Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 1988  |  Volume : 36  |  Issue : 1  |  Page : 15--16

Lacrimination in Sjogren's syndrome. Is Schirmer's test really a useful diagnostic tool?


DP Bhadoria, Anita Panda, KR Sundaram, AN Malaviya 
 Clinical Immunology Section, Deptt of Medicine, ALLMS., Ansari Nagar, New Delhi-110 029, India

Correspondence Address:
D P Bhadoria
Clinical Immunology Section, Deptt of Medicine, ALLMS., Ansari Nagar, New Delhi-110 029
India

Abstract

In the past, Schinier俟Q製 test was used as a diagnostic tool in Sjogren俟Q製 Syndrome. In this study, a comparison of 100 normal patients with 2l patients with Sjogren俟Q製 Syndrome has been made to study its reliability. It has been concluded that Schimer俟Q製 test is of a poor diagnostic value in Sjogren俟Q製 Syndrome.



How to cite this article:
Bhadoria D P, Panda A, Sundaram K R, Malaviya A N. Lacrimination in Sjogren's syndrome. Is Schirmer's test really a useful diagnostic tool?.Indian J Ophthalmol 1988;36:15-16


How to cite this URL:
Bhadoria D P, Panda A, Sundaram K R, Malaviya A N. Lacrimination in Sjogren's syndrome. Is Schirmer's test really a useful diagnostic tool?. Indian J Ophthalmol [serial online] 1988 [cited 2020 Apr 2 ];36:15-16
Available from: http://www.ijo.in/text.asp?1988/36/1/15/26171


Full Text

 Introduction



Due to lymphocyte-mediated destruction of exocrine glands the secretion of various mucosal glands includ虹ng that of lacrimal glands decreases in patients with sicca complex (Sjogren s Syndrome) [1] In the past Schirmer's test has been used very frequently to identify the patients with Sjogreri s syndrome. In the present study, an attempt has been made to find out the feasibility of this test as a diagnostic tool.

 Material & Methods



The first group consisted of 111 normal persons without any ocular problems with a median age of 40 (range 15-60) years. The second group consisted of 21 patients Sjogren's syndrome with a median age of 40 (range : 23-59) years. Schirmer's test (ST) was performed using a strip of Whatman No. 41 filter paper 5 x 3 5 mm, folded at right angle 5 mm from one end and inserted into the unanaesthetised conjunctival sac at the inner one third of the lower eye lid At the end of 5 minutes the strips were removed and the length moistened was measured starting at the fold.

 Observations & results



[Table 1] shows the frequency distribution of Schirmer's test it shows that the lacrimation in patients of Sjogreri s Syndrome is considerably reduced (P [2],[3].

References

1Strand V. Talal, Bull. Rheum Dis, 30, 1046, 1980
2Shearn MA, Sjogreri s Syndrome, Philadelphia, 1971.
3Van Bijesterveld, Arch. Ophthalmol. 82, 10, 1969.