Eye Affection in Psoriatic Arthritis Patients and its Relation to Disease Activity

El-Sheshtawy, Aya Mohammed Said; Al-Baioumy, Salah Ahmed; Abdelwahab, Shimaa Mostafa; El-Nashar, Haitham Younes

doi:10.21608/ejhm.2022.259133

Eye Affection in Psoriatic Arthritis Patients and its Relation to Disease Activity

Document Type : Original Article

Authors

10.21608/ejhm.2022.259133

Abstract

Background: Various ocular complications could develop due to psoriatic arthritis or through adverse effects of different treatment modalities.
Objective: Analyze whether ocular abnormalities and psoriatic arthritis disease activity are linked in any way.
Patients and methods: A total of 54 patients from those attending outpatient clinics of Rheumatology and Rehabilitation, and Ophthalmology Departments, Zagazig University Hospitals who were diagnosed as psoriatic arthritis (PsA) patients. They were investigated for presence or absence of ocular affections and the ocular affections were correlated to the activity of the psoriatic arthritis. Results: There was significant and inverse relation between best corrected visual acuity (BCVA) and ESR, CRP. Also, there was significant and direct relation between anterior chamber cells (acute iritis) and LDI. While there was significant and direct relation between macular thickness and LDI. Significant relation between Disease Activity in Psoriatic Arthritis (DAPSA) activity level among PsA patients and eye affection. These eye affections were associated with moderate and high DAPSA activity.
Conclusion: Ocular manifestations represented 38.9% of cases of psoriatic arthritis; dry eye, iritis and intraocular inflammation were the most common distributed types. A statistically significant relation was found between DAPSA activity level among PsA patients and eye affection.

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