The Dry Eye Syndrome and Quality of Life Among Office Workers in Eskişehir Osmangazi University Hospital

Yıl 2020, , 510 - 516, 15.09.2020

Emrah Atay , Gökçe Dağtekin , Sevil Akbulut Zencirci , Hatice Aygar Alaettin Ünsal , Didem Arslantaş

https://doi.org/10.20515/otd.559500

Öz

In this study, it was aimed to
determine the prevalance of dry eye syndrome and evaluate the relationship with
quality of life in the office workers in Eskişehir Osmangazi University Faculty
of Medicine. This is a cross-sectional study conducted between January-April
2017 in Eskişehir Osmangazi University Faculty of Medicine. The study group
consists of 317 office workers who are employees of Faculty of Medicine. The
existence and level of dry eye syndrome was evaluated with The “Ocular Surface
Disease Index“ (OSDI) and SF-36 quality of life scale were used to evaluate
health-related quality of life. The people who scored 13 or more in OSDI scale
were accepted as having dry eye syndrome. Of the employees, 89 (28.1%) were
male and 228 (71.9%) were female. The ages ranged from 22 to 63 years, with a
mean of 35.86 ± 8.11 years. The prevalence of dry eye syndrome was found as
77.6% (n = 246). The prevalence of dry eye syndrome was found to be higher in
women, in patients with clinically diagnosed chronic disease, in
continuous-drug use, and in the group having another diagnosed eye disease. The
mean scores of all sub-scales of SF-36 quality of life scale were lower in
patients with dry eye syndrome. (For each sub-scale p≤0.05). There was a weak
negative correlation between the scores obtained from the OSDI scale and the
scores obtained from all subfields of the SF-36 scale. Dry eye syndrome is an
important health problem  and the quality
of life was found to be worse in people with this syndrome. It is recommended
office workers has to be informed about disease for the prevention and about
the correct use of displays. The screening of the office workers for the early
diagnosis of the disease and directing the identified cases to the specialist
physicians are also important.

Anahtar Kelimeler

Dry eye syndrome, office workers, quality of life, Eskişehir

Büro Çalışanlarında Kuru Göz Sendromu ve Yaşam Kalitesi: Eskişehir Osmangazi Üniversitesi Örneği

Öz

Çalışmada, Eskişehir Osmangazi
Üniversitesi Tıp Fakültesi hastanesi ve dekanlığında görev yapan büro
çalışanlarında Kuru Göz Sendromu (KGS) sıklığının saptanması, ilişkili olduğu
düşünülen bazı faktörlerin incelenmesi ve yaşam kalitesinin değerlendirilmesi
amaçlandı. Bu çalışma, Ocak-Nisan 2017 yılında Eskişehir Osmangazi Üniversitesi
Tıp Fakültesi Dekanlığı ve Sağlık, Uygulama ve Araştırma Hastanesi’nde görev
yapan büro çalışanları arasında gerçekleştirilen kesitsel tipte bir
araştırmadır. Çalışmaya katılmayı kabul eden 317 kişi çalışma grubunu
oluşturdu. KGS varlığı ve şiddetinin değerlendirilmesinde Oküler Yüzey Hastalık
İndeksi ölçeği (OSDİ), sağlıkla ilişkili yaşam kalitesinin değerlendirilmesinde
SF-36 yaşam kalitesi ölçeği kullanıldı. OSDİ ölçeğinden 13 ve üzeri puan
alanlarda KGS olduğu kabul edildi. Çalışanların 
89’u (%28.1) erkek, 228’i (%71.9) ise kadındır. Yaşları 22-63 arasında
değişmekte olup, ortalaması 35,86 ± 8,11 yıl idi. Araştırmamızda büro çalışanlarında
KGS görülme sıklığı %77.6 (n=246) olarak saptandı. Kadınlarda, hekim tanılı
kronik hastalığı olanlarda, sürekli ilaç kullananlarda ve hekim tanılı başka
bir göz hastalığı olanlarda KGS sıklığının daha yüksek olduğu saptandı. KGS
olanlarda SF-36 yaşam kalitesi ölçeğinin bütün alt alanlarından alınan puan
ortalamaları daha düşük idi. (Her alt alan için p≤0.05). OSDİ ölçeğinden alınan
puanlar ile SF-36 ölçeğinin tüm alt alanlarından alınan puanlar arasında
negatif yönde zayıf bir korelasyon saptandı. Büro çalışanlarında KGS önemli bir
sağlık sorunu olduğu ve bu sendromun saptandığı kişilerde yaşam kalitesinin
daha kötü olduğu görüldü. KGS’den korunma hususunda hastalık ile ilgili
farkındalık ve ekranlı araçların doğru kullanımı ile ilgili bilgilendirme
etkinliklerinin düzenlenmesi, hastalığın erken teşhisi için taramaların
yapılması ve saptanan olguların uzman hekimlere yönlendirilmesi önerilmektedir.

