Secondary dry eye syndrome: a modern view

Egorov, E. A.; Romanova, T.; Rybakova, E.G.; Oganezova, J.G.

doi:10.21689/2311-7729-2017-17-2-106-110

Cited by 4 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ряд этих факторов (например, ношение МКЛ) был включен нами для дальнейшего анализа. В возрасте старше 40 лет на первый план выходят системная и местная терапия некоторыми группами лекарственных препаратов (например, инстилляции бета-блокаторов), возрастные изменения гормонального фона, использование заместительной гормональной терапии [11][12][13]16]. Вышеуказанными факторами объясняется условное разделение обследуемых на 2 возрастные подгруппы (до 40 лет и старше).…”

Section: результаты и обсуждениеunclassified

“…Это нередко усугубляется наличием других, ранее описанных экзогенных факторов риска (низкая влажность воздуха, высокая температура в по-мещении, ионизация и повышенная скорость воздуха, наличие в нем загрязнений, работа кондиционеров и др.) [9][10][11][12][13][14][15]. Таким образом, становится очевидным, что систематическое использование СИЗ может стать еще одной экзогенной причиной возможного развития или прогрессирования синдрома сухого глаза (ССГ) вследствие закономерного истончения прероговичной слезной пленки, что сопровождается нарушением ее стабильности и повышением осмолярности оставшейся в конъюнктивальной полости влаги [13][14][15][16][17][18][19][20].…”

Section: Introductionunclassified

See 1 more Smart Citation

Influence of Personal Respiratory and Visual Protective Equipment on the Development and Progression of Dry Eye Syndrome

et al. 2020

View full text Add to dashboard Cite

Purpose. To study the influence of personal protective equipment (PPE) of the respiratory and visual systems on the development and progression of dry eye syndrome (DES) and its relationship with other risk factors for medical workers.Patients and methods. The data of 243 people (male — 22.2 %, female — 77.8 %) were analyzed as part of a multi-center analytical scientific one-step study. Total tear production (Schirmer I test) was studied at the beginning and the end of the working day in persons used PPE of respiratory system (disposable medical face mask, gauze masks or different types of respirators), as well as PPE of the eyes (protective half-closed/closed glasses or protective screens). Risk factors for the development and progression of DES were registered (age, smoking, systemic hormones intake, soft contact lenses), as well as the use of artificial tears.Results. A decrease in the Schirmer I test score at the end of a 7–8 hour work shift was found by an average of 3 mm (from 13 (9; 16) mm to 10 (6; 15) mm, p < 0.001). Statistically significant changes were typical mainly for medical personnel (p < 0.001) with the maximum severity in persons working in outpatient sector. The presence of at least one DES risk factor was found in 30.5 % of patients, two factors — in 3.0 %, and three or more — in 7.0 %. There was no influence of risk factors on the degree of changes in total tear production. Reduced tear production is typical for some PPE of respiratory system (disposable masks and respirators) and the eye (screens and half-closed glasses) (p < 0.001). In people who do not use PPE of the eye, significant changes were detected only in the presence of risk factors.Conclusion. The negative influence of various PPE of the respiratory system and eye on the total tear production was established. The decrease in the results of the Schirmer I test by the end of the working day was 20–25 % of the basic level, regardless of the presence of traditional risk factors for DES. The severity of changes depended on the type of PPE used. The data obtained are particularly relevant during the new COVID-19 coronavirus pandemic and justify the need to establish specific prophylactic measures. One of the possible methods is the preventive use of artificial tears.

show abstract

Section: результаты и обсуждениеunclassified

Section: Introductionunclassified