CORRELATION OF DRY EYES WITH ON-SCREEN TIME AMONG MEDICAL STUDENTS
DOI:
https://doi.org/10.22159/ajpcr.2023v16i9.47956Keywords:
Dry Eye Disease(DED), Visual Display Terminals(VDT), Tear Film Breakup Time(TBUT)Abstract
Objective: An increased global dependence on digital screen use has resulted in a tremendous increase in screen-related ocular complaints such as dryness, ocular strain, burning sensation, grittiness, and transient blurring. This study aims to focus on the correlation between the duration of screen exposure and dry eyes among young medical students with the help of the combination of a questionnaire based on subjective symptoms of dry eyes and screen time and further tests to confirm dry eyes in those having symptoms. Numerous mechanisms have been mentioned in screen-associated evaporative dry eyes, including reduced blink rate, hazardous effects of blue light emitted from digital screens, and inflammatory changes.
Methods: A cross-sectional study was conducted among 253 medical students at MIMS, Uttar Pradesh, from January 2021 to December 2022. Upon obtaining informed consent, all participants were given Schirmer 1 and tear film breakup time (TBUT) test. Patients with Schirmer 1 and TBUT reading <10 mm were identified as dry-eye patients. After that, a pre-designed questionnaire was applied to all dry-eye participants that asked about different symptoms of dry eyes and screen time and the correlation between subjective symptoms of dry eyes, dry-eye tests, and screen time was evaluated.
Results: About 20.8% of medical students had dry eyes, and those who used their phones for 2–5 h had statistically higher rates of the condition. The length of breaks was also found to be strongly correlated with dry eye.
Conclusion: Prolonged duration of digital screen exposure in any form (laptop and mobile phones, etc.) is directly related to the risk of dry-eye disease in the long term. Majority of the students (75%) were willing to reduce their screen time as a preventive measure toward dry eye.
Downloads
References
REFERENCES
Craig JP, Nichols KK, Akpek EK, Caffery B, Dua HS, Joo CK et al. TFOS DEWS II definition and classification report. Ocul Surf 2017;15:276-83. doi: 10.1016/j.jtos.2017.05.008, PMID 28736335
Stapleton F, Alves M, Bunya VY, Jalbert I, Lekhanont K, Malet F, et al. TFOS DEWS II epidemiology report. Ocul Surf 2017;15:334-65. doi: 10.1016/j.jtos.2017.05.003, PMID 28736337
Bron AJ, De Paiva CS, Chauhan SK, Bonini S, Gabison EE, Jain S, et al. TFOS DEWS II pathophysiology report. Ocul Surf 2017;15:438- 510. doi: 10.1016/j.jtos.2017.05.011, PMID 28736340
Wolffsohn JS, Arita R, Chalmers R, Djalilian A, Dogru M, Dumbleton K, et al. TFOS DEWS II diagnostic methodology report. Ocul Surf 2017;15:539-74. doi: 10.1016/j.jtos.2017.05.001, PMID 28736342
Ranasinghe P, Wathurapatha WS, Perera YS, Lamabadusuriya DA, Kulatunga S, Jayawardana N, et al. Computer vision syndrome among computer office workers in a developing country: An evaluation of prevalence and risk factors. BMC Res Notes. 2016;9:150. doi: 10.1186/ s13104-016-1962-1, PMID 26956624
Noreen K, Batool Z, Fatima T, Zamir T. Prevalence of computer vision syndrome and its associated risk factors among undergraduate medical students. Pak J Opthalmol 2016;32:140-6.
Sheedy JE, Hayes JN, Engle J. Is all asthenopia the same? Optom Vis Sci 2003;80:732-9. doi: 10.1097/00006324-200311000-00008, PMID 14627938
Al Rashidi SH, Alhumaidan H. Computer vision syndrome prevalence, knowledge, and associated factors among Saudi Arabia University students: Is it a serious problem? Int J Health Sci 2017;11:17-9.
Hirota M, Uozato H, Kawamorita T, Shibata Y, Yamamoto S. Effect of incomplete blinking on tear film stability. Optom Vis Sci 2013;90:650- 7. doi: 10.1097/OPX.0b013e31829962ec, PMID 23770659
Bahkir FA, Grandee SS. Impact of the COVID-19 lockdown on digital device-related ocular health. Indian J Ophthalmol 2020;68:2378-83. doi: 10.4103/ijo.IJO_2306_20, PMID 33120622
Pflugfelder SC, Solomon A, Stern ME. The diagnosis and management of dry eye: A twenty-five-year review. Cornea 2000;19:644-9. doi: 10.1097/00003226-200009000-00009, PMID 11009316
Javadi MA, Feizi S. Dry eye syndrome. J Ophthalmic Vis Res 2011;6:192-8. PMID 22454735
Abelson MB, Ousler GW 3rd, Nally LA, Welch D, Krenzer K. Alternative reference values for tear film breakup time in normal and dry eye populations. Adv Exp Med Biol 2002;506:1121-5
Published
How to Cite
Issue
Section
Copyright (c) 2023 NEHA SRIVASTAVA NEHA SRIVASTAVA
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.