Anahtar Kelimeler

Kuru göz sendromu, yaşam kalitesi, büro çalışanları, Eskişehir

Kaynakça

• 1. Foulks G, Lemp M, Jester J, Sutphin J, Murube J, Novack GJOS. report of the international dry eye workshop (DEWS). 2007;5(2):65-204.
• 2. Ding J, Sullivan DAJEg. Aging and dry eye disease. 2012;47(7):483-90.
• 3. Utine CA. Kuru Göz Oluşum Mekanizması ve Sınıflandırılması. MN Oftalmoloji 2016;23(Suppl 1):1-8
• 4. Viso E, Rodriguez-Ares MT, Gude FJOe. Prevalence of and associated factors for dry eye in a Spanish adult population (the Salnes Eye Study). 2009;16(1):15-21.
• 5. Moss SE, Klein R, Klein BEJAoo. Prevalence of and risk factors for dry eye syndrome. 2000;118(9):1264-8.
• 6. Paulsen AJ, Cruickshanks KJ, Fischer ME, Huang G-H, Klein BE, Klein R, et al. Dry eye in the beaver dam offspring study: prevalence, risk factors, and health-related quality of life. 2014;157(4):799-806.
• 7. Ang RT, Dartt DA, Tsubota KJCoio. Dry eye after refractive surgery. 2001;12(4):318-22.
• 8. Schaumberg DA, Dana R, Buring JE, Sullivan DAJAoo. Prevalence of dry eye disease among US men: estimates from the Physicians' Health Studies. 2009;127(6):763-8.
• 9. Schaumberg DA, Sullivan DA, Buring JE, Dana MRJAjoo. Prevalence of dry eye syndrome among US women. 2003;136(2):318-26.
• 10. Farrand KF, Fridman M, Stillman IÖ, Schaumberg DAJAjoo. Prevalence of diagnosed dry eye disease in the united states among adults aged 18 years and older. 2017;182:90-8.
• 11. Lin P-Y, Tsai S-Y, Cheng C-Y, Liu J-H, Chou P, Hsu W-MJO. Prevalence of dry eye among an elderly Chinese population in Taiwan: the Shihpai Eye Study. 2003;110(6):1096-101.
• 12. Yilmaz U, Gokler ME, Unsal AJPjoms. Dry eye disease and depression-anxiety-stress: A hospital-based case control study in Turkey. 2015;31(3):626.
• 13. Kırağ N, Temel AB. Yaşlı Bireylerde Kuru Göz Semptomu Sıklığı ve İlişkili Faktörler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016;19(4):243-51.
• 14. Miljanović B, Dana R, Sullivan DA, Schaumberg DAJAjoo. Impact of dry eye syndrome on vision-related quality of life. 2007;143(3):409-15. e2.
• 15. Kawashima M, Uchino M, Yokoi N, Uchino Y, Dogru M, Komuro A, et al. The association of sleep quality with dry eye disease: the Osaka study. 2016;10:1015.
• 16. Tounaka K, Yuki K, Kouyama K, Abe T, Tsubota K, Kawabe H, et al. Dry eye disease is associated with deterioration of mental health in male Japanese university staff. 2014;233(3):215-20.
• 17. Salib GM, McDonald MB, Smolek MJJoC, Surgery R. Safety and efficacy of cyclosporine 0.05% drops versus unpreserved artificial tears in dry-eye patients having laser in situ keratomileusis. 2006;32(5):772-8.
• 18. Gayton JLJCo. Etiology, prevalence, and treatment of dry eye disease. 2009;3:405.
• 19. Uchino M, Uchino Y, Dogru M, Kawashima M, Yokoi N, Komuro A, et al. Dry eye disease and work productivity loss in visual display users: the Osaka study. 2014;157(2):294-300.
• 20. Eskişehir Osmangazi Üniversitesi. Fakülteler, 2018 Available from: https://ogu.edu.tr/Icerik/Index/24/fakulteler. Erişim Tarihi: [20.11.2018].
• 21. Bakkar MM, Shihadeh WA, Haddad MF, Khader YS. Epidemiology of symptoms of dry eye disease (DED) in Jordan: A cross-sectional non-clinical population-based study. Contact Lens and Anterior Eye. 2016;39(3):197-202.
• 22. Paulsen AJ, Cruickshanks KJ, Fischer ME, Huang G-H, Klein BE, Klein R, et al. Dry eye in the beaver dam offspring study: prevalence, risk factors, and health-related quality of life. American journal of ophthalmology. 2014;157(4):799-806.
• 23. Barabino S, Labetoulle M, Rolando M, Messmer EM. Understanding symptoms and quality of life in patients with dry eye syndrome. The ocular surface. 2016;14(3):365-76.
• 24. Galor A, Feuer W, Lee DJ, Florez H, Carter D, Pouyeh B, et al. Prevalence and risk factors of dry eye syndrome in a United States veterans affairs population. American journal of ophthalmology. 2011;152(3):377-84. e2.
• 25. Özcura F, Aydin S, Helvaci MR. Ocular surface disease index for the diagnosis of dry eye syndrome. Ocular immunology and inflammation. 2007;15(5):389-93.
