Ocular Findings in Psoriasis Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 10
Abstract
Introduction: Psoriasis is a common, chronic, disfiguring, inflammatory condition of the skin, with several extra cutaneous manifestations. Ophthalmic complications of psoriasis are numerous and affect almost all parts of eye. These effects also decrease the quality of life and can cause loss of vision. Ocular manifestations of psoriasis may be missed in absence of dedicated ocular examination. Material and methods: An observational study was conducted on 70 patients who were positive on skin biopsy for psoriasis. A comprehensive ocular examination was done on these patients. Anterior segment evaluation was done with slit lamp biomicroscope and ocular surface evaluation was done with Fluorescein and Rose Bengal staining, tear film break up time and Shirmers test. Result: Prevalence of ocular findings and complications were approximately 44% in our study. Most of the patients were asymptomatic. Multiple ocular involvement were present in 14.3% patients and 48.6% of the ocular findings were bilateral. Various ocular diseases encountered were conjunctivitis (11.4%), dry eye (8.6%), meibomitis (7.1%), cataract (20.7%) and uveitis (0.7%).Ocular complications seen were superficial punctate keratopathy, corneal opacity, trichiasis and posterior synachae. Conclusion: Ocular complications of psoriasis are numerous though they may remain subtle and hence clinically under appreciated. A comprehensive ocular examination should be done in all psoriatic patients.
Authors and Affiliations
Bithi Chowdhury, Arpit Pavaiya, V. K. Khurana
Keywords
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