Evaluation of the ocular surface by impression cytology in patients with endometriosis
Endometriosis patients exhibited significantly lower Schirmer I and tear breakup times, higher Ocular Surface Disease Index scores, and altered conjunctival impression cytology results compared to controls.
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This study investigated whether endometriosis is associated with changes in the ocular surface, enrolling 25 patients with endometriosis and 25 controls who underwent complete ophthalmic examinations of the right eye. Ocular surface status was assessed using Schirmer I test, tear breakup time (TBUT), conjunctival impression cytology (CIC), and the Ocular Surface Disease Index (OSDI), and group results were compared. Patients with endometriosis had significantly lower Schirmer I and TBUT values, higher OSDI scores, and higher CIC results, with conclusions that ocular surface alterations including squamous metaplasia may be present. This paper is centrally about endometriosis — it evaluates ocular surface changes in patients with endometriosis using tear tests and impression cytology.
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