An evaluation of the tear function in menopausic women

ABSTRACT

Dry Eye is one of the most common eye disorders. Although this occurs in both men and women at any age, women in their menopausic years are often afflicted with this condition. This may be due to the loss of hormonal support after menopause. The purpose of this study is to determine the tear function of menopausic women and also to determine whether there is a correlation between advancing age and tear function. 62 menopausic women between the ages of 55-78 years underwent four different types of tear function tests (Schirmer Test, Tear Breakup Time, Vital Staining with Fluorescein Dye and the Ferning Test). These women were not under any type of medication. Results showed that in both the Schirmer Test and the Tear Breakup Time Test, there was a significant decrease in the tear function as age progressed. Although there were no statistically significant changes in the corneal uptake with increasing age, it was noted that the number of subjects with significant fluorescein dye uptake increased in the older age group. Likewise, there was no significant change in the Ferning test although a decreasing trend in the ferning pattern was observed as the age progressed. Based on the data collected, menopause and aging play a vital role in the development of dry eyes. Although the actual process remains uncertain, this can be attributed to the changes in the sex hormonal levels in menopausic women. (Author)