Conjunctiva Impression Cytology as a Diagnostic Tool for Assessment of Dry Eye in Presence of Normal Tear Film Function Tests
Deepa Manekar1, Kavita Renge2, Ashish Satav3
1MS, Dept. of Ophthalmology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra 442102, India. 2Associate Professor, Dept. of Ophthalmology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra 442102, India and Eye surgeon MAHAN trust, Mahatma Gandhi Tribal Hospital, Karmgram Utavali Tahsil Dharni, District Amaravati Maharashtra 444702, India 3President, MAHAN Trust, Mahatma Gandhi Tribal Hospital, Karmgram Utavali Tahsil Dharni, District Amaravat
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Aims: To explore the conjunctival impression cytology as a tool for the assessment of the cytological changes in type 2 DM & pterygium patients with normal tear film function tests. Materials & methods: This case control study was conducted in Navodaya Medical College Hospital & Research Centre in dept of Ophthalmology. Total 80 cases were examined i.e.20 patients with pterygium, 20 patients with type 2DM & 40 control group and conjunctival imprint smear cytology results were analysed. The presence of local tear film abnormalities was assessed by TBUT & Schirmer test. The changes in cytomorphology was studied using conjunctival imprint cytology. The data is entered on excel sheet & analysis is carried out by using SPSS 19.0 statistical software. Results: In our study inspite of normal tear film function tests, abnormal conjunctival impression cytology reports were found in 10 type 2DM cases & 11 cases of pterygium. Statistically significant difference was found between study & control group (p<0.001). Conclusion: Thus conjunctival impression cytology is a useful tool to assess the dry eye in pterygium & type 2 DM patients in presence of normal tear film function tests.
Corresponding Author : Dr. Ashish Satav President, MAHAN Trust, Mahatma Gandhi Tribal Hospital, Karmgram Utavali Tahsil Dharni, District Amaravati Maharashtra 444702, India and Professor, Dept. of Medicine, Sevagram, Wardha, Maharashtra 442102, India.