Investigation of dry eye symptoms of medical staffs working in hospital during 2019 novel coronavirus outbreak

Yan, Lei; Wang, Xia-Wei; Tong, Qian Jun; Xia, Jianhua; Shen, Ye

doi:10.1097/md.0000000000021699

Cited by 16 publications

(24 citation statements)

References 16 publications

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“…Wearing protective glasses has been shown to reduce DED symptoms in medical staff. 31 This is particularly important during the COVID-19 pandemic. The tear film has a vital antimicrobial function 32 and viral transmission through the ocular surface has been proven possible.…”

Section: Discussionmentioning

confidence: 99%

Effect of facemasks on the tear film during the COVID-19 pandemic

Shalaby

Eldesouky

2022

European Journal of Ophthalmology

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Purpose To evaluate the effect of wearing facemasks on dry eye symptoms and on the tear film while comparing surgical face masks to N95 particulate respirators. Methods A prospective observational study was conducted at Ain Shams University Hospitals in the period from September 2020 to January 2021. Two hundred volunteers were recruited, and the daily number of hours spent by each participant wearing a facemask was recorded. Recruits were divided into two groups: 100 volunteers were allocated to Group A to use the surgical mask, and 100 participants to Group B to use the N95 particulate respirator. The tear film parameters were assessed at baseline by answering the Ocular Surface Disease Index (OSDI) questionnaire and performing tear break-up time (TBUT), corneal fluorescein staining, and Schirmer-I test Subjects then wore a facemask for 60 min and then the tear film parameters were reassessed by repeating TBUT, corneal staining and Schirmer-I test Results Facemask use for 60 min significantly worsened all tear film parameters in both groups (P-value <0.0001). The deterioration was significantly larger in Group A subjects (P < 0.0001). The daily number of hours spent wearing a facemask correlated strongly with the OSDI and corneal staining. There was a strong negative correlation between the daily number of hours spent wearing a facemask and Schirmer test, and a weak negative correlation with TBUT. Conclusions Wearing facemasks during the COVID-19 pandemic is a risk factor for worsening tear film parameters. This deterioration is significantly greater with surgical masks than with N95 particulate respirators and increases with the duration of facemask use.

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Section: Discussionmentioning

confidence: 99%

Effect of facemasks on the tear film during the COVID-19 pandemic

Shalaby

Eldesouky

2022

European Journal of Ophthalmology

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“…The vapour created in the protective glass during the long time continuous wearing of N95 for 4-5 hours might contribute to improvement of DES. 11 Tear film acts as a barrier for pathogenic invasion but may be compromised if mask use causes barrier to evaporate more rapidly and has also been mentioned in transmission of worrisome novel corona virus. The mucosa of ocular and upper respiratory tract is connected by Naso-Lacrimal Duct and share same entry for some respiratory virus.…”

Section: Resultsmentioning

confidence: 99%

Investigation of Dry Eye Symptoms in Health Workers of National Medical College and Teaching Hospital following Corona Virus Pandemic

Bista

Bista²,

Mishra³

et al. 2021

Medphoenix

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Background: With the outspread of global pandemic Corona virus disease 19. (COVID-19), use of face masks was taken as a vital deed against severe acute respiratory syndrome coronavirus-2. (SARS-CoV-2) The aim of this study was to assess symptoms of mask associated dry eye (MADE) among health workers. Materials and Methods: A total of 169 heath workers meeting the inclusion criteria were selected by simple random sampling from respective department. Data were obtained by providing with questionnaire established by the researcher and Ocular Surface Disease Index (OSDI) to the participants from November 1, 2020 to March 31, 2021 at National Medical College and Teaching Hospital. The data were evaluated using correlation test. Results: A total of 169 heath workers were enrolled in the study. The mean age of the patient was 31.74±7.34 years (range 19-56).According to OSDI, 27(15.9%) of the participants had mild dry eye symptoms followed by 15 (8.87%) cases of moderate and 44(26.03%) of severe respectively. Duration of mask wearer and electronic devices usage were two variables that were statistically correlated with OSDI (p<0.01). The OSDI was not statistically correlated with age, glass wear and sleep duration. Conclusion: With the emergence of COVID -19, measures to cope against this pandemic are must. With the increasing use of controlling measures, it is prime responsibility of ophthalmic faculty to start awareness regarding proper use of these anti-COVID measures and make sustainable environment in future.

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“…Масочный синдром сухого глаза: степень выраженности и возможности коррекции с использованием слезозаместительной терапии пленка, являясь важным барьером против патогенного про никновения, подвергается риску при использовании маски, поскольку усиленный воздушный поток, дующий вверх от маски в глаза, ускоряет испарение слезной пленки [14]. К концу рабочего дня у лиц, использующих СИЗ органов дыхания, на 20-25 % от исходного уровня снижался пока затель теста Ширмера [15].…”

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Dry eye masky syndrome: degree of expression and possibilities of correction

Макогон

Gorbacheva

Ivanova

et al. 2022

Rossijskij oftalʹmologičeskij žurnal

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To prevent the spread of COVID-19, to ensure the safety of ourselves and others, personal protective equipment — various types of masks — has firmly entered our daily lives. Purpose to conduct a clinical and sociological study of the severity of the dry eye syndrome in medical personnel and medical students against the background of the use of personal protective equipment and to assess the possibilities of its correction using tear replacement therapy. Materials and methods. 138 medical staff and 149 students were analyzed. A survey was conducted to identify risk factors for the development of the dry eye syndrome. The total tear production was determined using the Schirmer I test at the beginning and after 8 hours of the working day in medical personnel and students before and after a 6-hour lesson. To study the possibility of correcting the dry eye syndrome, students were offered instillations of the tear substitute Gylan 0.18 % 3 times a day. At this stage of the study, 2 questionnaires were used to assess the severity of DES symptoms: OSDI and DEQ, Schirmer I test. Results. Most of the study participants noted the constant wearing of masks (86.4 % of doctors and 84.8 % of nurses). At the beginning of the study, 45.1 % of doctors and 51.9 % of nursing staff, 45.6 % of students had indicators of total tear production below the reference values. At the end of working hours, doctors (90.9 %), nurses (88.6 %) and students (69.2 %) showed a decrease in the total tear production of varying severity. The use of a tear substitute made it possible to increase the indicators of total tear production: 10 days after treatment, an increase was observed in 45.7 % of cases (but the values were in the range of 10—14 mm), in 31.4 % of cases they reached 15 mm or more and exceeded the initial values (p < 0.05); reduce the symptoms of dry eye: the number of students with DEQ questionnaire syndrome dry eye at the beginning of the study (62.9 %) decreased by 3.2 times. Conclusions: the conducted study allows us to speak about the currently available riskfactorfor the development of the dry eye syndrome: personal respiratory protective equipment has a negative impact on the indicators of total tear production. Appointment of tear replacement therapy allowed to improve the functional indicators of tears and quality of life. It is necessary to develop and implement measures aimed at identifying and preventing the development of the dry eye syndrome not only among medical personnel, but also among the population as a whole.

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Investigation of dry eye symptoms of medical staffs working in hospital during 2019 novel coronavirus outbreak

Cited by 16 publications

References 16 publications

Effect of facemasks on the tear film during the COVID-19 pandemic

Effect of facemasks on the tear film during the COVID-19 pandemic

Investigation of Dry Eye Symptoms in Health Workers of National Medical College and Teaching Hospital following Corona Virus Pandemic

Dry eye masky syndrome: degree of expression and possibilities of correction

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