Assessment of Prevalence and Risk Factors of Dry Eye Disease among Study Group

Madhavi Chevuturu
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Abstract

Background: Dry eye is a multifactorial disease of the tears and ocular surface that results in symptoms of discomfort, visual disturbance.   The present study was conducted to assess prevalence and risk factors of dry eye diseases among the study group. Subjects and Methods:  The present study was conducted from February 2018 to July 2018 on 184 patients of both genders visiting the Department of Ophthalmology Mediciti institute of medical sciences with eye complaints. Slit-lamp biomicroscopy with a cobalt blue filter was used to investigate the tear film layer, and the interval from the last blink to the appearance of the first random dry spot on the cornea was noted. Schirmer’s test was performed. Whatman filter paper no 41 was placed in the lower fornix at the lateral one-third of the lower lid margin. Results: Age groups 40-50 years had 52, 50-60 years had 98 and 60-70 years had 34 patients. There were 110 males and 74 females. The difference was significant (P< 0.05). 64 (58.1%) males and 40 (54%) had a dry eye disease. The prevalence found to be 61.9%. The severity of DED was mild in 25%, moderate in 46% and severe in 29%. The difference was significant (P< 0.05). Risk factors of DED were steroid use in 14%, smoking in 56%, alcoholism in 24%, computer job in 78%, systemic allergy in 4%, ocular allergy in 32%, contact lens use in 17% and previous ocular surgery in 7%. The difference was significant (P< 0.05). Conclusion: The author found that the prevalence rate of dry eyes was 61.9%. Risk factors of DED were steroid use, smoking, alcoholism, computer job, systemic allergy, ocular allergy, contact lens use and previous ocular surgery.
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研究组干眼病患病率及危险因素评估
背景:干眼症是一种多因素的泪液和眼表疾病,可导致不适、视力障碍等症状。本研究旨在评估研究组中干眼病的患病率和危险因素。对象与方法:本研究于2018年2月至2018年7月在医学科学研究所眼科就诊的184例有眼部主诉的男女患者中进行。使用带有钴蓝滤光片的裂隙灯生物显微镜观察泪膜层,并记录从最后一次眨眼到角膜上出现第一个随机干斑的时间间隔。进行Schirmer试验。将第41号Whatman滤纸放在下穹窿下睑缘外侧三分之一处。结果:40 ~ 50岁52例,50 ~ 60岁98例,60 ~ 70岁34例。其中男性110人,女性74人。差异有统计学意义(P< 0.05)。男性64例(58.1%),干眼症40例(54%)。患病率为61.9%。重度DED的25%为轻度,46%为中度,29%为重度。差异有统计学意义(P< 0.05)。DED的危险因素为使用类固醇(14%)、吸烟(56%)、酗酒(24%)、电脑工作(78%)、全身过敏(4%)、眼部过敏(32%)、佩戴隐形眼镜(17%)和既往眼部手术(7%)。差异有统计学意义(P< 0.05)。结论:本组干眼症患病率为61.9%。DED的危险因素为类固醇使用、吸烟、酗酒、电脑工作、全身过敏、眼部过敏、使用隐形眼镜和既往眼部手术。
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