The effects of a steam warming eye mask on the ocular surface and mental health

Uchino, Makoto; Kawashima, Motoko; Yamanishi, Ryutaro; Inoue, Sachiko; Kawashima, Shinichi; Tagami, Kyoko; Yoshida, Makoto; Sugita, Tohru; Uchino, Yuichi; Ohta, Michio

doi:10.1016/j.jtos.2021.05.007

Cited by 3 publications

(2 citation statements)

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“…Similarly, a large population-based study found that dry eye is associated with worse outcomes in all quantitative and qualitative aspects of sleep, and this relationship is present in all ages and sexes ( 33 ). An randomized control trial showed that the repeated use of warming eye masks had a positive effect on both tear function and mental health including depression and anxiety ( 34 ). An recent study suggested that the inability to close the eyelids during sleep was associated with worsened DED symptoms and poor sleep quality ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

Sleep Quality Is Associated With Severe Meibomian Gland Disruption in Dry Eye

et al. 2022

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PurposeTo investigate the association between sleep quality and meibomian gland dropout characteristics in dry eye patients.MethodsThis cross-sectional study involved 172 dry eye patients with no history of conditions or factors that could confound dry eye disease (DED) and/or meibomian gland dropout. Participants underwent a comprehensive anterior eye assessment. The validated Athens Insomnia Scale (AIS) and Pittsburgh Sleep Quality Index (PSQI) were used to assess sleep quality. The measured outcomes were dry eye symptoms via the Ocular Surface Disease Index (OSDI), tear breakup time (TBUT), corneal fluorescein staining, meibomian gland function, and extent of meibomian gland dropout.ResultsOf the dry eye participants, 34.9% had severe meibomian gland dropout (SMD) and 41.3% of the subjects had poor sleep quality. Patients with poor sleep quality had greater Meibomian gland dropout while the sleep AIS and PSQI scores were significantly correlated with Meibomian gland dropout (r = 0.495, p < 0.001; r = 0.24, p = 0.002; respectively). SMD patients had worse scores on all components of the PSQI (all p < 0.001, corrected for age and sex). Use of sleep medication, poor habitual sleep efficiency, and sleep disturbance were particularly prevalent in SMD patients as compared to Non-severe meibomian gland dropout (NSMD) patients. Multivariate logistic regression analysis revealed that sleep quality was eventually associated with female gender (p = 0.042), OSDI (p = 0.004), TBUT (p = 0.036), and Meibomian gland dropout score (p < 0.001).ConclusionIt was found that greater meibomian gland dropout in poor sleep quality individuals is especially related to use of sleep medication, poor habitual sleep efficiency, and sleep disturbance. This finding suggests a need for long-term studies of anterior eye health in people with poor sleep quality.

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Section: Discussionmentioning

confidence: 99%

Sleep Quality Is Associated With Severe Meibomian Gland Disruption in Dry Eye

et al. 2022

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“…In this context, systematic treatment of DED should be promoted, Yeo and Tong ( 47 ) also reported the DED patients demonstrated greater interest and acceptance of holistic treatments such as distracting their attention or sports compared with the single medication in a qualitative research about how to cope with DED. Except for conventional psychotherapy, several interventions have been proposed earlier for improving the subjective happiness, decreasing anxiety and depression score of DED patients including steam warming eye mask and cognitive behavior therapy ( 48 , 49 ). More psychological interventions from a clinical perspective for DED patients need to be raised and evaluated in future based on the cause of anxiety and depression identified in this study such as establishing patient-support-group and other personalized communication program and treatment plan.…”

Section: Discussionmentioning

confidence: 99%

Experience of Dry Eye Patients With Anxiety and Depression: A Qualitative Study

Zeng

et al. 2022

Front. Med.

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PurposeAnxiety and depression are important risk factors for dry eye disease (DED). The aims of this research are to identify the cause of anxiety and depression in DED patients and explore their strategies in coping with DED.MethodsThis is a qualitative study based on semi-structured interviews, and the interviews records were analyzed through inductive thematic analysis. Participants were recruited from a large university affiliated hospital in the north of China, including 47 participants affected by depression and anxiety.ResultsAnalysis revealed the causes of anxiety and depression in DED patients could be divided into three major themes and nine subthemes: (1) From hospital: including difficulties in diagnosing and seeking medical advice, neglect or lack of attention from clinicians, low treatment satisfaction and complex comorbidities; (2) From daily life: including life satisfaction and well-being, changes in lifestyle pattern and changes in workstyle pattern; (3) From society: including burden of disease and reduction of social interaction. Most DED Patients with anxiety and depression were more likely to face the condition as well as receive treatments negatively, while the others tended to seek treatments unduly and blindly.ConclusionThis investigation offers new insights into the understanding difficulties in DED patients with anxiety and depression, and provides valuable guidance for supporting them to reduce depression and anxiety as well as improve prognosis.

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