PMID- 25650419 OWN - NLM STAT- MEDLINE DCOM- 20150903 LR - 20220310 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 56 IP - 3 DP - 2015 Feb 3 TI - The association between subjective and objective parameters for the assessment of dry-eye syndrome. PG - 1467-72 LID - 10.1167/iovs.14-15814 [doi] AB - PURPOSE: The aim of the present study was to evaluate the association between symptoms and different clinical signs in patients with dry-eye syndrome (DES). METHODS: Fifty-two patients with DES were included in the present cross-sectional study. For assessment of symptoms, the Ocular Surface Disease Index (OSDI) was used. Clinical parameters included measurement of tear break up time (BUT), corneal fluorescein staining, tear osmolarity, and ocular scattering index (OSI). Tear film thickness (TFT) was assessed using a custom-built optical coherence tomography (OCT) system with an axial resolution of 1.2 mum. In addition, impression cytology was performed. Correlation coefficients were calculated using linear regression analysis. RESULTS: The mean OSDI in the present study population was 28.9 +/- 17.6, the mean TFT was 4.1 +/- 1.3 mum. A significant negative correlation was found between OSDI and TFT (r = -0.34, P = 0.01). Tear film thickness correlated positively with BUT (r = 0.35, P = 0.01), but with no other signs of DES. No association was found between OSDI and the other evaluated signs. CONCLUSIONS: The study population mainly comprised of patients with mild to moderate DES. Tear film thickness as measured with a custom-built OCT device correlated with subjective symptoms in these patients. In agreement with previous data, the association between other signs and symptoms was weak in the present study. Measurement of TFT with OCT may become a valuable tool in the management of DES patients. (ClinicalTrials.gov number, NCT01753687.) CI - Copyright 2015 The Association for Research in Vision and Ophthalmology, Inc. FAU - Schmidl, Doreen AU - Schmidl D AD - Department of Clinical Pharmacology, Medical University of Vienna, Austria Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Austria. FAU - Witkowska, Katarzyna Jadwiga AU - Witkowska KJ AD - Department of Clinical Pharmacology, Medical University of Vienna, Austria. FAU - Kaya, Semira AU - Kaya S AD - Department of Ophthalmology, Paracelsus Medical University, Salzburg, Austria. FAU - Baar, Carina AU - Baar C AD - Department of Clinical Pharmacology, Medical University of Vienna, Austria. FAU - Faatz, Henrik AU - Faatz H AD - Department of Clinical Pharmacology, Medical University of Vienna, Austria. FAU - Nepp, Johannes AU - Nepp J AD - Department of Ophthalmology and Optometry, Medical University of Vienna, Austria. FAU - Unterhuber, Angelika AU - Unterhuber A AD - Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Austria. FAU - Werkmeister, Rene Marcel AU - Werkmeister RM AD - Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Austria. FAU - Garhofer, Gerhard AU - Garhofer G AD - Department of Clinical Pharmacology, Medical University of Vienna, Austria. FAU - Schmetterer, Leopold AU - Schmetterer L AD - Department of Clinical Pharmacology, Medical University of Vienna, Austria Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Austria. LA - eng SI - ClinicalTrials.gov/NCT01753687 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150203 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Dry Eye Syndromes/*diagnosis/physiopathology MH - Female MH - Humans MH - Image Interpretation, Computer-Assisted MH - Male MH - Middle Aged MH - Reference Values MH - Tears/physiology MH - Tomography, Optical Coherence MH - Visual Acuity/physiology OTO - NOTNLM OT - corneal fluorescein staining OT - dry-eye syndrome OT - impression cytology OT - objective scattering index OT - ocular surface disease index OT - optical coherence tomography OT - tear break up time OT - tear film thickness OT - tear osmolarity EDAT- 2015/02/05 06:00 MHDA- 2015/09/04 06:00 CRDT- 2015/02/05 06:00 PHST- 2015/02/05 06:00 [entrez] PHST- 2015/02/05 06:00 [pubmed] PHST- 2015/09/04 06:00 [medline] AID - iovs.14-15814 [pii] AID - 10.1167/iovs.14-15814 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2015 Feb 3;56(3):1467-72. doi: 10.1167/iovs.14-15814.