PMID- 30697285 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220331 IS - 1735-5303 (Print) IS - 2345-3656 (Electronic) IS - 1735-5303 (Linking) VI - 13 IP - 2 DP - 2018 Spring TI - Association of Sulfur Mustard-Induced Ocular Problems with Serum and Blood Biochemical Parameters Changes. PG - 157-166 AB - BACKGROUND & OBJECTIVE: Many biochemical features of sulfur mustard (SM) intoxication have remained unknown. So far, the direct association between biochemical parameter changes and ocular problems in patients exposed to SM is not evaluated. The current study aimed at evaluating the associations between the ocular findings in patients with SM intoxication and the changes of serum and blood biochemical parameters. METHODS: In the current study, 372 patients exposed to SM and 128 matched controls were compared concerning the association between their ocular problems and biochemical parameters. Ocular problems include photophobia, ocular surface discomfort (OSD), etc. Biochemical parameters include uric acid, creatinine (Cr), hematocrit (HCT), total, direct and indirect bilirubin, high-density lipoproteins (HDL), alanine aminotransferase (ALT), calcium (Ca), fasting blood sugar (FBS), mean corpuscular hemoglobin concentration (MCHC), etc. RESULTS: The SM-exposed group with photophobia, OSD, tearing, blurred vision, abnormal tear status, and slit-lamp findings had significantly higher mean serum and blood levels of uric acid, Cr, HCT, and total and indirect bilirubin than the controls. The SM-exposed group with photophobia, tearing, ocular pain, blurred vision, bulbar conjunctival and limbal abnormalities had significantly higher mean serum and blood levels of HDL, ALT, Ca, FBS, MCHC, and HDL, indirect and total bilirubin, compared to the control group. CONCLUSION: The association of photophobia with uric acid, OSD and tearing with Cr, photophobia with HDL, ocular pain with Ca, and blurred vision with FBS may be explained for their known ocular effects in the SM-exposed subjects. SM-induced biochemical changes may intensify the ocular problems induced by the direct effects of SM. FAU - Ghasemi, Hassan AU - Ghasemi H AD - Immunoregulation Research Center, Shahed University, Tehran, Iran. AD - Dept.of Ophthalmology, Shahed University, Tehran, Iran. FAU - Askari, Nayere AU - Askari N AD - Dept.of Biology, Faculty of Basic Sciences, Shahid Bahonar University, Kerman, Iran. FAU - Naghizadeh, Mohammad Mehdi AU - Naghizadeh MM AD - Dept. of Biostatistics, Fasa University of Medical Sciences, Fasa, Fars Province, Iran. FAU - Kabudanian Ardestani, Susan AU - Kabudanian Ardestani S AD - Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran. FAU - Moaiedmohseni, Sakine AU - Moaiedmohseni S AD - Immunoregulation Research Center, Shahed University, Tehran, Iran. FAU - Vaez Mahdavi, Mohammad Reza AU - Vaez Mahdavi MR AD - Immunoregulation Research Center, Shahed University, Tehran, Iran. FAU - Ghazanfari, Tooba AU - Ghazanfari T AD - Immunoregulation Research Center, Shahed University, Tehran, Iran. LA - eng PT - Journal Article DEP - 20180717 PL - Iran TA - Iran J Pathol JT - Iranian journal of pathology JID - 101515128 PMC - PMC6339492 OTO - NOTNLM OT - Blood Biochemical Parameters OT - Mustard Gas OT - Ocular Surface OT - Serum Biochemical Parameters COIS- The authors declared no conflict of interest. EDAT- 2019/01/31 06:00 MHDA- 2019/01/31 06:01 PMCR- 2018/03/01 CRDT- 2019/01/31 06:00 PHST- 2016/10/25 00:00 [received] PHST- 2017/02/05 00:00 [accepted] PHST- 2019/01/31 06:00 [entrez] PHST- 2019/01/31 06:00 [pubmed] PHST- 2019/01/31 06:01 [medline] PHST- 2018/03/01 00:00 [pmc-release] AID - ijp-13-157 [pii] PST - ppublish SO - Iran J Pathol. 2018 Spring;13(2):157-166. Epub 2018 Jul 17.