Differential response to topical lubrication in patient with dry eye disease, based on age

Abstract Background To compare the Ocular surface disease index (OSDI) score, Schirmer I test (SIT), fluorescein break up time (FBUT) and fluorescence staining (FLCS) score of dry eye patients at different ages. Methods 90 eyes of 90 patients with mild to moderate dry eye from September 2020 to Sept...

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Main Authors: Yingxin Chen, Yajun Wu, Minghong Gao, Ruiyao Gao, Kai Zhang
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-022-02609-2
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author Yingxin Chen
Yajun Wu
Minghong Gao
Ruiyao Gao
Kai Zhang
author_facet Yingxin Chen
Yajun Wu
Minghong Gao
Ruiyao Gao
Kai Zhang
author_sort Yingxin Chen
collection DOAJ
description Abstract Background To compare the Ocular surface disease index (OSDI) score, Schirmer I test (SIT), fluorescein break up time (FBUT) and fluorescence staining (FLCS) score of dry eye patients at different ages. Methods 90 eyes of 90 patients with mild to moderate dry eye from September 2020 to September 2021 were retrospectively included and were divided into young group (20–39 years, n = 29), middle-age group (40–59 years, n = 30), and elder group (> 60 years, n = 31). Patients were given a 28-day topical lubricating ocular surface and repair-promoting drugs combined with local physical therapy. Patients were followed up at 7, 14 and 28 days. The OSDI score, SIT, FBUT and FLCS score were examined. Results There were differences between the OSDI score in three groups at each time point (all P < 0.001). SIT were different among the three groups (F = 350.61, P < 0.001), and a time effect was found (F = 80.87, P < 0.001). SIT at 14 and 28 days after treatment in middle-age and elder groups were lower than young group (all P < 0.001). SIT at 7, 14 and 28 days in elder group were lower than middle-age group (all P < 0.001). FLCS score was lower at 28 days than other time points (all P < 0.001). Conclusion Dry eye patients are given a 28-day topical lubricating ocular surface and repair-promoting drugs combined with local physical therapy, which can promote tear secretion, film stability, and the recovery of corneal integrity. Age affects the treatment effect of mild to moderate dry eye, among which tear secretion is the most significant.
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spelling doaj.art-008ed0983023498eb31a914edf5596e52022-12-22T02:26:28ZengBMCBMC Ophthalmology1471-24152022-10-012211610.1186/s12886-022-02609-2Differential response to topical lubrication in patient with dry eye disease, based on ageYingxin Chen0Yajun Wu1Minghong Gao2Ruiyao Gao3Kai Zhang4Department of ophthalmology, the General Hospital of Northern Theater CommandDepartment of ophthalmology, the General Hospital of Northern Theater CommandDepartment of ophthalmology, the General Hospital of Northern Theater CommandDepartment of ophthalmology, the General Hospital of Northern Theater CommandDepartment of ophthalmology, the General Hospital of Northern Theater CommandAbstract Background To compare the Ocular surface disease index (OSDI) score, Schirmer I test (SIT), fluorescein break up time (FBUT) and fluorescence staining (FLCS) score of dry eye patients at different ages. Methods 90 eyes of 90 patients with mild to moderate dry eye from September 2020 to September 2021 were retrospectively included and were divided into young group (20–39 years, n = 29), middle-age group (40–59 years, n = 30), and elder group (> 60 years, n = 31). Patients were given a 28-day topical lubricating ocular surface and repair-promoting drugs combined with local physical therapy. Patients were followed up at 7, 14 and 28 days. The OSDI score, SIT, FBUT and FLCS score were examined. Results There were differences between the OSDI score in three groups at each time point (all P < 0.001). SIT were different among the three groups (F = 350.61, P < 0.001), and a time effect was found (F = 80.87, P < 0.001). SIT at 14 and 28 days after treatment in middle-age and elder groups were lower than young group (all P < 0.001). SIT at 7, 14 and 28 days in elder group were lower than middle-age group (all P < 0.001). FLCS score was lower at 28 days than other time points (all P < 0.001). Conclusion Dry eye patients are given a 28-day topical lubricating ocular surface and repair-promoting drugs combined with local physical therapy, which can promote tear secretion, film stability, and the recovery of corneal integrity. Age affects the treatment effect of mild to moderate dry eye, among which tear secretion is the most significant.https://doi.org/10.1186/s12886-022-02609-2Dry eyeAgeOcular surface disease index scoreSchirmer I testFluorescein break up timeCorneal fluorescence staining score
spellingShingle Yingxin Chen
Yajun Wu
Minghong Gao
Ruiyao Gao
Kai Zhang
Differential response to topical lubrication in patient with dry eye disease, based on age
BMC Ophthalmology
Dry eye
Age
Ocular surface disease index score
Schirmer I test
Fluorescein break up time
Corneal fluorescence staining score
title Differential response to topical lubrication in patient with dry eye disease, based on age
title_full Differential response to topical lubrication in patient with dry eye disease, based on age
title_fullStr Differential response to topical lubrication in patient with dry eye disease, based on age
title_full_unstemmed Differential response to topical lubrication in patient with dry eye disease, based on age
title_short Differential response to topical lubrication in patient with dry eye disease, based on age
title_sort differential response to topical lubrication in patient with dry eye disease based on age
topic Dry eye
Age
Ocular surface disease index score
Schirmer I test
Fluorescein break up time
Corneal fluorescence staining score
url https://doi.org/10.1186/s12886-022-02609-2
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AT yajunwu differentialresponsetotopicallubricationinpatientwithdryeyediseasebasedonage
AT minghonggao differentialresponsetotopicallubricationinpatientwithdryeyediseasebasedonage
AT ruiyaogao differentialresponsetotopicallubricationinpatientwithdryeyediseasebasedonage
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