Abstract:The corneal sensitivity and ocular surface changes were significant in the subclinical KC and KC eyes compared with the control subjects. Ocular surface disease in KC was characterized by tear deficiency disorder and abnormal impression cytology results. However, no significant difference in tear osmolarity was found among the groups. The decrease in corneal sensitivity and ocular surface change may be associated with the pathogenesis of ocular surface changes in KC and the progression of the disease.
“…So, the low levels of the corneal sensitivity in some of our patients on preoperative period can be explained with these findings. 21 Mocan et al and Ozgurhan et al were also reported the similar mean corneal sensitivity range with our study at the patients with keratoconus that have decreased the subbasal nerve fiber density. [20][21][22] Mastropasqua et al 23 reported the traditional CXL-induced marked corneal modifications, which were poorly evident in the transepithelial method.…”
Subbasal nerve fibers could reach the preoperative values at the 12th month after accelerated corneal collagen cross-linking treatment although the corneal sensation was improved at 6th month. These findings imply that the subjective healing process is faster than the objective evaluation of the keratoconus patients' cornea treated with accelerated corneal collagen cross-linking.
“…So, the low levels of the corneal sensitivity in some of our patients on preoperative period can be explained with these findings. 21 Mocan et al and Ozgurhan et al were also reported the similar mean corneal sensitivity range with our study at the patients with keratoconus that have decreased the subbasal nerve fiber density. [20][21][22] Mastropasqua et al 23 reported the traditional CXL-induced marked corneal modifications, which were poorly evident in the transepithelial method.…”
Subbasal nerve fibers could reach the preoperative values at the 12th month after accelerated corneal collagen cross-linking treatment although the corneal sensation was improved at 6th month. These findings imply that the subjective healing process is faster than the objective evaluation of the keratoconus patients' cornea treated with accelerated corneal collagen cross-linking.
“…Our results showed a reduction in goblet cell density in KC patients, confirming results of several previous studies. 3,37,38 Furthermore, KC goblet cells produced less mucin, i.e. a lower CLT, thus secreting less mucin into the tears, i.e.…”
The parameters evaluated in this study indicate that KC patients suffer greater symptoms of dry eye and greater tear instability, primarily due to the decreased mucin production in their tears, than do healthy patients with no KC.
“…12 Indeed, keratoconic eyes have a damaged ocular surface suffering from the consequences of inadequate tear and mucin production, as well as aberrant antioxidant status and proteome alterations that affect tear fluid stability and quality. [93][94][95][96][97] Thus, the affected ocular M A N U S C R I P T…”
Section: Inflammatory Mediators In Tear Fluid Of Patients With Kmentioning
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