Standardized clinical evaluation of dry anophthalmic socket syndrome in a real-world approach
Author: Francisco Zamorano Martín
Base Hospital / Institution: Hospital Univeristario Virgen de las Nieves, Granada
ePoster presentation
Abstract ID: 24-131
Purpose
to assess with daily-practice standardized tools which signs and eye prosthesis care habits are related to subjective discomfort in patients with dry anophthalmic socket syndrome (DASS).
Methods
62 anophthalmic sockets were compared with their healthy fellow eye using the Standard Patient Evaluation of Eye Dryness (SPEED) score. The correlation between SPEED questionnaire and the prosthesis care, discharge characteristics score, conjunctival inflammation score, meibomian gland dysfunction (MGD) scores expressed in eyelid morphology, and gland expression and Schirmer I test were studied.
Results
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 test (p < 0.01), conjunctiva inflammation score (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 it 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. Physicians should consider the DASS when facing patients with anophthalmic socket and discomfort symptoms.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Facundo | Urbinati | Hospital Univeristario Virgen de las Nieves, Granada |
| Santiago | Ortiz Pérez | Hospital Univeristario Virgen de las Nieves, Granada |
