Standardized clinical evaluation of dry anophthalmic socket syndrome in a real-world approach
Metadatos
Mostrar el registro completo del ítemAutor
Zamorano-Martín, Francisco; Marín-Martínez, Sara; anchez-González, José María; Urbinati, Facundo; Rocha de Lossada, Carlos; García-Lorente, María; Mata, Jessica; Alba-Linero, Carmen; Ortiz Pérez, Santiago; Sanchez-España, Juan CarlosEditorial
Elsevier
Materia
Anophthalmic socket Enucleation Evisceration
Fecha
2024-05-16Referencia bibliográfica
Zamorano Martín, F. et. al. 47 (2024) 102149. [https://doi.org/10.1016/j.clae.2024.102149]
Resumen
Purpose: To assess which signs and eye prosthesis care habits are related to subjective discomfort in patients with
dry anophthalmic socket syndrome (DASS), using standardized tools from daily practice.
Methods: 62 anophthalmic sockets were compared with their healthy fellow eye using the Standard Patient
Evaluation of Eye Dryness (SPEED) score. The correlations between SPEED questionnaire and the prosthesis care,
discharge characteristics score, conjunctival inflammation score, meibomian gland dysfunction (MGD) scores
and Schirmer I test were studied.
Result: The anophthalmic sockets group achieved a higher SPEED test score (p < 0.01), discharge score (p <
0.01), conjunctival inflammation score (p < 0.01), MGD scores (p < 0.01) and lower Schirmer I test (p < 0.01)
compared with their fellow, healthy eye. Patients with a prosthesis replacement of one year or less, those with a
current fit time of one year or less and those with a cleaning frequency above one month reported better SPEED,
(p < 0.01), conjunctiva inflammation (p < 0.01) and MGD scores (p < 0.01).
Conclusion: Most anophthalmic patients suffer mild to severe DASS, which seems related to discharge,
conjunctival inflammation and MGD. Moreover, certain practices related to the care of the prosthesis such as
replacing with a frequency lower than yearly, current fitting time inferior to one year and a removing and
cleaning regime above one month, were related to a lower discomfort sensation, conjunctival inflammation and
MGD. Clinicians should consider the DASS when facing patients with anophthalmic socket and discomfort
symptoms.