Ocular Manifestations in Psoriasis

• Author Details:   
• Aditya Maitray
• Ananth S. Bhandary
• Sathyendranath B. Shetty
• Gairik Kundu

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 Aims and Objectives:

<!--[if !supportLists]-->1.        <!--[endif]-->To assess the frequency of ocular manifestations in patients with psoriasis.

<!--[if !supportLists]-->2.        <!--[endif]-->To Study the various clinical manifestations of Psoriasis in the eye.

<!--[if !supportLists]-->3.        <!--[endif]-->To investigate possible relationships between the frequency of ocular involvement and patients age, sex, duration of illness since diagnosis, type of psoriasis and severity of the disease, and treatment received for psoriasis.

Methodology: Complete ophthalmic examination was performed in 75 patients >18 years of age, diagnosed with Psoriasis, Attending M.S. Ramaiah Hospital Bangalore, between November 2012 - May 2014.
Results: Among 75 cases of Psoriasis 53 patients had ocular manifestations. 29(39%) patients had cataract/ pseudophakia. 28(39%) patients had dry eyes, 18(24%) patients had blepharitis. Chronic conjunctivitis was seen in 6(8%) patients and acute anterior uveitis in 2(2.6%) patients. Ocular manifestations were more common in patients with PASI score>10 when compared to patients with PASI score <=10(p value is 0.009). There is no statistical significance between duration of disease and ocular manifestations of psoriasis(p value is 0.19). The prevalence of dry eyes was higher among the patients with higher PASI score(p value is 0.001).
Conclusion: Ocular manifestations are a significant part of the Psoriasis manifestations. Therefore routine eye examinations are recommended in psoriasis patients of all types, to screen for common associated ophthalmic conditions including dry eyes, blepharitis, conjunctivitis and uveitis during their regular follow-up visits with their dermatologist.

Keywords: Blepharitis; Cataracts; Dry eyes; PASI score; Psoriasis vulgaris; Uveitis