Vol.4, No 1, 1997 pp. 48 - 50
UC 617.71
KERATOCONJUNCTIVITIS SICCA IN PATIENTS WITH RHEUMATOID ARTHRITIS
Gordana Zlatanović 1, Anka Stanojević – Paović 2
1Ophtalmology Clinic, University School of Medicine, Niš, Yugoslavia
2Ophtalmology Clinic, University School of Medicine, Belgrade, Yugoslavia
Summary. The study included 166 women and 12 men aged 19 to 65 years (mean 42 years) with rheumatoid artritis. All patients had classic or definite rheumatoid arthritis, as defined by the criteria of the American Rheumatism Association (ARA). We diagnosed keratoconjunctivitis sicca with the aid of the Schirmer test, tear film breakup time, rose bengal and fluorescein corneal staining. In 45% patients with rheumatoid arthritis we found positive the Schirmer test and tear film breakup time. In 25% patients with rheumatoid arthritis we found moderate or severe ocular burning, foreign body sensation, pain and positive rose bengal corneal staining.
Key words: Keratoconjunctivitis sicca, rheumatoid arthritis
KERATOKONJUNKTIVITIS SIKA KOD PACIJENATA SA REUMATOIDNIM ARTRITISOM
Kratak sadržaj. Ova studija ispituje 166 žena i 12 muškaraca starosnog uzrasta od 19 do 65 godina (prosečna starost je 42 godine) sa reumatoidnim artritisom. Svi bolesnici su bili dijagnostikovani na osnovu kriterijuma Američkog reumatološkog društva. Keratokonjunktivitis sika smo dijagnostikovali Sirmerovim testom, testom vremena prekida suznog filma i bojenjem fluoresceinom i roze bengalom. Pozitivan Sirmerov test i vreme prekida prekornealnog suznog filma je nadjeno kod 45% obolelih od reumatoidnog artritisa. Promene na očima u vidu bolova, osećanja stranog tela i bojenje roze bengalom smo našli kod 25% obolelih.
Ključne reči: Keratokonjunktivitis sika, reumatoidni artritis