Ms.Indira Pegu, I21347
Aims &Objective: To study ocular manifestations in RA & co- relate with Anti CCP Ab.
Materials& Method: 114 patients attending Rheumatology & Ophthalmology OPD of a tertiary care hospital were screened .
Detailed slit lamp examination,BCVA by Snellen’s chart,IOP taken by Goldman’s tonomerty.Schirmer’s & ocular staining score done . Dilated fundus examined by IDO . Chi square test used to co – relate their significance & P value calculated.
Results : 42.10 %(48) of 114 cases had ocular manifestation .Dry eye being commonest 36.84% (42). 1 case each of Sjogren’s syndrome & scleritis .
1.75% (2) had peripheral keratitis & anterior uveitis .
2.50% (4) cases had episcleritis , 5.26% ( 6 ) had cataract . Strong association seen between presence of Anti CCP Ab & ocular manifestation by significant P value
Conclusion: Ocular manifestations are significant extra articular manifestation .Flaring up of ocular manifestation may signal impending deterioration or relapse of RA.


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