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Category: Volume 06 Issue 09 September 2018
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Title: Clinical Presentations of Dry Eye in Senior citizens of a tertiary care Eye hospital

Author: Dr Rishi Gupta

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.195

Abstract

Objective:  To study Clinical presentations of dry eye in senior citizens of a tertiary care eye hospital

Study Design: Hospital based prospective observational study.  

Materials and Methods: In this hospital based prospective observational study 260 eyes of 140 patients of dry eye above the age of 60 years, attending OPD of a tertiary care hospital were evaluate for various manifestations of dry eye. The study was carried out during the span of 1 years from December 2016 to December 2017. The patients of age 60 years or above presenting with any complaint suggestive of dry eye or diagnosed case of dry eye were evaluated in detail with reference to presenting complaints, history, personal habits, occupation, detail slit lamp examination and various investigation like schirmer’s test, tear meniscus, ocular surface staining, Tear flim breakup time (TBUT) and corneal sensation.

Results: Mean age of study group was 68.04 year ±7.2 (60-91) years. Out of 140 patients 57 (40.71%) were male and 83 (59.28%) were female. 85.71% patients had bilateral involvement rest had unilateral involvement. Grittiness (84.28%), Burning Sensation (66.42%) and Mucous Discharge (57.85%) were the common symptoms noted in present study. Conjunctival congestion (100%) was the most common sign of dry eye which was present in all cases and all grade of dry eye. Mucous thread (67.6%), Tear debris (47.6%) and epithelial erosion (38.0%) were the other common sign noted in present study. In present study 51.53% eyes had mild grade of dry eye followed by 36.53% eyes had moderate grade and 11.92% eyes had severe grade of dry eye. Mild and Moderate grade of dry eye was more common in female as compare to severe grade of dry eye which was nearly equal in both gender.

Conclusion: Elderly could be affected by any grade of dry eye but usually mild and moderate grade of dry eye are more common than severe grade of dry eye. Dry eye can present with vague and nonspecific sign and symptoms in elderly.

Keywords: Dry eye, Elderly, Clinical profile

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Corresponding Author

Dr Rishi Gupta

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