KMID : 1038920210200040144
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Annals of Optometry and Contact Lens 2021 Volume.20 No. 4 p.144 ~ p.149
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Clinical Analysis of Dry Eye Syndrome According to Anterior Displacement of the Marx Line
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Lee Ds-Bin
Lee Moon-Hyung Cho Kyong-Jin Park Yuli
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Abstract
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Purpose : To evaluate the clinical characteristics of patients with dry eye syndrome according to anterior displacement of the Marx line.
Methods : This retrospective study involved 127 eyes in 127 patients with dry eye, who were divided into three groups: group 1, aqueous-deficient, including Sjogren syndrome; group 2, meibomian gland dysfunction (MGD) dry eye; and group 3, other tear layer instability. A detailed assessment was conducted, involving the Ocular Surface Disease Index, corneal fluorescein staining (score: 0-15), conjunctival Lissamine green staining (score: 0-12), measurement of tear breakup time, and Schirmer¡¯s test.
Results : The proportion of patients with MGD was highest in the group with anterior displacement of the Marx line (p < 0.05). The correlation between anterior dislocation of the Marx line and Schirmer¡¯s test, an objective indicator of dry eye syndrome, was significantly weaker when there was anterior displacement of the Marx line.
Conclusions : Anterior dislocation of the Marx line was more common in patients with MGD. The Marx line is a useful marker for diagnosing MGD.
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KEYWORD
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Dry eye syndrome, Lissamine green, Marx line, Meibomian gland dysfunction, Meibomian orifice
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