Systemic Comorbidities of Dry Eye Syndrome

Roh, Hyeon Cheol; Lee, Jimmy K.; Kim, Martha; Oh, Jung Hyun; Chang, Moon Jong; Chuck, Roy S.; Park, Keun

doi:10.1097/ico.0000000000000657

Cited by 45 publications

(21 citation statements)

References 32 publications

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“…In addition, dry eye syndrome is more common in those who work on computers and has been reported in up to 60% of individuals who work with video monitors [ 16 ]. This prevalence is very high when considering the prevalence of dry eye syndrome in the general population is approximately 10% [ 17 ]. Although the exact mechanism of CVS is unclear, a decreased blink rate and increased accommodative effort are considered two possible underlying causes.…”

Section: Discussionmentioning

confidence: 99%

Visual Fatigue Induced by Viewing a Tablet Computer with a High-resolution Display

Kim

Lim

et al. 2017

Korean J Ophthalmol

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104

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PurposeIn the present study, the visual discomfort induced by smart mobile devices was assessed in normal and healthy adults.MethodsFifty-nine volunteers (age, 38.16 ± 10.23 years; male : female = 19 : 40) were exposed to tablet computer screen stimuli (iPad Air, Apple Inc.) for 1 hour. Participants watched a movie or played a computer game on the tablet computer. Visual fatigue and discomfort were assessed using an asthenopia questionnaire, tear film break-up time, and total ocular wavefront aberration before and after viewing smart mobile devices.ResultsBased on the questionnaire, viewing smart mobile devices for 1 hour significantly increased mean total asthenopia score from 19.59 ± 8.58 to 22.68 ± 9.39 (p < 0.001). Specifically, the scores for five items (tired eyes, sore/aching eyes, irritated eyes, watery eyes, and hot/burning eye) were significantly increased by viewing smart mobile devices. Tear film break-up time significantly decreased from 5.09 ± 1.52 seconds to 4.63 ± 1.34 seconds (p = 0.003). However, total ocular wavefront aberration was unchanged.ConclusionsVisual fatigue and discomfort were significantly induced by viewing smart mobile devices, even though the devices were equipped with state-of-the-art display technology.

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Section: Discussionmentioning

confidence: 99%

Visual Fatigue Induced by Viewing a Tablet Computer with a High-resolution Display

Kim

Lim

et al. 2017

Korean J Ophthalmol

Self Cite

104

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“…Roh et al [ 15 ] tried to identify systemic comorbidities in patients with dry eye syndrome in South Korea ( n = 17,364), with a prevalence of dry eye of 10.4%. Degenerative arthritis (OR 1.57) and rheumatoid arthritis (OR 1.44) were associated with a significantly higher prevalence of dry eye.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with severe dry eye in primary Sjögren’s syndrome diagnosed patients

et al. 2018

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IntroductionPrimary Sjögren’s syndrome (pSS) is an autoimmune disease, characterized by lymphocytic infiltration of exocrine glands and other organs, resulting in dry eye, dry mouth and extraglandular systemic findings.ObjectiveTo explore the association of severe or very severe dry eye with extraocular involvement in patients diagnosed with primary Sjögren’s syndrome.MethodsSJOGRENSER registry is a multicenter cross-sectional study of pSS patients. For the construction of our main variable, severe/very severe dry eye, we used those variables that represented a degree 3–4 of severity according to the 2007 Dry Eye Workshop classification. First, bivariate logistic regression models were used to identify the effect of each independent variable on severe/very severe dry eye. Secondly, multivariate analysis using regression model was used to establish the independent effect of patient characteristics.ResultsFour hundred and thirty-seven patients were included in SJOGRENSER registry; 94% of the patients complained of dry eye and 16% developed corneal ulcer. Schirmer’s test was pathological in 92% of the patients; 378 patients presented severe/very severe dry eye. Inflammatory articular involvement was significantly more frequent in patients with severe/very severe dry eye than in those without severe/very severe dry eye (82.5 vs 69.5%, p = 0,028). Inflammatory joint involvement was associated with severe/very severe dry eye in the multivariate analysis, OR 2.079 (95% CI 1.096–3.941).ConclusionSevere or very severe dry eye is associated with the presence of inflammatory joint involvement in patients with pSS. These results suggest that a directed anamnesis including systemic comorbidities, such as the presence of inflammatory joint involvement or dry mouth in patients with dry eye, would be useful to suspect a pSS.

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“…It may be related that there were less women, more young people, and fewer people with chronic diseases in the group that had consumed 3 or more cups of coffee. It is well known that the risk of dry eye syndrome is higher in women, people with chronic diseases, and older individuals [ 7 , 18 - 21 ]. The cross-sectional study of Moss et al [ 13 ] also showed that men and younger people had lower risk of dry eye syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…There is a wide range of risk factors that include age, sex, postmenopausal hormone therapy experience, presence of connective tissue disease, prior refractive surgery, and exposure to various medications such as antihistamines, antihypertensive, and antidepressant [ 6 ]. Furthermore, a study in Korea has shown that residents in urban areas, people that work in offices, or those with medical conditions including hyperlipidemia, osteoarthritis, and renal failure are more at risk of dry eye syndrome [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Dry Eye Syndrome and Frequency of Coffee Consumption in Korean Adults: Korea National Health and Nutrition Examination Survey V, 2010–2012

et al. 2018

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BackgroundDry eye syndrome is a common health problem in the adult population. Many risk factors including age, sex, prior eye surgery, various chronic diseases, and lifestyle factors can affect its development. We have evaluated the risk of dry eye syndrome based on the frequency of coffee consumption among Korean adult population.MethodsA total of 9,752 adults with age 19 years and older were randomly selected between 2010 and 2012. They have all participated in the National Health and Nutrition Examination Survey V of Korea. Dry eye syndrome was being diagnosed by the physicians at some points in the participant’s lifetime. The average daily coffee intake was divided into the following: less than 1 cup, 1 to 2 cups, and 3 cups or more. Various physio-environmental factors and medical conditions were used as correction variables to assess the risk of dry eye syndrome in relation to the frequency of coffee consumption.ResultsThe prevalence of dry eye syndrome decreased to 9.2%, 8.8%, and 6.3% as coffee consumption increased from less than 1 cup to 1–2 cups and more than 3 cups, respectively. However, there was no significant relationship between the frequency of coffee consumption and the risk of dry eye syndrome after adjusting various risk factors.ConclusionThere is no relationship between the frequency of coffee consumption and risk of dry eye syndrome.

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Systemic Comorbidities of Dry Eye Syndrome

Abstract: We found that patients with dry eye syndrome have a higher prevalence of several systemic comorbidities. A more comprehensive therapeutic approach considering the effect of systemic medication may be necessary in these patients.

Cited by 45 publications

References 32 publications

Visual Fatigue Induced by Viewing a Tablet Computer with a High-resolution Display

Visual Fatigue Induced by Viewing a Tablet Computer with a High-resolution Display

Factors associated with severe dry eye in primary Sjögren’s syndrome diagnosed patients

Relationship between Dry Eye Syndrome and Frequency of Coffee Consumption in Korean Adults: Korea National Health and Nutrition Examination Survey V, 2010–2012

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