Research Article
BibTex RIS Cite

The Relationship Between the Activity of the Meibomian Gland and Pupil Diameter

Year 2025, Volume: 7 Issue: 1, 50 - 54
https://doi.org/10.37990/medr.1536607

Abstract

Aim: The meibomian glands are modified sebaceous glands that line the inner surface of the eyelids. The aim of this study was to investigate the relationship between the autonomic nervous system and meibomian gland activity based on pupil diameter values.
Material and Method: 55 volunteers (27 patients and 28 controls) aged 16-41 years participated in the study. Patients with dry eye and a visual acuity of 10/10 according to the Snellen visual threshold were included in the study. Participants underwent static measurements at different light intensities and dynamic measurements to measure the rate of pupil dilation.
Results: Static measurements (scotopic, mesopic ve photopic) in the patient group averaged 5.93±1.21, 4.70±0.86 and 3.99±0.97 mm, while measurements in the control group averaged 5.82±0.99, 4.87±0.83 and 3.87±0.90 mm. Pupillary velocity was 0.14±0.04 in the patient group and 0.12±0.03 mm/sec in the control group.
Conclusion: This is the first study to investigate the relationship between meibomian gland function and pupillary function. The present study contributed to the literature by showing that there is no relationship between meibomian gland function and pupillary function.

Ethical Statement

The study was authorized by Niğde Ömer Halisdemir University Non-Interventional Clinical Research Ethics Committee with protocol number 2023/17.

Supporting Institution

No institution or organization funded this study.

References

  • Arıncı K, Elhan A. Anatomi: dolaşım sistemi, periferik sinir sistemi, merkezi sinir sistemi, duyu organları. 7th edition. Ankara: Güneş Tıp Kitapevleri. 2020;362-6.
  • Arifoğlu Y. Her yönüyle anatomi. 3rd edition. İstanbul: İstanbul Tıp Kitabevleri. 2021;662.
  • Verma S, Moreno IY, Trapp ME, et al. Meibomian gland development: Where, when and how?. Differentiation. 2023;132:41-50.
  • Bründl M, Garreis F, Schicht M, et al. Characterization of the innervation of the meibomian glands in humans, rats and mice. Ann Anat. 2021;233:151609.
  • Chan TC, Chow SS, Wan KH, Yuen HK. Update on the association between dry eye disease and meibomian gland dysfunction. Hong Kong med. 2019;25:38-47.
  • Sun M, Moreno IY, Dang M, Coulson-Thomas VJ. Meibomian gland dysfunction: what have animal models taught us?. Int J Mol Sci. 2020;21:8822.
  • Rouen PA, White ML. Dry eye disease: prevalence, assessment, and management. Home Healthc Now. 2018;36:74-83.
  • Covita A, Chen MH, Leahy C. Correlation between meibomian gland appearance and tear breakup time using a slit scanning ophthalmoscope. Invest Ophthalmol Vis Sci. 2019;60:6793.
  • Biçer GY, Zor KR, Küçük, E. Do static and dynamic pupillary parameters differ according to childhood, adulthood, and old age? A quantitative study in healthy volunteers. Indian J Ophthalmol. 2020;70:3575-8.
  • Biçer GY, Kurt A, Zor KR. Efficacy of automatic pupillometry as a screening technique to detect autonomic dysfunction in bipolar disorder. Clin Exp Optom. 2023;106:896-900.
  • Yıldırım Biçer G, Zor KR. How are pupillary parameters affected in pseudoexfoliation syndrome? A quantitative study. Int Ophthalmol. 2023;43:2487-91.
  • Gomes JAP, Azar DT, Baudouin C, et al. TFOS DEWS II iatrogenic report. Ocul Surf. 2017;15:511-38.
  • Milner MS, Beckman KA, Luchs JI, et al. Dysfunctional tear syndrome: Dry eye disease and associated tear film disorders—New strategies for diagnosis and treatment. J Curr Ophthalmol. 2017;27:3-47.
  • Sullivan DA, Rocha EM, Aragona P, et al. TFOS DEWS II sex, gender, and hormones report. The Ocular Surface. 2017;15:284–333.
  • Stapleton F, Alves M, Bunya VY, et al. TFOS DEWS II Epidemiology Report. Ocul Surf. 2017;15:284-333.
  • Ekker MS, Janssen S, Seppi K, et al. Ocular and visual disorders in Parkinson's disease: Common TBUT frequently overlooked. Parkinsonism Relat Disord. 2017;40:1-10.
  • Lan W, Lin L, Yang X, Yu M. Automatic noninvasive tear breakup time (TTBUT) and conventional fluorescent TTBUT. Optom Vis Sci. 2014;91:1412-8.
  • Zaman S, Samuel E. Tear film breakup time in diabetic patients. J Coll Physicians Surg Pak. 2020;30:774.
  • Yıldırım Biçer G, Onder C, Zor K. Pupillary response changes in Graves' disease. Çukurova Med J. 2023;48:361-8.
  • Biçer GY, Yılmaz Öztorun Z, Biçer KE, Zor KR. Analysis of pupillary responses in pediatric patients with vitamin D deficiency. Graefes Arch Clin Exp Ophthalmol. 2024;262:2625-32.
  • Picetti E, Robba C. Pupillometry and sepsis-associated encephalopathy. Minerva Anestesiol. 2022;88:332-3.
  • Romagnoli M, Stanzani Maserati M, De Matteis M, et al. Chromatic pupillometry findings in Alzheimer’s disease. Front Neurosci. 2020;14:780.
  • Vargas D, Castro C. Pupillometry in Chagas disease. Arq Bras Oftalmol. 2018;81:195-201.
Year 2025, Volume: 7 Issue: 1, 50 - 54
https://doi.org/10.37990/medr.1536607

