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KMID : 0360220200610020146
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Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 2 p.146 ~ p.152
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The Effect of Eyeliner Tattoo on Meibomian Gland Dysfunction and the Ocular Surface
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Yoon Ji-Hyun
Kim Ah-Young
Jun Roo-Min
Han Kyung-Eun
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Abstract
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Purpose: To determine whether eyeliner tattoo affects the meibomian gland (MG) and ocular surface.
Methods: The medical charts of an eyeliner tattoo group (16 eyes of 8 patients) and a control group (16 eyes of 18 patients) were retrospectively reviewed. The ocular surface disease index questionnaire, ocular surface staining score, tear film break-up time (TBUT), upper eyelid abnormality, meibum expressibility and quality, and MG loss and tear film lipid layer thickness (LLT) which measured with LipiView® (TearScience, Morrisville, NC, USA) were compared. In the tattoo group, the correlation between the distance from the MG orifice to the tattoo pigment and other indices were analyzed.
Results: Compared to controls, the tattoo group had a significantly higher ocular surface disease index (p = 0.002), shorter TBUT (p < 0.001), higher vessel engorgement of the upper lid (p = 0.016), poorer meibum expressibility and quality (p = 0.006 and p < 0.001, respectively), higher MG loss (p < 0.001), and thinner LLT (p = 0.024). In the tattoo group, the closer the tattoo was to the MG orifice, the more the upper lid vessel was engorged and the more MG loss occurred (rs = -0.560, p = 0.024; rs = -0.563, p = 0.023, respectively), and a thinner LLT was observed (rs = 0.567, p = 0.022).
Conclusions: Eyeliner tattoos may be related to changes in the lid margin, loss of the MG, and thinning of the LLT.
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KEYWORD
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Dry eye syndrome, Eyeliner tattoo, Meibomian gland, Tear film lipid layer thickness
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