J Korean Ophthalmol Soc > Volume 61(2); 2020 > Article
Journal of the Korean Ophthalmological Society 2020;61(2):146-152.
DOI: https://doi.org/10.3341/jkos.2020.61.2.146    Published online February 15, 2020.
The Effect of Eyeliner Tattoo on Meibomian Gland Dysfunction and the Ocular Surface.
Jihyun Yoon, Ah Young Kim, Roo Min Jun, Kyung Eun Han
1The Institute of Ophthalmology and Optometry, Department of Ophthalmology, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea. hkeoph@gmail.com
2Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
3The Institute of Ophthalmology and Optometry, Department of Ophthalmology, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
아이라인 문신이 마이봄샘 기능이상 및 안구 표면에 미치는 영향
윤지현1 · 김아영2 · 전루민3 · 한경은1
이화여자대학교 의과대학 이대목동병원 안과학교실 시과학연구센터1, 성균관대학교 의과대학 삼성서울병원 안과학교실2, 이화여자대학교 의과대학 이대서울병원 안과학교실 시과학연구센터3
Correspondence:  Kyung Eun Han,
Email: hkeoph@gmail.com
Received: 2 September 2019   • Revised: 18 October 2019   • Accepted: 22 January 2020
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 (r(s) = −0.560, p = 0.024; r(s) = −0.563, p = 0.023, respectively), and a thinner LLT was observed (r(s) = 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.
Key Words: Dry eye syndrome;Eyeliner tattoo;Meibomian gland;Tear film lipid layer thickness


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