아이라인 문신이 마이봄샘 기능이상 및 안구 표면에 미치는 영향
The Effect of Eyeliner Tattoo on Meibomian Gland Dysfunction and the Ocular Surface
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목적: 아이라인 문신이 마이봄샘 기능이상 및 안구 표면에 미치는 영향을 알아보고자 한다. 대상과 방법: 아이라인 문신군 16안(8명)과 대조군 18안(16명)의 의무기록을 후향적으로 분석하였다. 안구표면질환지수를 이용한 설문조사, 안구표면 염색정도, 눈물막파괴시간, 상안검연의 이상 여부, 마이붐의 배출 및 성상, LipiView® (TearScience, Morrisville, NC, USA)로 측정한 마이봄샘의 손실 정도 및 눈물 지질층 두께를 비교하였다. 또한, 마이봄샘 개구부로부터 문신까지의 거리와 지표들 간의 상관관계를 분석하였다. 결과: 아이라인 문신군의 경우 대조군에 비해 안구표면질환지수가 더 높았으며(p=0.002), 눈물막파괴시간은 더 짧았다(p<0.001). 아이라인 문신군에서 상안검연의 혈관 확장이 있는 경우가 유의하게 많았으며(p=0.016), 마이붐은 배출이 덜 되고 더 불투명하였다(p=0.006, p<0.001). 마이봄샘 손실 비율은 문신군에서 더 높았으며(p<0.001), 눈물 지질층 두께는 문신군에서 더 낮았다(p=0.024). 아이라인 문신이 마이봄샘 개구부에 가까울수록 상안검연의 혈관 확장 및 마이봄샘의 손실 정도는 심하였고(rs=-0.560, p=0.024; rs=-0.563, p=0.023), 눈물 지질층의 두께는 얇았다(rs=0.567, p=0.022). 결론: 아이라인 문신은 안검연의 변화, 마이봄샘의 손실의 증가 및 눈물 지질층의 얇아짐과 관련이 있을 수 있다.
Abstract
Purpose: To determine whether eyeliner tattoo affects the meibomian gland (MG) and ocular surface. Methods: The medical charts of an eyeliner tattoo group (16 eyes of 8 patients) and a control group (16 eyes of 18 patients) were retrospectively reviewed. The ocular surface disease index questionnaire, ocular surface staining score, tear film break-up time (TBUT), upper eyelid abnormality, meibum expressibility and quality, and MG loss and tear film lipid layer thickness (LLT) which measured with LipiView® (TearScience, Morrisville, NC, USA) were compared. In the tattoo group, the correlation between the distance from the MG orifice to the tattoo pigment and other indices were analyzed. Results: Compared to controls, the tattoo group had a significantly higher ocular surface disease index (p = 0.002), shorter TBUT (p < 0.001), higher vessel engorgement of the upper lid (p = 0.016), poorer meibum expressibility and quality (p = 0.006 and p < 0.001, respectively), higher MG loss (p < 0.001), and thinner LLT (p = 0.024). In the tattoo group, the closer the tattoo was to the MG orifice, the more the upper lid vessel was engorged and the more MG loss occurred (rs = -0.560, p = 0.024; rs = -0.563, p = 0.023, respectively), and a thinner LLT was observed (rs = 0.567, p = 0.022). Conclusions: Eyeliner tattoos may be related to changes in the lid margin, loss of the MG, and thinning of the LLT.
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