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评估有和无睑板腺功能障碍的犬的眼表参数。

Evaluation of ocular surface parameters in dogs with and without meibomian gland dysfunction.

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University, Seoul, Korea.

出版信息

Vet Rec. 2022 Jul;191(2):e1682. doi: 10.1002/vetr.1682. Epub 2022 Apr 29.

Abstract

BACKGROUND

Interest in meibomian gland dysfunction (MGD) is growing in veterinary medicine. However, research on MGD in dogs is lacking. The aims of this study were to compare the interferometry grades, tear meniscus height (TMH) and non-invasive tear break-up time (NIBUT) grades between dogs with and without MGD.

METHODS

Routine ophthalmic examination, interferometry, NIBUT assessment, TMH measurement and meibography were performed. Age and Schirmer tear test-1 (STT-1) results were compared between the control and MGD groups using Student's t-test. Interferometry grades, NIBUT grades and TMH were compared between the two groups using Mann-Whitney U-test.

RESULTS

There was no significant difference in age between the two groups (p = 0.279). STT-1 (p = 0.024), interferometry (p = 0.004) and NIBUT grades (p = 0.012) were significantly lower in the MGD group than in the control group. No significant difference in TMH values (p = 0.587) was observed between the two groups. While the control group included 18 and seven eyes in meiboscore 0 and 1, in MGD group, 12, eight, five and three eyes were included in meiboscore 0, 1, 2 and 3, respectively.

CONCLUSIONS

Low interferometry and NIBUT grades were associated with MGD, suggesting decreased meibum and disrupted tear film quality. TMH did not differ between the two groups. Meibography could aid in the diagnosis of MGD in severe cases, although it could not detect early MGD in the dogs in this study.

摘要

背景

睑板腺功能障碍(MGD)在兽医领域的关注度日益增加。然而,目前针对犬 MGD 的研究还比较缺乏。本研究旨在比较患有和不患有 MGD 的犬的干涉仪分级、泪膜月牙高度(TMH)和非侵入性泪膜破裂时间(NIBUT)分级。

方法

进行常规眼科检查、干涉仪检查、NIBUT 评估、TMH 测量和睑板腺照相。使用 Student's t 检验比较对照组和 MGD 组的年龄和 Schirmer 泪液测试-1(STT-1)结果。使用 Mann-Whitney U 检验比较两组之间的干涉仪分级、NIBUT 分级和 TMH。

结果

两组间的年龄无显著差异(p=0.279)。MGD 组的 STT-1(p=0.024)、干涉仪(p=0.004)和 NIBUT 分级(p=0.012)显著低于对照组。两组间的 TMH 值无显著差异(p=0.587)。对照组的睑板腺照相评分为 0 和 1 的眼分别为 18 只和 7 只,而 MGD 组的睑板腺照相评分为 0、1、2 和 3 的眼分别为 12、8、5 和 3 只。

结论

低干涉仪和 NIBUT 分级与 MGD 相关,提示泪膜中的睑脂减少和泪膜质量受损。两组间的 TMH 无差异。尽管本研究中的犬不能检测到早期 MGD,但睑板腺照相有助于严重 MGD 的诊断。

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