Abstract
Purpose
To evaluate the thickness of anterior sclera and corneal layers in patients with systemic sclerosis.
Methods
The present cross-sectional study included 41 patients with systemic sclerosis and 41 age- and gender-matched healthy controls. The study and control groups were compared in terms of the thickness of anterior sclera, corneal epithelium, Bowman’s layer, corneal stroma, and Descemet’s membrane-endothelium complex. The thickness measurements were obtained using the anterior segment module of spectral-domain optical coherence tomography.
Results
The thickness of anterior sclera, corneal epithelium, Bowman’s layer, and Descemet’s membrane-endothelium complex were similar in the patients with systemic sclerosis and healthy controls (P > 0.05). Total corneal thickness at the apex was 511.1 ± 33.5 µm in the systemic sclerosis group and 528.4 ± 29.5 µm in the control group (P = 0.015). The corneal stroma was thinner in the systemic sclerosis patients compared to the healthy controls (P = 0.02).
Conclusions
The corneal stroma was thinner in the patients with systemic sclerosis compared to that of healthy controls, while the thickness of the anterior sclera was similar in both groups.
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References
Fischer A, Zimovetz E, Ling C et al (2017) Humanistic and cost burden of systemic sclerosis: a review of the literature. Autoimmun Rev 16:1147–1154
Kumanovics G, Pentek M, Bae S et al (2017) Assessment of skin involvement in systemic sclerosis. Rheumatology (Oxford) 56:v53–v66. https://doi.org/10.1093/rheumatology/kex202
Romanowska-Próchnicka K, Walczyk M, Olesińska M (2016) Recognizing systemic sclerosis: comparative analysis of various sets of classification criteria. Reumatologia 54:296–305
Postlethwaite AE, Harris LJ, Raza SH et al (2010) Pharmacotherapy of systemic sclerosis. Expert Opin Pharmacother 11:789–806
de Gomes BAF, Santhiago MR, de Azevedo MN, Moraes HV Jr (2012) Evaluation of dry eye signs and symptoms in patients with systemic sclerosis. Graefes Arch Clin Exp Ophthalmol 250:1051–1056
Gomes Bde A, Santhiago MR, Magalhães P et al (2011) Ocular findings in patients with systemic sclerosis. Clinics (Sao Paulo) 66:379–385
Ingegnoli F, Gualtierotti R, Pierro L et al (2015) Acute study group. Choroidal impairment and macular thinning in patients with systemic sclerosis: the acute study. Microvasc Res 97:31–36
Moulick A, Sarkar BS, Jana A et al (2013) Systemic sclerosis presenting with simultaneous retinal vasculitis in one eye and optic neuritis in the other along with severe immune haemolytic anaemia. J Clin Diagn Res 7:2978–2980
Bolad W (2013) Anterior uveitis in a patient with scleroderma: a case report. Ocul Immunol Inflamm 21:11–12
Coşkun E, Zengin O, Kenan S et al (2016) Evaluation of choroidal thickness in patients with scleroderma. Eye (Lond) 30:588–592
Sahin Atik S, Koc F, Akin Sari S et al (2016) Anterior segment parameters and eyelids in systemic sclerosis. Int Ophthalmol 36:577–583
Tailor R, Gupta A, Herrick A, Kwartz J (2009) Ocular manifestations of scleroderma. Surv Ophthalmol 54:292–304
Waszczykowska A, Goś R, Waszczykowska E et al (2013) Prevalence of ocular manifestations in systemic sclerosis patients. Arch Med Sci 9:1107–1113
Gomes BF, Santhiago MR, Kara-Junior N, Moraes HV Jr (2018) Evaluation of corneal parameters with dual Scheimpflug imaging in patients with systemic sclerosis. Curr Eye Res 43:451–454
Emre S, Kayikçioğlu O, Ateş H et al (2010) Corneal hysteresis, corneal resistance factor, and intraocular pressure measurement in patients with scleroderma using the reichert ocular response analyzer. Cornea 29:628–631
van den Hoogen F, Khanna D, Fransen J et al (2013) 2013 classification criteria for systemic sclerosis: an American college of Rheumatology/European League against Rheumatism collaborative initiative. Arthritis Rheum 65:2737–2747
Meek KM (2008) The cornea and sclera. In: Fratzl P, Verdonk R (eds) Collagen. Structure and mechanics. Springer, New York
Mabon M, Whitcher JP, Anderson R (1999) Bilateral scleral pit associated with systemic sclerosis. Am J Ophthalmol 128:521–522
Gomes BF, Santhiago MR, Gomes SF et al (2016) Longitudinal evaluation of central corneal thickness in patients with systemic sclerosis. Cornea 35:1584–1588
Gomes Bde A, Santhiago MR, Kara-Junior N et al (2011) Central corneal thickness in patients with systemic sclerosis: a controlled study. Cornea 30:1125–1128
Nagy A, Rentka A, Nemeth G et al (2019) Corneal manifestations of systemic sclerosis. Ocul Immunol Inflamm 27:968–977
López de la Fuente C, Sánchez-Cano A, Segura F et al (2016) Evaluation of total corneal thickness and corneal layers with spectral-domain optical coherence tomography. J Refract Surg 32:27–32
Beer F, Wartak A, Pircher N et al (2018) Mapping of corneal layer thicknesses with polarization-sensitive optical coherence tomography using a conical scan pattern. Invest Ophthalmol Vis Sci 59:5579–5588
Rentka A, Nagy A, Harsfalvi J et al (2017) Association between objective signs and subjective symptoms of dry eye disease in patients with systemic sclerosis. Rheumatol Int 37:1835–1845
Ayhan Z, Kaya M, Ozturk T et al (2019) Association between skin thickness measurements with corneal biomechanical properties and dry eye tests in systemic sclerosis. Ocul Immunol Inflamm 27:1138–1143
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Ün, E.Ş., Pekel, G., Tasci, M. et al. Thickness of anterior sclera and corneal layers in systemic sclerosis. Int Ophthalmol 44, 137 (2024). https://doi.org/10.1007/s10792-024-03013-z
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DOI: https://doi.org/10.1007/s10792-024-03013-z