Abstract
References
- Andari Sawaya R, Jaffe J, Friedenberg L, et al. Vitamin, mineral, and drug absorption following bariatric surgery. Curr Drug Metab 2012; 13: 1345–55.
- Lee WB, Hamilton SM, Harris JP, et al. Ocular complications of hypovitaminosis a after bariatric surgery. Ophthalmology 2005; 112: 1031–4.
- Cay F, Duran A. Predictive factors of success in sleeve gastrectomy: one-year follow-up and the significance of HALP score. J Coll Physicians Surg Pakistan 2021; 31: 1406–11.
- Shah M, Simha V, Garg A. Review: long-term impact of bariatric surgery on body weight, comorbidities, and nutritional status. J Clin Endocrinol Metab 2006; 91: 4223–31.
- Choi HR, Kim NH, Lee J-M, et al. Risk factors ınfluencing the occurrence and severity of symptomatic dry eye syndrome: a cross-sectional study. Ophthalmic Epidemiol 2021: 1–7.
- Osae EA, Bullock T, Chintapalati M, et al. Obese mice with dyslipidemia exhibit meibomian gland hypertrophy and alterations in meibum composition and aqueous tear production. Int J Mol Sci 2020; 21: 1–20.
- Baser G, Yildiz N, Calan M. Evaluation of meibomian gland dysfunction in polycystic ovary syndrome and obesity. Curr Eye Res 2017; 42: 661–5.
- Brandão Lpn De A, Vılar L, Cavalcantı BM, et al. Serum levels of vitamin A, visual function and ocular surface after bariatric surgery. Arq Gastroenterol 2017; 54: 65–9.
- Marques NPN, Felberg S, De Barros JN, et al. Evaluation of the ocular surface following bariatric surgery. Arq Bras Oftalmol 2017; 80: 247–51.
- Cushman M, Yanez D, Psaty BM, et al. Association of fibrinogen and coagulation factors VII and VIII with cardiovascular risk factors in the elderly: the cardiovascular health study. Am J Epidemiol 1996; 143: 665–76.
- Jones L, Downie LE, Korb D, et al. TFOS DEWS II management and therapy report. Ocul Surf 2017; 15: 575–628.
- Yorek MS, Obrosov A, Shevalye H, et al. Effect of diet-induced obesity or type 1 or type 2 diabetes on corneal nerves and peripheral neuropathy in C57Bl/6J mice. J Peripher Nerv Syst 2015; 20: 24–31.
- Shoelson SE, Lee J, Goldfine AB. Inflammation and insulin resistance. J Clin Invest 2006; 116: 1793–801.
- Donath MY, Shoelson SE. Type 2 diabetes as an inflammatory disease. Nat Rev Immunol 2011; 11: 98–107.
- Chawla A, Nguyen KD, Goh YPS. Macrophage-mediated inflammation in metabolic disease. Nat Rev Immunol 2011; 11: 738–49.
- Ouchi N, Parker JL, Lugus JJ, et al. Adipokines in inflammation and metabolic disease. Nat Rev Immunol 2011; 11: 85–97.
- Hotamisligil GS, Arner P, Caro JF, et al. Increased adipose tissue expression of tumor necrosis factor-α in human obesity and insulin resistance. J Clin Invest 1995; 95: 2409–15.
- Gregor MF, Hotamisligil GS. Inflammatory mechanisms in obesity. Annu Rev Immunol 2011; 29: 415–45.
- Reliability and Validity of Turkish Translation of the Ocular Surface Disease Index (OSDI) in Dry Eye Syndrome | IOVS | ARVO Journals, https://iovs.arvojournals.org/article.aspx?articleid =2382614 (accessed 11 October 2020).
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- Tiruvalluru M, Ananthathmakula P, Ayyalasomayajula V, et al. Vitamin A supplementation ameliorates obesity-associated retinal degeneration in WNIN/Ob rats. Nutrition 2013; 29: 298–304.
- West SD, Turnbull C. Obstructive sleep apnoea. Eye (Basingstoke) 2018; 32: 889–903.
- Servioli L, Maciel G, Nannini C, et al. Association of smoking and obesity on the risk of developing primary Sjögren syndrome: A Population-based Cohort Study. J Rheumatol 2019; 46: 727–30.
- Baudouin C, Irkeç M, Messmer EM, et al. Clinical impact of inflammation in dry eye disease: proceedings of the ODISSEY group meeting. Acta Ophthalmologica 2018; 96: 111–9.
Abstract
Aim: To evaluate the alterations of the ocular surface in morbid obese patients after bariatric surgery.
Material and Method: The morbid obese patients who underwent sleeve gastrectomy surgery between February 2019 and September 2020 at Department of General Surgery in Balıkesir University Medicine Faculty were evaluated were evaluated in preoperative/postoperative 6th month period. The body-mass index (BMI), abdominal circumference (AC), Ocular Surface Disease Index (OSDI) questionnaire, tear osmolarity, Oxford ocular surface staining score, and Schirmer’s test were performed. Preoperative and postoperative values were compared.
