The Dry Eye Zone

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Abstract: Dry eye in GvHD

Looks at frequency of dry eye and other ocular complications from chronic GvHD in a patient population in Pakistan.

Frequency of ocular manifestations of chronic graft versus host disease.

With the advancement of techniques for haematopoietic cell transplantation, the number of transplant survivors is increasing rapidly and so are the chances of chronic graft versus host disease (cGVHD). The ocular manifestations of this disease have not been explored in our local population. This study was conducted to determine the frequency of ocular complications in cases of cGVHD following successful bone marrow transplantation.

Twelve diagnosed cases of cGVHD were evaluated from June 2008 to March 2009 and there ocular manifestations were noted especially the ocular surface disorders, using double staining method with fluorescein and rose-bengal.

Nine patients (75%) were having dry eyes, 7 (58.3%) with mebomian glands dysfunction, 4 (33%) with acute conjunctivitis, 2 (16.7%) with bilateral lacrimal canalicular occlusion, and 1 (8.3%) each of bilateral posterior subcapsular cataract, unilateral sterile corneal epithelial defect, anterior uveitis, retinal haemorrhages and disc oedema.

The higher frequency of dry eyes along with other ocular manifestations in patients of cGVHD suggests the need of close ophthalmic monitoring in all such cases.

J Ayub Med Coll Abbottabad. 2010 Jan-Mar;22(1):80-3.
Arain MA, Niazi MK, Khan MD, Ahmed P, Naz MA, Fayyaz M.
Armed Forces Institute of Ophthalmology, Rawalpindi.