Systemic lupus erythematosus affects the tear film and objective visual quality of the patient / 医学研究生学报

ABSTRACT

Objective Systemic lupus erythematosus (SLE) cause irreversible damage to multiple organs of the body.This article evaluates the changes in tear film quality and visual quality in patients with SLE.Methods In the study,we selected 66 patients with SLE (66 right eyes) for the study group and 59 healthy volunteers (59 right eyes) for the control group,The measurements of BUT,corneal fluorescein staining(FL) score and SIt were taken in turn for both two groups.Anterior segment OCT was used for measuring the CET,CCT,TMD,TMH and TMA.OQAS Ⅱ system was taken for MTFcutoff,SR,static OSI,OV (100％,20％,9％) and dynamic OSI.Differences of the parameters were compared between the two groups.The data correlation was assessed by Spearman rank correlation analysis.Results There were significant differences in SIt,BUT,FL score,CET,TMH,TMD and TMA between the two groups(P＜0.05),but no significant difference in CCT (P＞0.05).The differences of static OSI,MTFcutoff,SR,OV100％,OV20％,OV9％ between the two groups were statistically significant(P＜0.01).The △OSI(differences between dynamic and static OSI) had the difference between the two groups(t=4.615,P＜0.001).TMA was positively correlated with CET,SIt,and BUT (P＜0.05),and had no correlation with OSI,MTFcutoff,SR,OV100％,OV20％,OV9％ (P＞0.05).Anti-ds-DNA is positively correlated with SIt,TMA,MTFcutoff and SR (r =0.346,0.208,0.257,0.197,P＜0.05) and negatively correlated with OSI(r=-0.292,P＜0.05).There was no correlation between ANA,C3,C4 and the parameters of tear film and visual quality (P＞0.05).Conclusion SLE may affect the amount and stability of the patient's tears and affects the corneal epithelial thickness and visual quality.