Assessment of the aggregate index of systemic inflammation in dyslipidemia with dry eye disease: a retrospective case-control - Report - MDSpire

Assessment of the aggregate index of systemic inflammation in dyslipidemia with dry eye disease: a retrospective case-control

  • By

  • Amani Y. Alhalwani

  • Asma Altasan

  • Nawaf Alasmari

  • Asma Almutiri

  • Mustafa Sunbul

  • Razan Khalifa

  • Jumanah Makhtoum

  • Shatha Jambi

  • June 11, 2026

  • 0 min

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Clinical Report: Evaluation of Systemic Inflammation Index in Patients with Dyslipidemia and Dry Eye Disease

Overview

This study evaluates the systemic inflammation index (AISI) in patients with dyslipidemia (DLP) and dry eye disease (DED). Findings indicate that while AISI correlates with certain inflammatory markers, it does not show a significant association with DED after adjusting for confounding factors.

Background

Dyslipidemia is prevalent in Saudi Arabia, affecting 43% of the population, and is associated with increased inflammation. Dry eye disease is a common condition that can significantly impact quality of life, and its relationship with dyslipidemia highlights the importance of managing lipid levels to potentially mitigate ocular surface disorders.

Data Highlights

GroupNeutrophil CountMonocyte CountCRP CorrelationHDL CorrelationTotal Cholesterol Correlation
DLP-DEDHigherHigherPositiveWeak NegativeWeak Negative
DLP OnlyLowerLowerN/AN/AN/A

Key Findings

  • The DLP-DED group had higher neutrophil and monocyte counts compared to the DLP-only group.
  • AISI showed a positive correlation with C-reactive protein (CRP) in the DLP-DED group.
  • AISI demonstrated a weak negative correlation with high-density lipoprotein (HDL) and total cholesterol.
  • After adjusting for age, gender, and BMI, AISI was not significantly associated with DED.
  • Understanding the inflammatory markers in DLP patients may inform future therapeutic strategies for DED.

Clinical Implications

Clinicians should consider the role of systemic inflammation in managing patients with dyslipidemia and dry eye disease. Monitoring inflammatory biomarkers may provide insights into the pathogenesis of DED and guide treatment approaches.

Conclusion

The study suggests that while AISI may reflect systemic inflammation in dyslipidemia, its lack of association with dry eye disease indicates the need for further research to clarify these relationships.

Related Resources & Content

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  2. conexiant -- Dry Eye Across Autoimmune Diseases
  3. Optometric Management, 2024 -- Are Omega 3s Enough for Dry Eye Patients? Recommendations
  4. TFOS DEWS III: diagnostic methodology. -ORCA
  5. Association between dyslipidaemia and dry eye disease: a systematic review and meta-analysis - PMC
  6. Optometric Management — Identifying Dry Eye
  7. TFOS DEWS III: Executive Summary | CoLab
  8. Dry Eye Syndrome Preferred Practice Pattern® - Ophthalmology
  9. TFOS DEWS III: diagnostic methodology. -ORCA
  10. Association between dyslipidaemia and dry eye disease: a systematic review and meta-analysis - PMC
  11. Relationship between Dry Eye Disease and Dyslipidemia: A Systematic Review - PMC
  12. Impact of Dyslipidemia on Tear Film and Meibomian Gland Dysfunction: A Cross‐Sectional Study of the Interplay between Serum Lipid Profile and Ocular Surface Health - Serrano-Morales - 2024 - Journal of Ophthalmology - Wiley Online Library
  13. L-shaped association of systemic immune-inflammation index (SII) with serum soluble α-Klotho in the prospective cohort study from the NHANES database | Scientific Reports
  14. Systemic immune-inflammatory index predicts all-cause and cardiovascular mortality in metabolic syndrome: A prospective cohort study using NHANES data - PMC
  15. The Relationship Between Systemic Immune Inflammatory Level and Dry Eye in Patients with Sjögren's Syndrome - PubMed
  16. Assessment of leukocyte and systemic inflammation index ratios in dyslipidemia patients with dry eye disease: a retrospective case‒control study | Lipids in Health and Disease | Springer Nature Link

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