Abstract

References

  • Arıncı K, Elhan A. Anatomi: dolaşım sistemi, periferik sinir sistemi, merkezi sinir sistemi, duyu organları. 7th edition. Ankara: Güneş Tıp Kitapevleri. 2020;362-6.
  • Arifoğlu Y. Her yönüyle anatomi. 3rd edition. İstanbul: İstanbul Tıp Kitabevleri. 2021;662.
  • Verma S, Moreno IY, Trapp ME, et al. Meibomian gland development: Where, when and how?. Differentiation. 2023;132:41-50.
  • Bründl M, Garreis F, Schicht M, et al. Characterization of the innervation of the meibomian glands in humans, rats and mice. Ann Anat. 2021;233:151609.
  • Chan TC, Chow SS, Wan KH, Yuen HK. Update on the association between dry eye disease and meibomian gland dysfunction. Hong Kong med. 2019;25:38-47.
  • Sun M, Moreno IY, Dang M, Coulson-Thomas VJ. Meibomian gland dysfunction: what have animal models taught us?. Int J Mol Sci. 2020;21:8822.
  • Rouen PA, White ML. Dry eye disease: prevalence, assessment, and management. Home Healthc Now. 2018;36:74-83.
  • Covita A, Chen MH, Leahy C. Correlation between meibomian gland appearance and tear breakup time using a slit scanning ophthalmoscope. Invest Ophthalmol Vis Sci. 2019;60:6793.
  • Biçer GY, Zor KR, Küçük, E. Do static and dynamic pupillary parameters differ according to childhood, adulthood, and old age? A quantitative study in healthy volunteers. Indian J Ophthalmol. 2020;70:3575-8.
  • Biçer GY, Kurt A, Zor KR. Efficacy of automatic pupillometry as a screening technique to detect autonomic dysfunction in bipolar disorder. Clin Exp Optom. 2023;106:896-900.
  • Yıldırım Biçer G, Zor KR. How are pupillary parameters affected in pseudoexfoliation syndrome? A quantitative study. Int Ophthalmol. 2023;43:2487-91.
  • Gomes JAP, Azar DT, Baudouin C, et al. TFOS DEWS II iatrogenic report. Ocul Surf. 2017;15:511-38.
  • Milner MS, Beckman KA, Luchs JI, et al. Dysfunctional tear syndrome: Dry eye disease and associated tear film disorders—New strategies for diagnosis and treatment. J Curr Ophthalmol. 2017;27:3-47.
  • Sullivan DA, Rocha EM, Aragona P, et al. TFOS DEWS II sex, gender, and hormones report. The Ocular Surface. 2017;15:284–333.
  • Stapleton F, Alves M, Bunya VY, et al. TFOS DEWS II Epidemiology Report. Ocul Surf. 2017;15:284-333.
  • Ekker MS, Janssen S, Seppi K, et al. Ocular and visual disorders in Parkinson's disease: Common TBUT frequently overlooked. Parkinsonism Relat Disord. 2017;40:1-10.
  • Lan W, Lin L, Yang X, Yu M. Automatic noninvasive tear breakup time (TTBUT) and conventional fluorescent TTBUT. Optom Vis Sci. 2014;91:1412-8.
  • Zaman S, Samuel E. Tear film breakup time in diabetic patients. J Coll Physicians Surg Pak. 2020;30:774.
  • Yıldırım Biçer G, Onder C, Zor K. Pupillary response changes in Graves' disease. Çukurova Med J. 2023;48:361-8.
  • Biçer GY, Yılmaz Öztorun Z, Biçer KE, Zor KR. Analysis of pupillary responses in pediatric patients with vitamin D deficiency. Graefes Arch Clin Exp Ophthalmol. 2024;262:2625-32.
  • Picetti E, Robba C. Pupillometry and sepsis-associated encephalopathy. Minerva Anestesiol. 2022;88:332-3.
  • Romagnoli M, Stanzani Maserati M, De Matteis M, et al. Chromatic pupillometry findings in Alzheimer’s disease. Front Neurosci. 2020;14:780.
  • Vargas D, Castro C. Pupillometry in Chagas disease. Arq Bras Oftalmol. 2018;81:195-201.
There are 23 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging, Anatomy
Journal Section Original Articles
Authors

Hacı Keleş 0000-0002-0770-8269

Erkut Küçük 0000-0002-1474-9237

Zeki Baysal 0000-0002-5223-4365

Levent Doğan 0000-0002-4849-3698

Fatih Çiçek 0000-0002-9377-6187

Faruk Gazi Ceranoğlu 0000-0002-5158-6318

Publication Date
Submission Date August 21, 2024
Acceptance Date October 17, 2024
Published in Issue Year 2025 Volume: 7 Issue: 1

Cite

AMA Keleş H, Küçük E, Baysal Z, Doğan L, Çiçek F, Ceranoğlu FG. The Relationship Between the Activity of the Meibomian Gland and Pupil Diameter. Med Records. 7(1):50-54. doi:10.37990/medr.1536607

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

E-mail: medrecsjournal@gmail.com

Publisher:
Medical Records Association (Tıbbi Kayıtlar Derneği)
Address: Orhangazi Neighborhood, 440th Street,
Green Life Complex, Block B, Floor 3, No. 69
Düzce, Türkiye
Web: www.tibbikayitlar.org.tr

Publication Support:
Effect Publishing & Agency
Phone: + 90 (540) 035 44 35
E-mail:
info@effectpublishing.com
Address: Akdeniz Neighborhood, Şehit Fethi Bey Street,
No: 66/B, Ground floor, 35210 Konak/İzmir, Türkiye
web: www.effectpublishing.com