Influence of video display terminal use and meibomian gland dysfunction on the ocular surface and tear neuromediators

© 2022. The Author(s), under exclusive licence to Springer Nature B.V..

OBJECTIVE: To evaluate the effects of video display terminal (VDT) work and meibomian gland dysfunction (MGD) on ocular surface parameters, tear cytokine and substance P (SP) levels, and their association with dry eye disease (DED).

METHODS: This cross-sectional study included 60 patients with evaporative DED and 20 healthy individuals. The DED patients were divided into three groups according to daily VDT work time and presence of MGD. The ocular surface and tear film were assessed using the Ocular Surface Disease Index questionnaire (OSDI), tear film break-up time (TBUT), ocular surface staining, Schirmer II test, and corneal sensitivity. MGD was evaluated with meibography. Corneal nerve alterations were evaluated using in vivo confocal microscopy (IVCM). The tear levels of 30 cytokines and SP were examined.

RESULTS: Compared to controls, DED patients had higher OSDI score (p < 0.001), increased corneal staining with fluorescein and lissamine green (p = 0.046, p = 0,038), and lower TBUT (p < 0.001). Tear interleukin-6 levels were higher in DED patients, while tear SP levels did not differ between the groups (p = 0.265). VDT work time showed a weak positive correlation with OSDI (r = 0.274, p = 0.014) and SP level (r = 0.284, p = 0.011).

CONCLUSION: The results of this study show that VDT use and MGD have an adverse effect on the ocular surface. It was also observed that the combination of VDT use and MGD did not significantly increase the ocular surface disease, but longer VDT exposure may be associated with more complaints of ocular discomfort.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

International ophthalmology - 43(2023), 5 vom: 14. Mai, Seite 1537-1544

Sprache:

Englisch

Beteiligte Personen:

Bilgic, Ahmet Alp [VerfasserIn]
Kocabeyoglu, Sibel [VerfasserIn]
Dikmetas, Ozlem [VerfasserIn]
Tan, Cagman [VerfasserIn]
Karakaya, Jale [VerfasserIn]
Irkec, Murat [VerfasserIn]

Links:

Volltext

Themen:

Cytokines
Evaporative dry eye
In vivo confocal microscopy
Journal Article
Meibomian gland dysfunction
Substance P
Tear neuromediators
Video display terminal

Anmerkungen:

Date Completed 02.05.2023

Date Revised 02.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10792-022-02549-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM347548709