Ocular Manifestations in Patients with Facial Seborrheic Dermatitis : Ocular Manifestations in Facial Seborrheic Dermatitis

Peryanka Jagdesh Kumar; Vijay Kumar; Beenish Khan; Asma Shams; Narain Das; Vinesha Devi

doi:10.54393/pjhs.v7i6.3873

Authors

Peryanka Jagdesh Kumar Department of Dermatology, United Medical and Dental College, Karachi, Pakistan
Vijay Kumar Department of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi, Pakistan
Beenish Khan Department of Ophthalmology, United Medical and Dental College, Karachi, Pakistan
Asma Shams Department of Ophthalmology, Liaqat Medical and Dentistry College, Karachi, Pakistan
Narain Das Department of Ophthalmology, Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, Pakistan
Vinesha Devi Department of Dermatology, United Medical and Dental College, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v7i6.3873

Keywords:

Seborrheic Dermatitis, Ocular Manifestations, Tear Film Instability, Dry Eye

Abstract

Seborrheic dermatitis (SD) is a chronic inflammatory disorder, especially including the peri-orbital region, which leads to different types of ocular surface abnormalities. Objective: To assess the prevalence and pattern of ocular manifestations in patients having facial SD and to evaluate its correlation with the severity of disease. Methods: An analytical case-control study was conducted from January 2024 to June 2025 in the Department of Dermatology and Ophthalmology at Al-Tibri Medical College and Hospital. Ninety-one patients with clinically diagnosed facial SD and ninety-one age and sex-matched healthy controls were enrolled in the study. All participants underwent a detailed ophthalmic examination, including TBUT, Schirmer’s test, and slit-lamp evaluation. Data were analyzed by using SPSS version 26.0, and a p-value < 0.05 was taken as statistically significant. Results: Ocular symptoms were reported in 68.1% SD patients compared to 30.8% in controls (p < 0.001). Lid margin telangiectasia (50.5%), conjunctival hyperemia (48.4%), and meibomian gland dysfunction (57.1%) were significantly more common in SD patients (all p<0.001). Mean TBUT (6.2 ± 2.1 s) and Schirmer’s scores (9.5 ± 4.3 mm) were lower in SD patients than in controls (13.1 ± 3.9 s and 14.8 ± 4.5 mm; p < 0.001). Disease severity showed a strong negative correlation with TBUT and Schirmer’s test and a positive correlation with ocular surface staining (p < 0.001). Conclusion: Facial seborrheic dermatitis is frequently associated with significant ocular involvement. Early ophthalmologic evaluation is recommended.

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