Abstract
To evaluate the tear film and calculate the prevalence of dry eye in Rheumatoid Arthritis patients based on disease activity. A cross-sectional study of 50 Rheumatoid Arthritis patients was performed in the Department of Ophthalmology, Smt. Kashibai Navale Medical College and Hospital, Pune. C-Reactive Protein (CRP), and Rheumatoid Factor (RF) labs were done. All patients underwent complete ophthalmic evaluation including assessment of visual acuity. Tear film assessment was done by calculating the Tear Meniscus Height (TMH) on Anterior Segment-Optical Coherence Tomography (AS-OCT). Fifty patients were studied. 44 were females and 6 were males with a mean age of 47.34 ± 10.33years. TMH was abnormal (≤300 microns) in 31 (62%) patients. RF was positive in 31 (62%) patients while CRP was raised (>3.0mg/L) in 30 (60%) patients. RF Positivity had a significant correlation with abnormal TMH values (ꭓ² = 5.15, p=.02). Raised CRP was not significantly associated with abnormal TMH values (ꭓ² = 0.39, p=.54).Conclusion: Dry eye evaluation should be considered in RA patients irrespective of the disease activity.
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