• 26. Huang J-F, Zhang Y, Rittenhouse KD, Pickering EH, McDowell MT. Evaluations of tear protein markers in dry eye disease: repeatability of measurement and correlation with disease. Investigative ophthalmology & visual science. 2012;53(8):4556-64.
• 27. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical care. 1992:473-83.
• 28. Kocyigit H. Kisa Form-36 (KF-36)'nm Turkce versiyonunun guvenilirligi ve gecerliligi. Ilaç ve tedavi dergisi. 1999;12:102-6.
• 29. Tolonen H, Wolf H, Jakovljevic D, Kuulasmaa K. Review of surveys for risk factors of major chronic diseases and comparability of the results. European Health Risk Monitoring (EHRM) Project[text on the Internet] Oslo. 2002.
• 30. Miljanović B, Dana R, Sullivan DA, Schaumberg DA. Impact of dry eye syndrome on vision-related quality of life. American journal of ophthalmology. 2007;143(3):409-15. e2.
• 31. McCarty CA, Bansal AK, Livingston PM, Stanislavsky YL, Taylor HR. The epidemiology of dry eye in Melbourne, Australia1. Ophthalmology. 1998;105(6):1114-9.
• 32. Lin P-Y, Tsai S-Y, Cheng C-Y, Liu J-H, Chou P, Hsu W-M. Prevalence of dry eye among an elderly Chinese population in Taiwan: the Shihpai Eye Study. Ophthalmology. 2003;110(6):1096-101.
• 33. Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Archives of ophthalmology. 2000;118(9):1264-8.
• 34. Yilmaz U, Gokler ME, Unsal A. Dry eye disease and depression-anxiety-stress: A hospital-based case control study in Turkey. Pakistan journal of medical sciences. 2015;31(3):626.
• 35. Janine A. The epidemiology of dry eye disease: report of the epidemiological subcommittee of the international dry eye workshop. Ocul Surf. 2007;5(2):93-107.
• 36. Kawashima M, Uchino M, Yokoi N, Uchino Y, Dogru M, Komuro A, et al. The association of sleep quality with dry eye disease: the Osaka study. Clinical ophthalmology (Auckland, NZ). 2016;10:1015.
• 37. Portello JK, Rosenfield M, Bababekova Y, Estrada JM, Leon A. Computer‐related visual symptoms in office workers. Ophthalmic and Physiological Optics. 2012;32(5):375-82.
• 38. Schaumberg DA, Sullivan DA, Buring JE, Dana MR. Prevalence of dry eye syndrome among US women. American journal of ophthalmology. 2003;136(2):318-26.
• 39. Aydın Akova Y. ve Açıkalın B. Kadınlarda Kuru Göz. MN Oftalmoloji 2016;23(Suppl 1):60-63.
• 40. Bingöl N. Kuru Göz Tanılı Hastaların Epidemiyolojik Araştırılması. Uzmanlık Tezi. İstanbul: Okmeydanı Eğitim ve Araştırma Hastanesi; 2009.
• 41. Uchino M, Schaumberg DA, Dogru M, Uchino Y, Fukagawa K, Shimmura S, et al. Prevalence of dry eye disease among Japanese visual display terminal users. Ophthalmology. 2008;115(11):1982-8.
• 42. Lee A, Lee J, Saw S, Gazzard G, Koh D, Widjaja D, et al. Prevalence and risk factors associated with dry eye symptoms: a population based study in Indonesia. British Journal of Ophthalmology. 2002;86(12):1347-51.
• 43. Dursun Altınörs D. ve Asena L. Sistemik Hastalıklar ve Kuru Göz. MN Oftalmoloji 2016;23(Suppl 1):53-5944.
• 44. Nowak M, Marek B, Kos-Kudła B, Kajdaniuk D, Siemińska L. Tear film profile in patients with active thyroid orbithopathy. Klinika oczna. 2005;107(7-9):479-82.
• 45. Bayer A. ve Özge G. Glokom, Glokom İlaçları ve Kuru Göz. MN Oftalmoloji 2016;23(Suppl 1):91-95.
• 46. Fujishima H, Toda I, Shimazaki J, Tsubota K. Allergic conjunctivitis and dry eye. British Journal of Ophthalmology. 1996;80(11):994-7.
• 47. Knudtson MD, Klein BE, Klein R, Cruickshanks KJ, Lee KE. Age-related eye disease, quality of life, and functional activity. Archives of Ophthalmology. 2005;123(6):807-14.
• 48. Schiffman RM, Walt JG, Jacobsen G, Doyle JJ, Lebovics G, Sumner W. Utility assessment among patients with dry eye disease. Ophthalmology. 2003;110(7):1412-9.
• 49. Buchholz P, Steeds CS, Stern LS, Wiederkehr DP, Doyle JJ, Katz LM, et al. Utility assessment to measure the impact of dry eye disease. The ocular surface. 2006;4(3):155-61.
• 50. Brown MM, Brown GC. Utility assessment and dry eye disease. Ophthalmology. 2004;4(111):852-3.