|
|
Morphological and clinical characteristics of the upper meibomian gland in different age groups of healthy Chinese |
Liao Guiyi,Sun Xiaoting,Zhou Qi,Chen Ranran,Liu Zhenxing,Bi Yanlong |
Department of Ophthalmology, Tongji Hospital of Tongji University, Shanghai 200065, China |
|
|
Abstract Objective To clarify the morphological characteristics of the upper eyelid′s meibomian gland (UMG) in different age groups of a healthy Chinese Han population. Methods This was a cross-sectional observation case series. Seven hundred and ninety-two healthy volunteers (1 584 eyes) were grouped into ten age groups based on ten-year increments, starting at age one. Data collected included the meibomian 5-scale grading (Grade), No.(n), density(d), average width (WA), average length (LA) and area ratio (RA) of the upper meibomian glands. The data on the lid abnormality score (LAS), meibo-score (M), meibum secretion (MS), fluorescence integral (FI), tear film break-up time (BUT) and Schirmer test Ⅰ (SⅠT) were also collected. Data were analyzed using correlation, nonparameter and t test. Results There were no statistical interocular or inter-gender differences in the overall healthy volunteers (P<0.05). n, d, LA, RA, M and BUT were negatively correlated with age (separately, r=-0.625, -0.493, -0.593, -0.862, -0.322, -0.521, all P<0.05), while Grade, WA, LAS, MS and FI were found to have a positive correlation with age (separately, r=0.296, 0.255, 0.527, 0.303, 0.228, all P<0.05). There was no significant correlation between SⅠT and age (r=-0.125, P>0.05). Conclusion Morphological and clinical data of UMG show a significant age-related degenerative change in Chinese Han population.
|
Received: 08 January 2016
|
Fund: Shanghai Putuo District High Level Talents Scientific Research Innovation Project (2014-A-25) |
Corresponding Authors:
Bi Yanlong, Email: biyanlong@tongji.edu.cn
|
|
|
|
[1] |
Den S, Shimizu K, Ikeda T, et al. Association between meibomian gland changes and aging, sex, or tear function[J]. Cornea,2006, 25(6):651-655.
|
[2] |
Arita R, Itoh K, Inoue K, et al. Noncontact infrared meibography to document age-related changes of the meibomian glands in a normal population[J]. Ophthalmology,2008,115(5):911-915. DOI:10.1016/j.ophtha.2007.06.031.
|
[3] |
Shirakawa R, Arita R, Amano S. Meibomian gland morphology in Japanese infants, children, and adults observed using a mobile pen-shaped infrared meibography device[J]. Am J Ophthalmol,2013,155(6):1099-1103.e1. DOI:10.1016/j.ajo. 2013.01.017.
|
[4] |
Ozcura F, Aydin S, Helvaci MR. Ocular surface disease index for diagnosis of dry eye syndrome[J]. Ocul Immunol Inflamm,2007,15(5):389-393.
|
[5] |
Viso E, Gude F, Rodriguez-Ares MT. The association of meibomian gland dysfunction and other common ocular diseases with dry eye: a population-based study in Spain[J]. Cornea,2011,30(1):1-6. DOI:10.1097/ICO.0b013e318da5778.
|
[6] |
Tong L, Chaurasia SS, Mehta JS, et al. Screening for meibomian gland disease: Its pelation to dry eye subtypes and symptoms in a Teriary Referral Clinic in Singapore[J]. Invest Ophthalmol Vis Sci,2010,51(7):3449-3454. DOI:10.1167/iovs.09-4445.
|
[7] |
Arita R, Itoh K, Maeda S, et al. A newly developed noninvasive and mobile pen-shaped meibography system[J]. Cornea,2013,32(3):242-247. DOI:10.1097/ICO.0b013e31825425ef.
|
[8] |
Driver PJ, Lemp MA. Meibomian gland dysfunction[J]. Surv Ophthalmol,1996,40(5):343-367.
|
[9] |
Arita R, Itoh K, Maeda S, et al. Comparison of the long-term effects of various topical antiglaucoma medications on meibomian glands[J]. Cornea,2012,31(11):1229-1234. DOI:10.1097/ICO.0b01 3e3182f8e7d.
|
|
[10] Pult H, Riede-Pult B. Comparison of subjective grading and objective assessment in meibography[J]. Cont Lens Anterior Eye,2013,36(1):22-27. DOI:10.1016/j.clae.2012.10.074.
|
|
[11] Schl?觟tzer-Schrehardt U, Kruse FE. Indentification and charactization of limbal stem cell[J]. Exp Eye Res,2005,81(3):247-264.
|
|
[12] Arita R, Itoh K, Maeda S, et al. Efficacy of diagnostic criteria for the differential diagnosis between obstructive meibomian gland dysfunction and aqueous deficiency dry eye[J]. Jpn J Ophthalmol,2010,54(5):387-391. DOI:10.1007/s10384-010-0858-1.
|
|
[13] 梁庆丰,董喆,王宁利. 睑板腺功能障碍患者白内障围手术期需关注的问题及对策[J]. 中华眼科杂志,2014,50(4):244-246. DOI:10.3760/cma.j.issn.0412-4081.2014.04.002.
|
|
[14] Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement[J]. Lancet,1986, 1(8476):307-310.
|
|
[15] Ban Y, Shimazaki-Den S, Tsubota K, et al. Morphological evaluation of meibomian glands using noncontact infrared meibography[J]. Ocul Surf,2013,11(1):47-53. DOI:10.1016/j.jtos. 2012.09.005.
|
|
[16] Lin PY, Tsai SY, Cheng CY, et al. Prevalence of dry eye among an elderly Chinese population in Taiwan: the Shihpai Eye Study[J]. Ophthalmology,2003,110(6):1096-1101.
|
|
[17] Sullivan DA, Yamagami H, Liu M, et al. Sex steroids, the meibomian gland and evaporative dry eye[J]. Adv Exp Med Biol,2002,506(Pt A):389-399.
|
|
|
|