ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH KHÔ MẮT Ở NGƯỜI LỚN TUỔI

Abstract

Objective: To describe the clinical and subclinical characteristics of dry eye disease in the elderly. Methods: A cross-sectional descriptive study was conducted on patients aged 50 years and older who visited the Viet Nam National Eye Hospital (VNEH, Viet Nam) between August 2023 and August 2024 and were diagnosed with dry eye. Data collected included Schirmer I test, tear break up time (TBUT), corneal and conjunctival staining, Meibomian gland dysfunction (MGD) grading, tear film breakup pattern; quantivtative tear meniscus height and MGD grading using Keratography 5M. Results: A total of 27 patients (54 eyes) met the inclusion criteria. The mean age was 58.22±6.89 years, male-to-female ratio was of 12,5/1. The mean OSDI score was 48.67±13.57. The average score of Schirmer I, TBUT, corneal staining score and conjunctival staining score are: 4.48±2.09 mm; 3.11±1.93s, 4.65±2,02; 3.85±1,35. The distribution of tear film breakup patterns was: random (62.8%), line (33.3%), and spot (11.1%). Meibomian gland dysfunction (MGD) was present in 81.48% of eyes, with grades I, II, and III. Keratography 5M results: the average Tear meniscus height was 0.18mm; 66.7% eyes had Meibomian gland dysfunction. Conclusion: Dry eyes in the elderly patients is commonly seen in postmenopausal women,  primarily in the mixed of dry eye (81.5%), aqueous deficient dry eyes account for only 18.5%; with functional symptoms and decreased tear production are typically moderate. The disease is commonly with MGD at a rate of 81.48%.