EFFECT OF MENSTRUATION ON TEAR PRODUCTION AMONG UNDERGRADUATE STUDENTS OF MADONNA UNIVERSITY, ELELE CAMPUS, RIVERS STATE NIGERIA

Authors

  • Roland A Oboh Madonna University, Rivers State Nigeria
  • Onwukwe, Nnaemeka A Madonna University, Rivers State Nigeria
  • Mube ,William A University of Port Harcourt Teaching Hospital, Rivers State Nigeria
  • Uzoechi Nneoma C Madonna University, Rivers State Nigeria

DOI:

https://doi.org/10.47941/ijhmnp.748

Keywords:

Hormones, Menstruation, Oculovisual, Schimer's test

Abstract

Purpose: The menstrual cycle has been reported to influence many other physiological processes in women. This study ascertained the effect of menstruation on oculovisual status with emphasis on tear production among young female undergraduates of Madonna University, Elele Campus Rivers State Nigeria.  

Methodology: The study involved 103 female undergraduates with fairly regular menstrual cycle selected through convenience sampling technique. Their age ranged from 16-30 years with a mean age of 20.82 ± 3.205 years and a median age of 20 years. A well-structured interviewer administered questionnaire was used to elicit oculovisual symptoms associated with the menstrual cycle. Schirmer's test strip was used to measure tear volume at pre-determined intervals of the menstrual flow period. External and internal eye examinations were also carried out using the Pen torch and ophthalmoscope respectively. Data collected were analysed using the Statistical Package for Social Sciences (SPSS) version 21 and results were expressed using tables and correlation of variables expressed using Dunnett's multiple comparison test.

Findings: There was a significant increase (p Ë‚ 0.05) in tear production during the first two days of the flow and a slight decrease during the last two days. Comparison of the right and left eyes showed no statistically significant (p ˃ 0.05) difference. Variation in tear production associated with menstruation with respect to age showed statistically significant (p Ë‚ 0.05) differences for all age groups except for the right eye of subjects within age group 26-30 years. While 52.4% (n=54 ) of the ladies have no oculovisual complaint, the  most common oculovisual complaint was headache 42.7% (n = 44) followed by blurry vision 2.91 % (n = 3) and excessive tearing 1.94% (n = 2).

Contribution to Knowledge: The study revealed that physiological changes likely resulting from hormonal variation  during the menstrual flow influences tear volume and may cause visual discomfort among women within the reproductive age and recommended the need for tear volume assessment and detailed case history prior to management of complaints associated with dry eye and dispensing of contact lenses for pre and post-menopausal women.

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Author Biographies

Roland A Oboh, Madonna University, Rivers State Nigeria

Department of Optometry

Onwukwe, Nnaemeka A, Madonna University, Rivers State Nigeria

Department of Optometry

Mube ,William A, University of Port Harcourt Teaching Hospital, Rivers State Nigeria

Department of Obstetrics & Gynaecology

Uzoechi Nneoma C, Madonna University, Rivers State Nigeria

Department of Optometry

References

Biggs, W. S .& Demuth, R. H. (2011). Premenstrual syndrome and premenstrual dysphoric disorder. American Family Physician, 84(8). 918 - 924.

Cavdar, E. Ozkaya, A. Alkin, Z. Ozkaya, H. M. & Babayigit, M. B. (2014). Changes in tear film, corneal topography and refractive status in premenopausal women during menstrual cycle. Contact Lens Anterior Eye,37(3).pp.209-212.

Coles, N. Lubkin, V. Kramer, P. Weinstein, B. Southern, L. & Vitter, J. (2008). Hormonal analysis of tears, saliva, and serum from normal and postmenopausal dry eyes. Investigative Ophthalmology & Visual Science, 29.pp.48-52.

Ebeigbe, J. A.& Ighoroje, A. D. (2014). Tear volume and stability across the phases of the menstrual cycle. Borno Medical Journal, 11(1), pp.23-32.

Esmaeli, B. Harvey, J. T. Hewlett, B. (2000). Immunohistochemical evidence for estrogen receptors in meibomian glands. Journal of Ophthalmology, 107. pp 180-4.

Fresina, P, & Campos, E. (2007). Ocular surface changes over the menstrual cycle in women with and without dry eyes. Gynecology, Endocrinology, Versula Ophthalmology and Physiology, 9.pp.120-128.

John, G.L.(2018). Contact Lens Practice (3rd ed. ). , Elsevier . Australia. Retrieved from https://www.sciencedirect.com/book/9780702066603/contact-lens-practice.html. p 10-27.e2 on 20th April, 2019.

Okon, A. Jurowski, P.& Gon, R. (2001). The influence of hormonal replacement therapy on the amount and stability of the tear film among pre and postmenopausal women. KlinOezna, 103 (4-6). pp.177-181.

Schaumberg, D. A. Buring, J. E. Sullivan, D. A. Daria, M. R. (2001). Hormone Replacement Therapy and dry eye syndrome. Journal of American Medical Association, 286.pp.2114-2119.

Shuaibu, A. O.& Agoreyo, F. (2016).Tear Production in Premenopausal Women During Menstrual Cycle.Zimbabwe Journal of Science & Technology, 11.pp.126 -131

Suzuki, T. Schirra, F. Richards, S. M. Jensen, R. V. & Sullivan, D. A. (2008). Estrogen and progesterone control of gene expression in the mouse meibomian gland. Investigative Ophthalmology and Visual Science, 49.pp.1797-1808.

Tomilinson, A. Pearce, E. I. Simmons, P. A. & Blades, K. (2001). Effect of oral contraceptive on tear physiology. Ophthalmology and Physiological Optics, 21 (6).pp.916-919.

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Published

2021-12-29

How to Cite

Oboh, R. A., Onwukwe, N. A., Mube, W. A., & Uzoechi , N. C. (2021). EFFECT OF MENSTRUATION ON TEAR PRODUCTION AMONG UNDERGRADUATE STUDENTS OF MADONNA UNIVERSITY, ELELE CAMPUS, RIVERS STATE NIGERIA. International Journal of Health, Medicine and Nursing Practice, 3(4), 42–51. https://doi.org/10.47941/ijhmnp.748

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