Literature DB >> 19191179

A questionnaire-based assessment of symptoms associated with tear film dysfunction and lid margin disease in an Asian population.

Louis Tong1, Louis Tongg, Seang-Mei Saw, Ecosse L Lamoureux, Jie Jin Wang, Mohamad Rosman, Donald T H Tan, Tien Y Wong.   

Abstract

PURPOSE: To study the prevalence, associated factors and impact of symptomatic dry eye in an Asian population.
METHODS: A population based survey of eye diseases in 3,280 (78.7% response rate) Malay persons aged 40-80 selected from designated areas in southwestern Singapore. Participants were administered a standardized dry eye questionnaire consisting of 6 questions on symptoms, and had a comprehensive systemic and ocular examination. Symptoms of tear film dysfunction (STFD) was defined as one or more self-reported symptoms that were frequently present (ranked often or all the time).
RESULTS: The prevalence rate of STFD was 6.5% (95% confidence interval [CI]: 5.7, 7.4). The prevalence was significantly higher in men compared to women (8.2% and 4.9%, respectively; p < 0.001) and decreased with age in men (p = 0.002) but not in women (p = 0.101). After adjusting for age, gender, nature of work (outdoor/indoor), and housing type, factors significantly associated with STFD were cigarette smoking (odds ratio [OR] 1.77, 95% CI: 1.17-2.66), thyroid disease (OR 2.58; 95% CI: 1.29-5.18) and higher income (OR 1.74; 95% CI: 1.13-2.68). STFD were associated with self-reported difficulty in performing daily activities (work, family and leisure related) (p = 0.006).
CONCLUSION: STFD are present in 6.5% of Singapore Malay adults and is associated with cigarette smoking, presence of thyroid disease and a reduced visual function-related quality of life.

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Year:  2009        PMID: 19191179     DOI: 10.1080/09286580802521317

Source DB:  PubMed          Journal:  Ophthalmic Epidemiol        ISSN: 0928-6586            Impact factor:   1.648


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