Yamana Eye Clinic, Fukuoka, Japan.
Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Sci Rep. 2024 Jul 14;14(1):16235. doi: 10.1038/s41598-024-67117-3.
We investigated the relationship between subjective symptoms and objective findings in patients with allergic conjunctival diseases (ACD) and test results for tear total IgE (t-tIgE), conjunctival eosinophils (c-Eo), serum total IgE (s-tIgE), serum-antigen specific IgE (s-sIgE), and serum eosinophils (s-Eo). Subjective symptoms and objective findings of patients with ACD were evaluated using Japanese Allergic Conjunctival Disease Quality of Life Questionnaire (JACQLQ), which described disability score and emotional score written by patient and clinical findings score written by ophthalmologist. We investigated the relationship between questionnaire scores and laboratory data for t-tIgE, c-Eo, s-tIgE, s-sIgE, and s-Eo. Scores of impediments to life and of moods were highest in vernal keratoconjunctivitis among ACD. Cases with positive pollen-sIgE showed significantly more nasal symptom score than those with negative pollen-sIgE (P < 0.05). Cases with positive t-tIgE or c-Eo showed significantly more objective symptoms' JACQLQ score than those with negative t-tIgE or c-Eo (P < 0.05), respectively. Cases positive for house dust/mite-sIgE, showed significantly more objective symptoms' JACQLQ score than those without for house dust/mite-sIgE (P < 0.05). These results indicate that ACD could be analyzed more accurately by the combination of JACQLQ and laboratory data.
我们研究了过敏性结膜炎(ACD)患者的主观症状与客观发现以及泪液总 IgE(t-tIgE)、结膜嗜酸性粒细胞(c-Eo)、血清总 IgE(s-tIgE)、血清抗原特异性 IgE(s-sIgE)和血清嗜酸性粒细胞(s-Eo)检测结果之间的关系。使用日本过敏性结膜炎生活质量问卷(JACQLQ)评估 ACD 患者的主观症状和客观发现,该问卷描述了患者书写的残疾评分和情绪评分以及眼科医生书写的临床发现评分。我们研究了问卷评分与 t-tIgE、c-Eo、s-tIgE、s-sIgE 和 s-Eo 实验室数据之间的关系。在 ACD 中,春季角结膜炎的生活障碍评分和情绪评分最高。花粉-sIgE 阳性的病例比花粉-sIgE 阴性的病例有更高的鼻部症状评分(P<0.05)。t-tIgE 或 c-Eo 阳性的病例 JACQLQ 评分显著高于 t-tIgE 或 c-Eo 阴性的病例(P<0.05)。尘螨-sIgE 阳性的病例 JACQLQ 评分显著高于尘螨-sIgE 阴性的病例(P<0.05)。这些结果表明,JACQLQ 与实验室数据相结合可以更准确地分析 ACD。