Volume : 6, Issue : 9, September - 2017

THE EFFECTS of PREGABALINE TREATMENT on BASAL TEARS RELEASE and TEARS FILM STABILITY in FIBROMYALGIA PATIENTS WITHOUT DRY EYE SYNDROME

Gulsah Usta, Bekir Eray Kilinc

Abstract :

<p class="MsoNormal" style="line-height:150%"><span lang="TR" style="font-size:&#10;12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">To evaluate ocular surface disease index, basal secretion test and tear eakup time test of pregabalin treatment in patients with FM without dry eye syndrome.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:150%"><b><span lang="TR" style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">Materials and Method:<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><span lang="TR" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">66 patients who met the study criteria between December 2014 and December 2016 were included. </span><span lang="TR" style="font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">OSDI (Ocular Surface Disease Index) questionnaire showing qualitatively dry eye presence and severity, Schirmer and tear eakup time (T-BUT) tests were administered to all patients included in the study before the start of pregabalin treatment, in the second week and the second month during treatment.</span><span lang="TR" style="font-size:12.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> Data of the radiological and clinical evaluations in preoperative and follow-up periods were compared statistically<b>. </b>Statistical significance was accepted at p&lt;0.05.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span lang="TR" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results:<o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span lang="TR" style="font-size:12.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">The mean age of all patients was 40.48&plusmn;7.6 years. Mean age of the 12 males was 30.3&plusmn;5.2 and 42.4&plusmn;7.6 of the 44 females.</span><span lang="TR" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:#212121"> OSDI scores averaged 18.83&plusmn;8.23, 19.12&plusmn;9.37, 19.06&plusmn;12.78 for pre-treatment and after 2 weeks and 2 months of drug use, respectively. No significant statistical difference was found between these values (p = 0.58). </span><span lang="TR" style="font-size:&#10;12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#212121">The mean values of Schirmer test scores, pre-treatment, post-treatment second week and second months values were 17.46&plusmn;3.5, 17.78&plusmn;2, and 17.51&plusmn;3.5, respectively, which were not statistically significant (p = 0.76). </span><span lang="TR" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:#212121">The mean values of t-BUT scores were 11.56&plusmn;0.5, 11.45&plusmn;0.5, 11.83&plusmn;0.4 for pre-treatment and after 2 weeks and 2 weeks of treatment, respectively. Changes in t-BUT values were not statistically significant (p = 0.62).<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span lang="TR" style="font-size:12.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;color:#212121">&nbsp;</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b><span lang="TR" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:#212121">Conclusion:<o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-top:0in;margin-right:1.55pt;margin-bottom:&#10;2.35pt;margin-left:0in;text-align:justify;line-height:150%"><span lang="TR" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:#181717">The use of pregabalin is a safe and effective method for tear release in the treatment of patients with FM who have not received dry eye diagnosis before the age of 50 years.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:150%"><span lang="TR" style="font-size:&#10;12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p>

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Cite This Article:

Gulsah Usta, Bekir Eray Kilinc, THE EFFECTS of PREGABALINE TREATMENT on BASAL TEARS RELEASE and TEARS FILM STABILITY in FIBROMYALGIA PATIENTS WITHOUT DRY EYE SYNDROME, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-9, SEPTEMBER-2017


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