Clinical Ophthalmology (Oct 2021)

The Relationship Between Dry Eye in Adults with Indications for Kidney Transplantation and Influence Factors

  • Le Trung N,
  • Quoc Toan P,
  • Thang LV,
  • Ngan ND,
  • Chien Thang N,
  • Van Cuong N,
  • Van Dam N,
  • Tuan Anh H,
  • Thi Hang V,
  • Kien Trung N,
  • Nhu Binh D,
  • Anh Tuan V

Journal volume & issue
Vol. Volume 15
pp. 4327 – 4332

Abstract

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Nguyen Le Trung,1,2 Pham Quoc Toan,1,3 Le Viet Thang,1,3 Nguyen Dinh Ngan,1,2 Nguyen Chien Thang,1,2 Nguyen Van Cuong,1,2 Nguyen Van Dam,1,2 Hoang Tuan Anh,1,2 Vo Thi Hang,1,2 Nguyen Kien Trung,4 Do Nhu Binh,1,5 Vu Anh Tuan6 1Vietnam Military Medical University, Hanoi, 12108, Vietnam; 2Vietnam Department of Opthalmology, Military Hospital 103, Hanoi, 12108, Vietnam; 3Vietnam Department of Nephrology, Military Hospital 103, Hanoi, 12108, Vietnam; 4Vietnam National Eye Hospital, Hanoi, 11613, Vietnam; 5Vietnam Department of Infectious Diseases, Military Hospital 103, Hanoi, 12108, Vietnam; 6Vietnam Hanoi Medical University, Hanoi, 11601, VietnamCorrespondence: Vu Anh Tuan Email [email protected]: Patients with end-stage renal failure are susceptible to dry eye disease. This study explores the relationship between dry eye disease and influence factors.Patients and Methods: The control group consisted of 57 healthy subjects who were kidney donors. They were of the same age and sex as the kidney transplant recipients. The outcome variable was the dry eye condition of the participants. The Schirmer test confirmed dry eye disease, TBUT (breakup time test), and the Eye Surface Disease Index (OSDI) questionnaire, using linear regression to evaluate the association.Results: The total number of subjects was 146 (89 kidney recipients and 57 kidney donors). When univariate analysis found the level of visual acuity, the age group involved was statistically significant, while the other factors were not statistically significant. In multivariable logistic regression analysis, age (odds ratio: 2.8, p< 0.05), smoking history (odd ratio: 0.1, p< 0.05), corneal conjunctival calcification (odd ratio: 0.2, p< 0.05); central corneal thickness (odd ratio: 1.02, p< 0.05) is considered to be an influence factor for disease progression.Conclusion: Age group, smoking history, corneal central thickness, and conjunctival calcification are factors for dry eye disease in patients preparing to receive a kidney. These results reinforce the evidence for multifactorial dry eye disease in patients with renal impairment.Keywords: dry eye, renal failure, renal transplant, Hanoi Vietnam

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