Duarte Maria Cecília Barros, Pinto Natércia Trindade, Moreira Hamilton, Moreira Ana Tereza Ramos, Wasilewski Daniel
Hospital das Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brasil.
Arq Bras Oftalmol. 2007 May-Jun;70(3):465-9. doi: 10.1590/s0004-27492007000300014.
The purpose of this study was to compare total testosterone blood level among three groups of postmenopausal women: control, mild to moderate dry eye and severe dry eye.
Twenty-nine postmenopausal women were selected. The exclusion criteria were: hormone replacement therapy in the last 8 weeks, mechanical palpebral abnormalities, pterygium, lacrimal obstructions, intraocular inflammation or contact lens use. A blood sample was collected for total testosterone level determination, and the patients were submitted to an ophthalmologic examination (emphasizing on dry eye detection) and answered the OSDI (Ocular Surface Disease Index) questionnaire. Five patients were excluded. Postmenopausal women were divided into three groups according to OSDI score and the ophthalmic examination.
Five patients were classified in the no dry eye group (control), fifteen in the mild to moderate dry eye group and four in the severe dry eye group. There were no statistically significant differences regarding mean age (p=0.3915); instruction level (p=0.9333); number of comorbidities (p=0.2551); medication taken (p=0.2844) and total testosterone level among those groups (p=0.1275).
Further research with a greater bigger sample is necessary to establish the relation of androgen levels in dry eye patients.
本研究旨在比较三组绝经后女性的总睾酮血水平:对照组、轻至中度干眼症组和重度干眼症组。
选取29名绝经后女性。排除标准为:过去8周内接受激素替代疗法、睑部机械性异常、翼状胬肉、泪道阻塞、眼内炎症或使用隐形眼镜。采集血样以测定总睾酮水平,并让患者接受眼科检查(重点是干眼症检测),并回答眼表疾病指数(OSDI)问卷。排除5名患者。根据OSDI评分和眼科检查将绝经后女性分为三组。
5名患者被归类为无干眼症组(对照组),15名在轻至中度干眼症组,4名在重度干眼症组。在平均年龄(p = 0.3915)、教育水平(p = 0.9333)、合并症数量(p = 0.2551)、服用药物(p = 0.2844)以及这些组之间的总睾酮水平(p = 0.1275)方面,无统计学显著差异。
需要进行更大样本量的进一步研究,以确定干眼症患者雄激素水平之间的关系。