Connective tissue disorders and eye: A review and recent updates

Mohamed I Asif1, Nidhi Kalra1, Namrata Sharma1

  • 1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

PubMed

Insights

Ocular manifestations are common in connective tissue diseases (CTDs), formerly collagen vascular disorders (CVDs). Early eye symptom recognition aids diagnosis and management of these systemic autoimmune and heritable conditions.

Area of Science:

  • Rheumatology and Ophthalmology
  • Connective Tissue Diseases (CTDs)
  • Autoimmune and Heritable Disorders

Background:

  • Collagen vascular disorders (CVDs), now termed connective tissue diseases (CTDs), affect multiple organ systems, notably cardiopulmonary and musculoskeletal.
  • Ocular involvement is frequent in CTDs and can precede systemic symptoms, acting as a crucial diagnostic marker.
  • Accurate diagnosis of CTDs is vital for managing potential end-organ damage and associated complications.

Purpose of the Study:

  • To identify common ophthalmic presentations across diverse autoimmune and heritable CTDs.
  • To differentiate CTD-related eye conditions from overlapping diseases.
  • To discuss the prognosis, management strategies, and impact on ophthalmic surgeries for these ocular manifestations.

Main Methods:

  • Comprehensive literature review of publications up to January 25, 2022.
  • Searched multiple databases using relevant keywords for ocular features in CTDs.
  • Analyzed original articles, review articles, and case reports detailing eye involvement in CTDs.

Main Results:

  • Ocular manifestations are significant indicators in the diagnosis of various connective tissue diseases.
  • The review synthesizes information on the varied eye presentations associated with autoimmune and heritable CTDs.
  • Understanding these ophthalmic features is crucial for timely intervention and patient management.

Conclusions:

  • Ophthalmic presentations are key diagnostic clues for connective tissue diseases (CTDs).
  • Distinguishing CTD-related eye conditions and understanding their management is essential for patient outcomes.
  • Further research into the impact of CTDs on ophthalmic surgeries is warranted.

Related Concept Videos

Introduction to Connective Tissues01:11

Introduction to Connective Tissues

Connective tissues are one of the four main tissue types in humans that are extensively present in the body. They are characterized by cells embedded in an extracellular matrix (ECM) composed of a ground substance and three main types of protein fibers— collagen, elastic, and reticular fibers. The ground substance of connective tissues can range from a watery and jelly-like consistency to mineralized and hard. The wide variety of cells in the connective tissues include fibroblasts,...
9.8K
Accessory Structures of the Eye01:17

Accessory Structures of the Eye

Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
1.7K
Connective Tissue Cell Types01:22

Connective Tissue Cell Types

Connective tissue develops from the mesoderm of a developing embryo and consists of cells, fibers, and ground substance: a gel-like material containing large complexes of carbohydrates and proteins. Connective tissue was first identified as a separate tissue family in the 18th century, and Johannes Peter Muller coined the term connective tissue.
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
3.3K
Classification of Connective Tissues01:30

Classification of Connective Tissues

The connective tissues have different properties and functions in the human body. They are broadly categorized into proper, supporting, or fluid connective tissues.
Connective Tissue Proper
Connective tissue proper is the most abundant class of connective tissues. As its name implies, it predominantly connects different tissues in the body. Depending on the cell types, ground substance, viscosity, and fiber types in the ECM, connective tissue proper is further categorized into loose and dense....
10.8K
Photoreceptors and Visual Pathways01:22

Photoreceptors and Visual Pathways

At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.1K
Dense Connective Tissue01:13

Dense Connective Tissue

Dense connective tissue contains more collagen fibers than loose connective tissue. As a consequence, it displays greater resistance to stretching. There are two major categories of dense connective tissue— regular and irregular.
Dense Regular Connective Tissue
In dense regular connective tissue, fibers are arranged parallel to each other, enhancing its tensile strength and resistance to stretching in the direction of the fiber orientations. Ligaments and tendons are made of dense regular...
7.9K