Bhagyajyoti B. K, Surabhi Beniwal, Arvind L. Tenagi, Rekha Mudhol, A. Y. Kakkundi, M. I. Magdum, Chethana Warad
BACKGROUND Ocular symptoms due to dry eye is the most frequently encountered problem in the old age, especially in females. Owing to fluctuating levels of various hormones in the female body with advancing age, various hypotheses have been made to identify the aetiology. Further research is needed to find the exact causative mechanism for dry eye for improving the management of these cases and bring awareness among the caregivers. The objectives of the study were 1. To compare and establish prevalence of dry eye in postmenopausal and premenopausal women 2. To determine the type of dry eye disease in patients attending a tertiary care centre in Southern India. MATERIALS AND METHODS All patients’ data was recorded in a predesigned proforma and Ocular Surface Disease Index Scoring was done. Visual acuity was assessed on Snellen’s chart and anterior segment evaluation was done using slit lamp biomicroscopy. Dry eye evaluation was done with Schirmer Test I and Tear Film Break-Up Time test. Corneal and conjunctival staining with fluorescein strip sand Rose Bengal strip was performed to assess the dry eye. RESULTS Among 75 premenopausal and 75 post-menopausal women examined, dry eye disease was more common in the postmenopausal group. It was maximum in age group >60 years. Most of the patients in this study had moderate dry eye. Present study reveals that dry eye symptoms are common in postmenopausal women. CONCLUSION It was found that dry eye disorder was more common in post-menopausal women compared to pre-menopausal women. Female patients above 40 years presenting to the hospital should be screened dry eye and referred to Ophthalmology OPD to assist in early detection of dry eye and avoid debility due to dry eye related complications.
