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NR 1-3/2008
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Zespół suchego oka w
przebiegu młodzieńczego idiopatycznego zapalenia stawów
The dry eye syndrome in
children with juvenile idiopatic arthritis
Ewa Lipiec1, Mirosława Grałek1,2,
Anna Niwald1
1Z Kliniki Okulistyki Dziecięcej Katedry Pediatrii
Zabiegowej Uniwersytetu Medycznego w Łodzi
P.o. kierownik: dr n. med. Anna Niwald
2Z Kliniki Okulistyki Instytutu – Pomnika „Centrum
Zdrowia Dziecka”
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Purpose: The aim of
the study was to evaluate the dry eye syndrome in
children with juvenile idiopathic arthritis (JIA), and
its relation to the immunological markers of the JIA (antynuclear
antybodies ANA and rheumatoid factor RF).
Material and methods: The study included 62
children with JIA. The age of patients during the first
ophthalmic examination ranged from 9 to 18 years (62
children). A control group consisted of 49 healthy
children. The time of observation was 18 months during
which the children and adolescents were subjected to
complex ophthalmic examinations (including a history of
eye discomfort and Schirmer and BUT tests), in the
intervals of 9 months. The diagnosis towards dry eye
syndrome was made (including a history of eye discomfort
and Schirmer and BUT tests).
Results: The majority of children with JIA
complained of discomfort in the eyes. The difference
appeared to be statistically significant between the
group of children with JIA and the control group in the
range of 5 features. The results of Schirmer test were
found to be inadequate in 7 children (13%) and of BUT
test in 9 children (15%). In total, inadequate results
of Schirmer and/or BUT tests and a high score of
discomfort evaluation were detected in 11 patients
(17.7%).
Conclusions: 1. The dry eye syndrome may occur in
the course of JIA in children without any distinct
clinical signs, resulting in subjective symptoms and
decreasing the quality of life. 2. No correlation
between immunological markers of the JIA and ocular
changes was observed. |
| Słowa kluczowe: |
zespół suchego oka,
młodzieńcze idiopatyczne zapalenie stawów, dzieci. |
| Key words: |
dry eye syndrome, juvenile
idiopathic arthritis, children. |
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