesthesia. There were 112 patients who were suffering from RA for <5 years and another group of 88 patients who were suffering for ≥5 years. Schirmer’s test and corneal fluorescein staining suggested that the patients with longer duration of RA are more prone to DED. Conclusion: The prevalence of dry eyes in patients with RA is high. Chronic ocular surface changes were observed with the longer duration of RA disease activity which affects the quality of life in such patients.https://journals.lww.com/10.4103/pajo.pajo_87_24dry eye diseaseocular surface disease indexrheumatoid arthritisschirmer’s test
spellingShingle Priyanshi Ashishbhai Gandhi
Arun Kumar Samar
Nitish Kathuria
Avinash Mishra
Harbeer Singh Chhabra
Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis
The Pan-American Journal of Ophthalmology
dry eye disease
ocular surface disease index
rheumatoid arthritis
schirmer’s test
title Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis
title_full Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis
title_fullStr Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis
title_full_unstemmed Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis
title_short Prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis
title_sort prevalence of dry eye disease in rheumatoid arthritis patients and its correlation with duration of rheumatoid arthritis
topic dry eye disease
ocular surface disease index
rheumatoid arthritis
schirmer’s test
url https://journals.lww.com/10.4103/pajo.pajo_87_24
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AT nitishkathuria prevalenceofdryeyediseaseinrheumatoidarthritispatientsanditscorrelationwithdurationofrheumatoidarthritis
AT avinashmishra prevalenceofdryeyediseaseinrheumatoidarthritispatientsanditscorrelationwithdurationofrheumatoidarthritis
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