Agreement between Subjective and Objective Parameters Using Meibography for Assessment of Dry Eye Syndrome

Authors

  • Ijlal Taimoor Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Syed Abid Hassan Naqvi Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Taimoor Ashraf Khan Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Saquib Naeem Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Waseem Yousaf Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Usman Ghani Department of Ophthalmology, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73iSUPPL-2.9858

Keywords:

Computerized grading system,, Dry eye disease, Meibography, Objective grading system, Subjective grading system

Abstract

Objective: To determine the agreement between subjective and objective parameters using meibography.

Study Design: Cross-sectional observational study.

Place and Duration of Study: Armed Forces Institute of Ophthalmology (AFIO), Rawalpindi Pakistan from August 2021 till
February 2022.

Methodology: 100 patients were included in the study. Non-contact infra-red meibography was performed on each patient. Subjective assessment was done using the four-grade and five-grade scales while objective assessment was done by applying computerized grading.

Results: A total of one hundred (n=100) patients participated in the study. Out of total, 60% patients were male and 40% were females, with a mean age 42.25±14.9 years. There was statistically significant difference was seen Session I OII vs Session II OII as p-value <0.001 in Grade-4, Session-I OIII vs Session-II OIII as p-value <0.001 in Grade-5. There was not statistically significant difference seen in Computerized Grading (100-grade scale) as p-value >0.05. Correlations between observers was best with the 5-grade scale followed by the computerized 100-grade scale and 4-grade scale.

Conclusions: We found that the reliability of the 5-grade scale was poorer to that of the 4-grade scales. We also concluded that computerized grading offers a better intra and inter-observer assessment.

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Published

28-07-2023

Issue

Section

Original Articles

How to Cite

1.
Taimoor I, Naqvi SAH, Khan TA, Naeem S, Yousaf W, Ghani MU. Agreement between Subjective and Objective Parameters Using Meibography for Assessment of Dry Eye Syndrome. Pak Armed Forces Med J [Internet]. 2023 Jul. 28 [cited 2024 Dec. 5];73(SUPPL-2):S374-77. Available from: https://www.pafmj.org/PAFMJ/article/view/9858