Results: The study included 68 eyes of 68 patients (33.76±9.85 years). The BCVA was improved from 0.98±0.11 to 1.00, the BMI was changed from 45.11±2.23 to 30.70±4.92 kg/m2 (p<0.05) while AC was decreased from 134.97±6.07 to 109.38±6.26 cm (p<0.05) after surgery. In preoperative and postoperative period, OSDI was 12.33±20.57 and zero, tear osmolarity was 301.89±12.98 and 293.57±15.65 mOsm/L, Oxford grading was 0.42±0.69 and 0.04±0.20, Schirmer’s test was 13.66±7.71 and 19.26±6.48 mm (in all, p<0.05), respectively. The change in BMI was correlated with postoperative tear osmolarity (r:0.251, p: 0.039), and T-BUT (r: -0.254, p: 0.037). In preoperative values, the preoperative BMI was correlated with OSDI scores and corneal staining score (r:0.292, r:0.388; p<0.05 respectively).
Conclusion: The decrease in BMI after surgery improves dry-eye disorder. Bariatric surgery is also crucial in the recovery of ocular surface parameters.
Keywords
References
- Andari Sawaya R, Jaffe J, Friedenberg L, et al. Vitamin, mineral, and drug absorption following bariatric surgery. Curr Drug Metab 2012; 13: 1345–55.
- Lee WB, Hamilton SM, Harris JP, et al. Ocular complications of hypovitaminosis a after bariatric surgery. Ophthalmology 2005; 112: 1031–4.
- Cay F, Duran A. Predictive factors of success in sleeve gastrectomy: one-year follow-up and the significance of HALP score. J Coll Physicians Surg Pakistan 2021; 31: 1406–11.
- Shah M, Simha V, Garg A. Review: long-term impact of bariatric surgery on body weight, comorbidities, and nutritional status. J Clin Endocrinol Metab 2006; 91: 4223–31.
- Choi HR, Kim NH, Lee J-M, et al. Risk factors ınfluencing the occurrence and severity of symptomatic dry eye syndrome: a cross-sectional study. Ophthalmic Epidemiol 2021: 1–7.
- Osae EA, Bullock T, Chintapalati M, et al. Obese mice with dyslipidemia exhibit meibomian gland hypertrophy and alterations in meibum composition and aqueous tear production. Int J Mol Sci 2020; 21: 1–20.
- Baser G, Yildiz N, Calan M. Evaluation of meibomian gland dysfunction in polycystic ovary syndrome and obesity. Curr Eye Res 2017; 42: 661–5.
- Brandão Lpn De A, Vılar L, Cavalcantı BM, et al. Serum levels of vitamin A, visual function and ocular surface after bariatric surgery. Arq Gastroenterol 2017; 54: 65–9.
- Marques NPN, Felberg S, De Barros JN, et al. Evaluation of the ocular surface following bariatric surgery. Arq Bras Oftalmol 2017; 80: 247–51.
- Cushman M, Yanez D, Psaty BM, et al. Association of fibrinogen and coagulation factors VII and VIII with cardiovascular risk factors in the elderly: the cardiovascular health study. Am J Epidemiol 1996; 143: 665–76.
- Jones L, Downie LE, Korb D, et al. TFOS DEWS II management and therapy report. Ocul Surf 2017; 15: 575–628.
- Yorek MS, Obrosov A, Shevalye H, et al. Effect of diet-induced obesity or type 1 or type 2 diabetes on corneal nerves and peripheral neuropathy in C57Bl/6J mice. J Peripher Nerv Syst 2015; 20: 24–31.
- Shoelson SE, Lee J, Goldfine AB. Inflammation and insulin resistance. J Clin Invest 2006; 116: 1793–801.
- Donath MY, Shoelson SE. Type 2 diabetes as an inflammatory disease. Nat Rev Immunol 2011; 11: 98–107.
- Chawla A, Nguyen KD, Goh YPS. Macrophage-mediated inflammation in metabolic disease. Nat Rev Immunol 2011; 11: 738–49.
- Ouchi N, Parker JL, Lugus JJ, et al. Adipokines in inflammation and metabolic disease. Nat Rev Immunol 2011; 11: 85–97.
- Hotamisligil GS, Arner P, Caro JF, et al. Increased adipose tissue expression of tumor necrosis factor-α in human obesity and insulin resistance. J Clin Invest 1995; 95: 2409–15.
- Gregor MF, Hotamisligil GS. Inflammatory mechanisms in obesity. Annu Rev Immunol 2011; 29: 415–45.
- Reliability and Validity of Turkish Translation of the Ocular Surface Disease Index (OSDI) in Dry Eye Syndrome | IOVS | ARVO Journals, https://iovs.arvojournals.org/article.aspx?articleid =2382614 (accessed 11 October 2020).
- Kim HT, Kim JM, Kim JH, et al. Relationships between anthropometric measurements and ıntraocular pressure: The Korea National Health and Nutrition Examination Survey. Am J Ophthalmol 2017; 173: 23–33.
- Tiruvalluru M, Ananthathmakula P, Ayyalasomayajula V, et al. Vitamin A supplementation ameliorates obesity-associated retinal degeneration in WNIN/Ob rats. Nutrition 2013; 29: 298–304.
- West SD, Turnbull C. Obstructive sleep apnoea. Eye (Basingstoke) 2018; 32: 889–903.
- Servioli L, Maciel G, Nannini C, et al. Association of smoking and obesity on the risk of developing primary Sjögren syndrome: A Population-based Cohort Study. J Rheumatol 2019; 46: 727–30.
- Baudouin C, Irkeç M, Messmer EM, et al. Clinical impact of inflammation in dry eye disease: proceedings of the ODISSEY group meeting. Acta Ophthalmologica 2018; 96: 111–9.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Article |
| Authors | |
| Publication Date | July 20, 2022 |
| Published in Issue | Year 2022 Volume: 5 Issue: 4 |
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