Assessment in the Level of & Solids (Various Lipoproteins ) in Disease Corneal Eye (Dry Eye) as Compared to Normal Through Chod–Pod Method of Visual Colorimetery

Tandon Anupama; MS; Omar Balram; MD; Panday Achyut; MD

Volume : III, Issue : IX, September - 2014

Assessment in the Level of & Solids (Various Lipoproteins ) in Disease Corneal Eye (Dry Eye) as Compared to Normal Through Chod–Pod Method of Visual Colorimetery

Tandon Anupama, Ms, Omar Balram, Md , Panday Achyut, Md

Abstract :

Aim– Main aim was to find out lipid layer of the tear film as the main cause of dry eye in the patients aged 41–60 yrs in tropical and subtropical areas in North Rural India Materials and Methods: Study Design : Observational comparative. Methodology:50 subject including 25 cases of dry eye and 25 (N) Cases serving as control were taken between Feuary 2009 and November 2012 with a minimum follow up of 6 months , ages between 40 to 60 yrs. were included .Complete history and diagnostic evaluation & findings in each visit were noted. Treatment protocol and results were noted.Sturdy maintained cold chain was done to get accurate results.Management of cases was done accordingly. Results: There were 25 cases of dry eye aged 41–60 years in which lipoproteins were estimated. Among subgroups(41–50yrs) ,(51 –60 yrs) all parameters were significantly higher for age group 51 to 60 yrs except LDL. But with the same age group all the parameters were decreased in dry eye cases with the main role of HDL and LDL .5 cases were treated with punctal occlusion and cyclosporins. Apart from luicants and gels used in all patients, the disease went into remission .Only one case was a failure in which visual acuity dropped with positive Rose Bengal stain and a increase in IgG/IgM levels was found Conclusion :Dry eye Syndrome is a chronic condition and has no real cure. It is apparently a benign condition with an intractable course. Punctal occlusion combined with cyclosporine A drug therapy with maintenance of cold chain can be an effective treatment in severe dry eye in rural areas.