Assessment of dry eye in pediatric population along with ocular surface disorder and visual display terminal

Authors

  • Namrata Srivastava Department of Optometry ERA University of Allied Health Science, Lucknow, Uttar Pradesh, India http://orcid.org/0000-0003-1798-2891
  • P. N. Dwivedi Department of Ophthalmology, Satya Eye Hospital and Research Institute, Kanpur, Uttar Pradesh, India
  • Nitesh Srivastava Department of Optometry, Satya Eye Hospital and Research Institute, Kanpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20223305

Keywords:

Dry eye, Vernal kerato-conjunctivitis, Meibomian gland dysfunction, Visual display terminal

Abstract

Background: Dry eye is a disease condition wherein the ocular surface is either not uniformly or not completely lubricated by tear film. Dry eye is less prevalent in children, but if observed it may be a manifestation of conditions like Steven Jonson syndrome, Sjogren’s syndrome, blepharitis, MGD or VKC. Therefore, evaluation of dry eye may aid in effective and timely treatment of other life-threatening diseases in children. Aim of current study was determination of dry eye in pediatrics and to investigate its association with ocular surface disorders like MGD, VKC and VDT.

Methods: A prospective observational study was conducted on 400 patients. All patients were screened for OSDI and patients having index score >11 were investigated for dry eye disease, based on inter blink interval and tear-film breakup time determined using slit lamp and through Schirmer’s test. Dry eye patients were further investigated to determine type and causative factors for dry eye.

Results: 25 patients exhibited bilateral dry eye with >12 score. Children of age group 7-18 years were commonly affected. Diseases commonly observed to be associated with dry eye in children were VKC, MGD, or visual display terminal caused due to over use of smart phone and digital screen.

Conclusions: The evaporative dry eye due to MGD and VDT is more common in pediatric age group in comparison to aqueous deficiency dry eye. Overuse of smart phones, tablets or computers increases the prevalence of dry eye which inturn affect their outdoor activity, studies and over all development of children.

 

Author Biography

Namrata Srivastava, Department of Optometry ERA University of Allied Health Science, Lucknow, Uttar Pradesh, India

 I am currently working in the Department of Optometry as an assistant professor in Allied Health Science at ERA UNIVERSITY Lucknow, Uttar Pradesh, India. I have more than 13 years of experience as consultant Optometrist and professional trainer of optometrist more than seven recognized institutes as well as Universities. I have actively looked after, contributed to various academic activities such as Academic Projects, Research Programs, Eye-Campaign, and National Level Conferences across India meets the higher domain of pedagogy for up-gradation and upliftment of Students, Profession, and University.

References

Zemanová M. Dry eye disease. a review. Cesk Slov Oftalmol. 2021;77(3):107–19.

Golden MI, Meyer JJ, Patel BC. Dry eye syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.

Pflugfelder SC. Differential diagnosis of dry eye conditions. Adv Dent Res. 1996;10(1):9-12.

Alves M, Dias AC, Rocha EM. Dry eye in childhood: epidemiological and clinical aspects. Ocul Surf. 2008;6(1):44-51.

Chidi-Egboka NC, Golebiowski B, Lee SY, Vi M, Jalbert I. Dry eye symptoms in children: can we reliably measure them? Ophthalmic Physiol Opt. 2021;41(1):105-15.

Greiner KL, Walline JJ. Dry eye in pediatric contact lens wearers. Eye Contact Lens. 2010;36(6):352-5.

Akil H, Celik F, Ulas F, Kara IS. Dry Eye Syndrome and Allergic Conjunctivitis in the Pediatric Population. Middle East Afr J Ophthalmol. 2015;22(4):467-71.

Moon JH, Kim KW, Moon NJ. Smartphone use is a risk factor for pediatric dry eye disease according to region and age: a case control study. BMC Ophthalmol. 2016;16(1):188.

Sahai A, Malik P. Dry eye: prevalence and attributable risk factors in a hospital-based population. Indian J Ophthalmol. 2005;53(2):87-91.

Ousler GW, Hagberg KW, Schindelar M, Welch D, Abelson MB. The ocular protection index. Cornea. 2008;27(5):509-13.

Porcar E, Pons AM, Lorente A. Visual and ocular effects from the use of flat-panel displays. Int J Ophthalmol. 2016;9(6):881-5.

Porcar E, Pons AM, Lorente A. Visual and ocular effects from the use of flat-panel displays. Int J Ophthalmol. 2016;9(6):881-5.

Moon JH, Kim KW, Moon NJ. Smartphone use is a risk factor for pediatric dry eye disease according to region and age: a case control study. BMC Ophthalmol. 2016;16:188.

Chen L, Pi L, Fang J, Chen X, Ke N, Liu Q. High incidence of dry eye in young children with allergic conjunctivitis in Southwest China. Acta Ophthalmol. 2015;94(8):727-30.

Moon JH, Lee MY, Moon NJ. Association between video display terminal use and dry eye disease in school children displayed. J Paediatr Ophthalmol Strab. 2014;51(2):87-92.

Park JS, Choi MJ, Ma JE, Moon JH, Moon HJ. Influence of cellular phone videos and games on dry eye syndromes in University Students. J Korean Acad Community Health Nurs. 2014;25(1):12-23.

Johnston PR, Rodriguez J, Lane KJ, Ousler G, Abelson MB. The interblink interval in normal and dry eye subjects. Clin Ophthalmol. 2013;7:253-9.

Tsubota K, Hata S, Okusawa Y, Egami F, Ohtsuki T, Nakamori K. Quantitative videographic analysis of blinking in normal subjects and patients with dry eye. Arch Ophthalmol. 1996;114(6):715-20.

Kozeis N. Impact of computer use on children's vision. Hippokratia. 2009;13(4):230-1.

Akkaya S, Atakan T, Acikalin B, Aksoy S, Ozkurt Y. Effects of long-term computer use on eye dryness. North Clin Istanb. 2018;5(4):319-22.

Choi JH, Li Y, Kim SH, Jin R, Kim YH, Choi W, et al. The influences of smartphone use on the status of the tear film and ocular surface. PLoS One. 2018;13(10):e0206541.

Al-Marri K, Al-Qashoti M, Al-Zoqari H, Elshaikh U, Naqadan A, Saeed R, Faraj J, Shraim M. The relationship between smartphone use and dry eye disease: A systematic review with a narrative synthesis. Medicine (Baltimore). 2021;100(38):e2731.

Downloads

Published

2022-12-29

How to Cite

Srivastava, N., Dwivedi, P. N., & Srivastava, N. (2022). Assessment of dry eye in pediatric population along with ocular surface disorder and visual display terminal. International Journal Of Community Medicine And Public Health, 10(1), 154–158. https://doi.org/10.18203/2394-6040.ijcmph20223305

Issue

Section

Original Research Articles