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Başlık: A clinical scoring system for diagnosis of ocular demodicosis
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Tıbbi Mikrobiyoloji Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.
0000-0002-4803-8206
0000-0003-0995-5260
0000-0002-0932-6977
Alver, Oktay
Kıvanç, Sertaç Argün
Budak, Berna Akova
Tüzemen, Nazmiye Ülkü
Ener, Beyza
Özmen, Ahmet Tuncer
AAA-5241-2021
AAG-8523-2021
A-4290-2018
AAH-6518-2021
ABE-3033-2020
24070021900
47861204900
55370489800
56100399900
15053025300
6701399730
Anahtar kelimeler: Research & experimental medicine
Dry eye syndromes
Keratitis
Mite infestations
Ocular surface
Score
Tea tree oil
Demodex blepharitis
Case series
Infestation
Folliculorum
Discomfort
Symptoms
Patient
Disease
Gel
Yayın Tarihi: 10-Ara-2017
Yayıncı: Int Scientific Information
Atıf: Alver, O. vd. (2017). ''A clinical scoring system for diagnosis of ocular demodicosis''. Medical Science Monitor, 23, 5862-5869.
Özet: Background: Demodex may cause chronic and refractory blepharitis with associated ocular surface problems, and its diagnosis and treatment can be quite challenging. In this study, our aim was to assess the efficacy of tea tree oil in Demodex treatment on caucasian patients in an industrialized region of Turkey, and to develop a systematic scoring system for extremely accurate diagnosis in the absence of advanced facilities. Material/Methods: Charts of 412 patients with blepharitis were reviewed. A group of 39 out of 412 cases were identified as chronic and treatment-refractory, and therefore were enrolled in this study. Eyelashes from each of the lower and upper eyelids of both eyes were evaluated at x40 and x100 magnification using light microscopy. Treatment was started with 4% tea tree oil eyelid gel and 10% eyelash shampoo. Symptoms and findings were scored according to the most common complaints. Results: The mean age of the patients was 54.1 +/- 15.4 years. Seventeen (43.5%) patients were male and 22 (56.5%) patients were female. In 30 out of the 39 patients (76.9%) D. folliculorum was detected. Symptoms disappeared in 25 patients. The mean score of patients who were Demodex-negative was 2.7 +/- 1.0, and the mean score of patients who were Demodex-positive was 3.8 +/- 1.6 (p=0.047). Ninety-four percent of those with a score of 4 and over were found to be Demodex-positive (p=0.025). Conclusions: Treatment with tea tree oil can be successful. If there is no facility to identify Demodex under light microscopy, we recommend starting treatment for patients who have scores of 4 and over using the scoring chart developed in this study.
URI: https://doi.org/10.12659/MSM.907824
https://medscimonit.com/abstract/index/idArt/907824
http://hdl.handle.net/11452/30587
ISSN: 1643-3750
Koleksiyonlarda Görünür:Scopus
Web of Science

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