Ocena dyskomfortu i rezultatów miejscowej terapii zespołu suchego oka u chorych po przeszczepie szpiku kostnego
Patients? Discomfort and Dry Eye Syndrome Local Treatment Results Evaluation in Patients after Bone Marrow Transplantation
Dariusz Dobrowolski1, Edward Wylęgała1,2, Dorota Tarnawska1
2 Zakład Pielęgniarstwa i Społecznych Problemów
Medycznych Wydziału Opieki Zdrowotnej
Śląskiej Akademii Medycznej w Katowicach
Kierownik: dr hab. n. med. Edward Wylęgała
Summary: Aim: Analysis of ocular complications and discomfort in patients after bone marrow transplantation (BMT) before and after dry eye syndrome treatment. Material and methods: 40 patients, who underwent bone marrow transplantation were examined for different ocular disorders between 2004 and 2006. There was 23 women and 17 men aged from 22 to 57, mean 36.1 ? 8.2 years. We analyzed BCVA, Schirmer?s tests, Amsler test, intraocular pressure, endothelial cell density, corneal pachymetry and corneal disorders. Patients were also asked for following signs: pain, foreign body sensation, photophobia, increased tear volume, blurred vision. Results: Dry eye syndrome was recognized in all patients in various severity. Artificial tears or autologous serum were supplemented, in 10% of cases occlusion plugs were applied. We observed improvement in BCVA and decrease in complaints number. Conclusion: BMT patients were a very challenging group of patients, which can be treated successfully with various tears supplements.