Climatic and Environmental Correlates of Dry Eye Disease Severity: A Report From the Dry Eye Assessment and Management (DREAM) Study

Berg, Erich J.; Ying, Gui‐Shuang; Maguire, Maureen G.; Sheffield, Perry; Szczotka-Flynn, Loretta; Asbell, Penny A.; Shen, Joanne F

doi:10.1167/tvst.9.5.25

Cited by 42 publications

(34 citation statements)

References 22 publications

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“…Climatic and environmental changes have differential adverse impacts on dry eye and likely occur in tropical countries where sunlight and wind exposure is immense [2,[18][19][20]. Previous evidence showed that low humidity (< 40%) increased tear evaporation and subsequently worsened dry eye symptoms [21].…”

Section: Plos Onementioning

confidence: 99%

Prevalence and risk factors of dry eye disease among University Students in Bangkok, Thailand

et al. 2021

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Purpose To investigate the prevalence of dry eye disease (DED) and its associated risk factors among Thai university students. Methods A cross-sectional study using an electronic survey was conducted in two Rajabhat universities in Bangkok, Thailand. The woman’s health study questionnaire was used to determine students with DED. The prevalence of DED along with 95% confidence interval (CI) were calculated. Logistic regression model was used to identify the associated risk factors. Results A total of 4,111 university students joined and completed the survey questionnaires. Mean age was 18.8 ± 1.1 years with female predominance (2874 students, 69.91%). Clinically diagnosed DED was reported in 136 students (3.31%), while severe symptoms of eye dryness and irritation were reported in 227 students (5.52%). The prevalence of DED among Thai university students was 8.15% (95% CI 7.33% to 9.02%). History of contact lens use and high screen time (> 8 hours per day) were reported in 868 students (21.11%) and 2101 students (51.11%), respectively. Male gender, contact lens use and high screen time were significantly associated with higher risk of DED with the adjusted ORs (95% CI) of 1.39 (1.09, 1.77), 2.49 (1.96, 3.17), and 1.43 (1.14, 1.80), respectively. Conclusions DED is not rare among Thai university students. Contact lens use and high screen time are two significant modifiable risk factors of DED in our students. These findings can raise awareness of DED in youth population and provide valuable information for public health promotion in university students.

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Section: Plos Onementioning

confidence: 99%

Prevalence and risk factors of dry eye disease among University Students in Bangkok, Thailand

et al. 2021

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“…However, since mean values of both groups were in the normal range, the clinical significance of this finding is uncertain. In another study of 535 U.S. dry eye patients identified by the presence of ocular dryness for greater than 6 months with moderate to severe OSDI scores (25–80), multivariate analyses and partial correlation coefficients revealed TBUT measurements were positively correlated with temperature, humidity, and dew point (ρ = 0.08, 0.18, 0.17, respectively, p < 0.0038) [ 70 ].…”

Section: Effect Of Weather On the Ocular Surfacementioning

confidence: 99%

Impact of Air Pollution and Weather on Dry Eye

Mandell

Idarraga

Kumar

et al. 2020

JCM

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Air pollution has broad effects on human health involving many organ systems. The ocular surface is an excellent model with which to study the effects of air pollution on human health as it is in constant contact with the environment, and it is directly accessible, facilitating disease monitoring. Effects of air pollutants on the ocular surface typically manifest as dry eye (DE) symptoms and signs. In this review, we break down air pollution into particulate matter (organic and inorganic) and gaseous compounds and summarize the literature regarding effects of various exposures on DE. Additionally, we examine the effects of weather (relative humidity, temperature) on DE symptoms and signs. To do so, we conducted a PubMed search using key terms to summarize the existing literature on the effects of air pollution and weather on DE. While we tried to focus on the effect of specific exposures on specific aspects of DE, environmental conditions are often studied concomitantly, and thus, there are unavoidable interactions between our variables of interest. Overall, we found that air pollution and weather conditions have differential adverse effects on DE symptoms and signs. We discuss these findings and potential mitigation strategies, such as air purifiers, air humidifiers, and plants, that may be instituted as treatments at an individual level to address environmental contributors to DE.

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“…Kuo et al mentioned in their recently published research that bilateral eyes of DED patients may have similar but different ocular surface performance and tear composition [28]. Similar to the research of other authors in our study results, we included the first examined eye because automatic measurement may produce distorted measurements and results from the second examined eye [28,30].…”

Section: Discussionmentioning

confidence: 73%

The Influence of Work Environment Factors on the Ocular Surface in a One-Year Follow-Up Prospective Clinical Study

et al. 2021

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The purpose of this study was to assess the effect of environmental working conditions on the symptoms and signs of dry eye disease and to examine whether and how those conditions impact the ocular surface. Methods: This single-center, prospective clinical study with a 1-year follow-up included 150 patients. The following parameters were evaluated: non-invasive keratograph break-up time (NIKBUT), tear meniscus height (TMH), and conjunctival and limbal hyperemia. We also performed staining of the surface of the eye for simulated fluorescein images, Schirmer’s test I, assessment of Meibomian gland dysfunction (MGD), and an Ocular Surface Disease Index (OSDI) questionnaire. Results: In the OW (office workers) group, in people working > 4 h at the computer, the NIKBUT before work and the Schirmer test results were statistically significantly lower than in people working <4 h. The conjunctival hyperemia result before work was statistically significantly higher for people working >4 h at a computer in both groups and after work in the MW (medical workers) group. Low relative air humidity in the building and air-conditioned rooms negatively affects the tear film, causing the symptoms of dry eye disease. At the 1-year follow-up, there was a statistically significant reduction in conjunctival and limbal hyperemia in the OW group as well as a statistically significant reduction in TMH at the first examination before and after work, and in the second examination after 1 year in both groups. Conclusions: Environmental factors such as reduced relative air humidity, increased air temperature, and decreased illumination have a negative impact on the ocular surface.

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Climatic and Environmental Correlates of Dry Eye Disease Severity: A Report From the Dry Eye Assessment and Management (DREAM) Study

Cited by 42 publications

References 22 publications

Prevalence and risk factors of dry eye disease among University Students in Bangkok, Thailand

Prevalence and risk factors of dry eye disease among University Students in Bangkok, Thailand

Impact of Air Pollution and Weather on Dry Eye

The Influence of Work Environment Factors on the Ocular Surface in a One-Year Follow-Up Prospective Clinical Study

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