Prevalence of Schirmer Tear Test I-Defined Keratoconjunctivitis Sicca in Shelter Dogs in Yozgat, Central Anatolia
Abstract
Keratoconjunctivitis sicca (KCS) is a common ocular surface disease often unrecognized in shelter dogs. This study aimed to determine tear production, the prevalence of STT-I-defined KCS, and its associations with ophthalmological and demographic variables. A total of 236 shelter dogs aged ≥1 year were included. Ophthalmic assessment of the right eye included macroscopic examination, Schirmer tear test I (STT-I), fluorescein staining, and corneal opacity scoring. KCS was defined based solely on STT-I values (≤5 mm/min) without comprehensive clinical confirmation and is therefore referred to as STT-I-defined KCS. STT-I-defined KCS was identified in 56 dogs, corresponding to a prevalence of 23.7% based solely on STT-I classification. According to STT-I classification, 13.6% of dogs had normal tear production, while 21.2%, 41.5%, and 23.7% showed mild, moderate, and severe reduction, respectively. The mean age was 4.04 ± 1.67 years, and the mean STT-I value was 8.97 ± 4.18 mm/min. STT-I-defined KCS was not significantly associated with age or sex (p>0.05) but was significantly associated with fluorescein uptake (p<0.001). STT-I values showed significant negative correlations with both corneal opacity score and fluorescein uptake (ρ=-0.413, ρ=-0.425; p<0.001). Age was also negatively associated with STT-I values (B=−0.415, p=0.011). Corneal opacity score emerged as an independent predictor of STT-I-defined KCS (OR=11.28, p=0.001). In conclusion, STT-I-defined KCS is highly prevalent in shelter dogs and is closely associated with reduced tear production and ocular surface abnormalities.
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References
- Avci, N., Gumus, F., Boztok Ozgermen, B., & Ozen, D. (2025). Keratoconjunctivitis sicca in intact Aksaray Malakli breed dogs: Evaluation of 50 cases. Vet Ophthalmol, 28(5), 802-811. https://doi.org/10.1111/vop.13298
- Barnett, K. C. (1988). Keratoconjunctivitis sicca: Sex incidence. J Small Anim Pract, 29(8), 531-534. https://doi. org/10.1111/j.1748-5827.1988.tb02304.x
- Bittencourt, M. K. W., Barros, M. A., Martins, J. F. P., Vasconcellos, J. P. C., Morais, B. P., Pompeia, C., Bittencourt, M. D., Evangelho, K. D. S., Kerkis, I., & Wenceslau, C. V. (2016). Allogeneic Mesenchymal Stem Cell Transplantation in Dogs with Keratoconjunctivitis Sicca. Cell Medicine, 8(3), 63- 77. https://doi.org/10.3727/215517916X693366
- Bolzanni, H., Oriá, A. P., Raposo, A. C. S., & Sebbag, L. (2020). Aqueous tear assessment in dogs: Impact of cephalic conformation, inter‐test correlations, and test‐retest repeatability. Vet Ophthalmol, 23(3), 534-543. https://doi.org/10.1111/vop.12751
- Bonea, E., Igna, C. D., Ocnean, M., Lungu, B. C., & Hutu, I. (2025). Epidemiological Studies on Eye Diseases in Centers for Stray Dogs in Northwestern Romania. Vet. Sci., 12(5), 480.
- Chandler, J. A., Van Der Woerdt, A., Prittie, J. E., & Chang, L. (2013). Preliminary evaluation of tear production in dogs hospitalized in an intensive care unit. J Vet Emerg Crit Care (San Antonio)., 23(3), 274-279. https://doi.org/10.1111/vec.12055
- Chen, Y.-H., Chen, C.-I., Lin, C.-Y., & Teng, K. T. (2025). Prevalent and Severe Conditions That Compromise the Welfare of Shelter Dogs: Opinions from the Taiwanese Experts. Animals, 15(4), 592.
- De Almeida, D. E., Roveratti, C., Brito, F. L. C., Godoy, G. S., Duque, J. C. M., Bechara, G. H., & Laus, J. L. (2009). Conjunctival effects of canine distemper virus‐induced keratoconjunctivitis sicca. Vet Ophthalmol., 12(4), 211-215. https://doi.org/10.1111/j.1463- 5224.2009.00699.x
Details
Primary Language
English
Subjects
Veterinary Surgery
Journal Section
Research Article
Authors
Yakup Kocaman
*
0000-0002-3580-7782
Türkiye
Ferda Turgut
0000-0003-2956-7548
Türkiye
Tuğçe Ulusoy
0009-0007-8797-3567
Türkiye
Dilara Aslan
0009-0006-2848-9292
Türkiye
Publication Date
June 26, 2026
Submission Date
March 17, 2026
Acceptance Date
May 6, 2026
Published in Issue
Year 2026 Volume: 15 Number: 2
