Tear film and lid margin changes in patients with different types of primary pterygium

Purpose. This study aimed to evaluate tear film and lid margin changes in patients with different types of primary pterygium. Methods. A total of 123 participants comprises of normal patients (n=30), patients with type I pterygium (n=30), type II pterygium (n=32) and type III pterygium (n=31) withou...

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Main Authors: Hilmi, Mohd Radzi, Mohd Kamal, Khairidzan, Ithnin, Mohd. Hafidz
Format: Article
Language:English
English
Published: Universitas Islam Agung Sultan Semarang 2019
Subjects:
Online Access:http://irep.iium.edu.my/77598/
http://irep.iium.edu.my/77598/1/Editor_Author%20Correspondence%20Sains%20Medika%20-%20Tear%20film%20Changes.pdf
http://irep.iium.edu.my/77598/7/Tear%20Film%20and%20Lid%20Margin%20Changes%20in%20Patients%20with%20Different%20Types%20of%20Primary%20Pterygium.pdf
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spelling iium-775982020-01-30T04:20:34Z http://irep.iium.edu.my/77598/ Tear film and lid margin changes in patients with different types of primary pterygium Hilmi, Mohd Radzi Mohd Kamal, Khairidzan Ithnin, Mohd. Hafidz RE Ophthalmology Purpose. This study aimed to evaluate tear film and lid margin changes in patients with different types of primary pterygium. Methods. A total of 123 participants comprises of normal patients (n=30), patients with type I pterygium (n=30), type II pterygium (n=32) and type III pterygium (n=31) without ocular pathologies were selected from patients who visited an ophthalmology clinic. Ocular surface disease index scores (OSDI), meibomian gland expression (MGE), lid margin abnormality (LM) scores, tear break-up time (TBUT), Schirmer test (SIT) value and multiple tear meniscus values; the lower tear meniscus height (TMH), tear meniscus depth (TMD) and tear meniscus area (TMA) measured using time-domain ocular coherence tomography were performed. Comparative analyses between groups were performed for all parameters. A statistical significance level of P < 0.05 was considered. Association of OSDI with LM abnormality scores, MGE and tear break-up time (TBUT) with all pterygium types were examined. Results. All parameters were significantly higher in pterygium patients compared to controls (P < 0.001). However, TBUT scores, SIT scores, the lower TMH, TMD and TMA values revealed no significant difference between pterygium type I and control group (P > 0.05). Correlation analysis revealed LM abnormality, MGE and TBUT were significantly correlated with OSDI scores pterygium patients. Conclusions. Advance pterygium cause alteration of tear film and lid margin, which is associated with ocular discomfort. Early detection of lid margin changes seems to be important to understand the relationship between pterygium, tear film functions and changes of the ocular surface. Universitas Islam Agung Sultan Semarang 2019-05-23 Article PeerReviewed application/pdf en http://irep.iium.edu.my/77598/1/Editor_Author%20Correspondence%20Sains%20Medika%20-%20Tear%20film%20Changes.pdf application/pdf en http://irep.iium.edu.my/77598/7/Tear%20Film%20and%20Lid%20Margin%20Changes%20in%20Patients%20with%20Different%20Types%20of%20Primary%20Pterygium.pdf Hilmi, Mohd Radzi and Mohd Kamal, Khairidzan and Ithnin, Mohd. Hafidz (2019) Tear film and lid margin changes in patients with different types of primary pterygium. Sains Medika. ISSN 2085-1545 E-ISSN 2339-093X (In Press)
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RE Ophthalmology
spellingShingle RE Ophthalmology
Hilmi, Mohd Radzi
Mohd Kamal, Khairidzan
Ithnin, Mohd. Hafidz
Tear film and lid margin changes in patients with different types of primary pterygium
description Purpose. This study aimed to evaluate tear film and lid margin changes in patients with different types of primary pterygium. Methods. A total of 123 participants comprises of normal patients (n=30), patients with type I pterygium (n=30), type II pterygium (n=32) and type III pterygium (n=31) without ocular pathologies were selected from patients who visited an ophthalmology clinic. Ocular surface disease index scores (OSDI), meibomian gland expression (MGE), lid margin abnormality (LM) scores, tear break-up time (TBUT), Schirmer test (SIT) value and multiple tear meniscus values; the lower tear meniscus height (TMH), tear meniscus depth (TMD) and tear meniscus area (TMA) measured using time-domain ocular coherence tomography were performed. Comparative analyses between groups were performed for all parameters. A statistical significance level of P < 0.05 was considered. Association of OSDI with LM abnormality scores, MGE and tear break-up time (TBUT) with all pterygium types were examined. Results. All parameters were significantly higher in pterygium patients compared to controls (P < 0.001). However, TBUT scores, SIT scores, the lower TMH, TMD and TMA values revealed no significant difference between pterygium type I and control group (P > 0.05). Correlation analysis revealed LM abnormality, MGE and TBUT were significantly correlated with OSDI scores pterygium patients. Conclusions. Advance pterygium cause alteration of tear film and lid margin, which is associated with ocular discomfort. Early detection of lid margin changes seems to be important to understand the relationship between pterygium, tear film functions and changes of the ocular surface.
format Article
author Hilmi, Mohd Radzi
Mohd Kamal, Khairidzan
Ithnin, Mohd. Hafidz
author_facet Hilmi, Mohd Radzi
Mohd Kamal, Khairidzan
Ithnin, Mohd. Hafidz
author_sort Hilmi, Mohd Radzi
title Tear film and lid margin changes in patients with different types of primary pterygium
title_short Tear film and lid margin changes in patients with different types of primary pterygium
title_full Tear film and lid margin changes in patients with different types of primary pterygium
title_fullStr Tear film and lid margin changes in patients with different types of primary pterygium
title_full_unstemmed Tear film and lid margin changes in patients with different types of primary pterygium
title_sort tear film and lid margin changes in patients with different types of primary pterygium
publisher Universitas Islam Agung Sultan Semarang
publishDate 2019
url http://irep.iium.edu.my/77598/
http://irep.iium.edu.my/77598/1/Editor_Author%20Correspondence%20Sains%20Medika%20-%20Tear%20film%20Changes.pdf
http://irep.iium.edu.my/77598/7/Tear%20Film%20and%20Lid%20Margin%20Changes%20in%20Patients%20with%20Different%20Types%20of%20Primary%20Pterygium.pdf
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last_indexed 2023-09-18T21:49:26Z
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