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A grading system for alterations of the lid wiper zone in ocular surface disease
Author(s) -
NEPP J,
MUNK M
Publication year - 2011
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2011.2333.x
Subject(s) - etiology , pathogenesis , medicine , grading (engineering) , disease , ophthalmology , pathology , biology , ecology
Purpose The lid wiper is a part of the lid margin, with many important functions for the ocular surface. Until now changes of the lid wiper where said to be symptoms of dry eyes. This study should observe the changes according pathogenesis and etiology of ocular surface diseases. Methods Worse eye of 61 outdoor department patients were observed. We evaluated the etiology according the triple classification and the pathogenesis auf lipids, mucins and water layer as well as the corneal epithel. The wiper was observed by clinical changes of vessels and staining with lissamin green. We observed the relation of these changes with the etiology and pathogenetic cause. Results There was a correlation of Lid‐Wiper changes with inflammation and immune diseases, as well with hormonal disorders. There was a low correlation with psychologic problems and with patient‘s age. Conclusion By these observations the grading system could be modified by including vessel changes and locations of lissamin green staining for definition of the ocular surface dysfunction.