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Published in: International Ophthalmology 9/2020

01-09-2020 | Original Paper

Does systemic inflammation play a role in patients with pterygium?

Authors: Deniz Kilic, Soner Guven

Published in: International Ophthalmology | Issue 9/2020

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Abstract

Purpose

To compare parameters of systemic inflammation and serum lipid levels in patients with pterygium versus healthy individuals.

Methods

Thirty-five patients with pterygium and 30 healthy individuals were enrolled as two respective groups in a retrospective study. The participants’ complete blood count (CBC) parameters and levels of serum total cholesterol, low-density lipoprotein, high-density lipoprotein (HDL), and triglycerides (TG) were obtained from digital records and compared. Their neutrophil/lymphocyte, platelet/lymphocyte, and monocyte/HDL ratios were calculated and compared as well. As secondary outcomes, longitudinal length (LL), basal length (BL), and total area (TA) of pterygium among the patients were quantitatively measured by using ImageJ software. Correlations between serum parameters and pterygium measurements were analyzed.

Results

Although between-group differences in CBC parameters and the ratios were not statistically significant, HDL levels were significantly lower (p = 0.014) and TG levels significantly higher (p = 0.031) among patients with pterygium than among the controls. A positive correlation was detected between the patient’s age and the pterygium’s BL (p = 0.002, r = 0.516), LL (p = 0.00, r = 0.547), and TA (p = 0.00, r = 0.515). Neutrophil levels negatively correlated with LL (p = 0.025, β = − 0.308) and TA (p = 0.002, β = − 0.420).

Conclusion

Local instead of systemic inflammation should be considered in the management of pterygium. Besides, decreased HDL levels may indicate systemic oxidative stress in patients with the condition.
Literature
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Metadata
Title
Does systemic inflammation play a role in patients with pterygium?
Authors
Deniz Kilic
Soner Guven
Publication date
01-09-2020
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 9/2020
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-020-01414-4

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