Assessment Of Dry Eye Disease in Young Adults
Keywords:
Dry Eye Disease, Young Adults, OSDI Questionnaire, SPEED QuestionnaireAbstract
Abstract
TITLE: Assessment Of Dry Eye Disease in Young Adults
BACKGROUND: To assess the prevalence of Dry eye disease (DED) in the young adult population that is invariably exposed to significant risk factors predisposing to the disease.
METHODS: 408 young adults answered OSDI (Ocular Surface Disease Index) and SPEED (Standardized Patient Evaluation of Eye Dryness) questionnaires. Those with OSDI and SPEED grading of moderate and severe DED were further evaluated. Appropriate treatment was started and patients were followed up after 8 weeks.
RESULTS: Prevalence of DED was 21.56% (n= 88) by OSDI score and 20.58% (n=84) by SPEED score. Higher prevalence was seen in the age group of 23 years. Myopia, refraction, history of excessive Video Display Terminal use and contact lens use (p<0.05) were noted to be significant risk factors for DED. Schirmer’s Test (ST) scores were <5mm for 22(25%) and 26(29.54%) patients, 6-10mm for 22(25%) and 12(13.63%) patients in Right Eye (RE) and Left Eye (LE) respectively by OSDI. By SPEED, 22(26.2%) and 26 (31%) patients had <5mm scores and 22(26.2%) and 10(11.9%) had scores of 6-10mm in RE and LE respectively. TBUT (Tear Film Break Up Time) values of <10 sec were observed in all patients (100%) in RE and all but two patients in LE from both questionnaires. Post treatment mean ST and TBUT value was significantly higher following lubricating eye drop treatment and lifestyle changes (p<0.01)
CONCLUSION: DED has a significant prevalence in the young adult population. Appropriate lifestyle changes along with medications is important for its management.
Keywords: Dry Eye Disease, Young Adults, OSDI Questionnaire, SPEED questionnaire
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