International Journal of Ophthalmic PathologyISSN: 2324-8599

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Research Article, Int J Ophthalmic Pathol Vol: 5 Issue: 4

Clinicopathological Correlation in Dry Eye Disease

Satyaprakash Singh, Chandraprakash oli*, Mayank Srivastava, Deepika Singh, Jagdish Dukre
Motilal Nehru Medical College, Regional Institute of Ophthalmology at Govt. M. D. Eye Hospital, Allahabad, Uttar Pradesh, India
Corresponding author : Dr. Chandraprakash Oli
Room no 207, New PG boys Hostel, SRN Hospital Campus, Allahabad, Uttar Pradesh, India, 211001
Tel: +919545261984
E-mail: [email protected]
Received: September 11, 2016 Accepted: October 31, 2016 Published: November 05, 2016
Citation: Singh SP, Oli C, Srivastava M, Singh D, Dukre J (2016) Clinicopathological Correlation in Dry Eye Disease. Int J Ophthalmic Pathol 5:4. doi: 10.4172/2324-8599.1000189

Abstract

Introduction: To establish the strength of the association between routine tear function tests and conjunctival impression cytology (CIC) and to determine whether they simulate the morphological and cytological changes that occur on the ocular surface in dry eye.

Materials and Methods: Fifty six patients (30 cases and 26 controls) were included in the study. The tear film profile included tear film break up time (TBUT), Schirmer’s-1, Rose Bengal scores (RBS), and impression cytology. CIC samples were obtained from the infero-temporal quadrant of bulbar conjunctiva and stained with Papanicolaou stain (PAP) and Periodic Acid Schiff (PAS) stains.

Results: In our study, among clinical tests RBS (86.7%) had maximum sensitivity and highest percentage of specificity of TBUT (88.5%). Predictive values of Schirmer’s test, RBS, GCD, TBUT and CIC was 77.8%, 83.9%, 87.9%, 88.9% and 93.8% respectively in our study group. Cytological findings correlated well with histological findings.

Conclusion: Impression cytology was found to be better when compared to clinical tests. These etiopathological findings will help to decide proper line of management.

Keywords: Conjunctival impression cytology; Dry eyes; Tear film; Goblet cells

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