ISTANBUL escrs

Ocular manifestations among psoriasis patients in south India

Session Details

Session Title: Special Cases
Session Date/Time: Friday 20/02/2015 | 08:30-10:30
Paper Time: 09:44
Venue: Sadirvan B
First Author: : N.Jain INDIA
Co Author(s): :    K. k   N. A   M. Natarajan   C. Madhivanan   N. M  

Abstract Details

Purpose:

Psoriasis is a non contagious autoimmune disease with remissions and exacerbations. It is associated with many extra cutaneous manifestations such as increased risk of coronary artery disease, joint involvement and ocular involvement. The occurrence of ocular inflammation is known for many years but not well investigated. It has very subtle presentation and is often diagnosed after irreversible damage has occurred. This delay in presentation maybe due to lack of awareness among patients , subtle symptoms and delay in referrals.

Setting:

A cross sectional, descriptive,hospital based study conducted in Stanley Medical college. The study period was may 2012- august 2013. Patients presenting to the Dermatology department who were diagnosed with Psoriasis were examined for the ocular manifestations in the Ophthalmology Department. Sampling was consecutive and 75 patients were included.

Methods:

Exclusion criteria: patients with other co morbid conditions like Diabetes Mellitus, Hypertension, and Bronchial asthma were excluded; patients undergoing PUVA therapy were excluded: patients with known occular diseases were excluded.All other Psoriasis patients were included.After an informed consent relevant ocular history was taken. The anterior segment was examined using slit lamp, posterior segment by Indirect Ophthalmoscope and biomicroscopy with 90D lens, the IOP was measured by Goldman applanation Tonometer and dry eye evaluation was done by Schirmers I &II and TBUT.FFA and OCT were done when appropriate.

Results:

The total of 150 eyes were examined. Age distribution was 14-80years with the average being 48.24yrs. 87% of the patients had Psoriasis Vulgaris.62.66% of the patients were asymptomatic and 37.33% were symptomatic.The most common ocular manifestation was Blepharoconjunctivitis seen in 25% of patients, it was seen in 82%of the patients with scalp involving Psoriasis.3.3% of the patients had episcleritis. 2% eyes had uveitis. Among them joint involvement was seen in 75% of the patients. There was an increased occurrence of dry eye among these patients. Ocular manifestations were seen even among the asymptomatic patients, blepharoconjunctivitis being the most common.

Conclusions:

Psoriasis can affect almost all the structures of the eye from the anterior to the posterior segment. It can occur due to the disease per se and also as a complication to the treatment of the disease. As the manifestations such as uveitis and severe dry eye are sight threatening, early detection and prompt treatment is essential. An increased awareness among the dermatologists and the patients is required for early referral and complete patient care.

Financial Disclosure:

NONE

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