The Effect of Mask Use on the Ocular Surface During the COVID-19 Pandemic

Objectives:The new coronavirus disease 2019 (COVID-19) pandemic emerged in Wuhan, China in October 2019 and spread rapidly all over the world, making extended mask use an inescapable rule of daily life. Literature data indicate that the use of face masks increases the symptoms of dry eye in addition...

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Main Authors: Özlem Dikmetaş, Hilal Toprak Tellioğlu, İzlem Özturan, Sibel Kocabeyoğlu, Ali Bülent Çankaya, Murat İrkeç
Format: Article
Language:English
Published: Galenos Yayinevi 2023-04-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effect-of-mask-use-on-the-ocular-surface-durin/60211
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author Özlem Dikmetaş
Hilal Toprak Tellioğlu
İzlem Özturan
Sibel Kocabeyoğlu
Ali Bülent Çankaya
Murat İrkeç
author_facet Özlem Dikmetaş
Hilal Toprak Tellioğlu
İzlem Özturan
Sibel Kocabeyoğlu
Ali Bülent Çankaya
Murat İrkeç
author_sort Özlem Dikmetaş
collection DOAJ
description Objectives:The new coronavirus disease 2019 (COVID-19) pandemic emerged in Wuhan, China in October 2019 and spread rapidly all over the world, making extended mask use an inescapable rule of daily life. Literature data indicate that the use of face masks increases the symptoms of dry eye in addition to preventing the spread of COVID-19. The aim of our study was to evaluate the relationship between the clinical signs and symptoms of dry eye and the duration of mask use in healthy individuals using regular face masks.Materials and Methods:Thirty-five patients aged 20-60 years with no additional ophthalmologic pathology were included in the study. Participants were stratified by duration of face mask use: ≤6 hours/day (group 1) and >6 hours/day (group 2). The patients were assessed with the ocular surface disease index (OSDI) questionnaire, fluorescein ocular surface staining, and tear break-up time (TBUT) to evaluate the effect of extended mask use on the ocular surface.Results:A total of 62 eyes of 35 patients, 20 women (57.1%) and 15 men (42.9%), were included in the study. The two mask use duration groups had similar OSDI values (p=0.618). When the ocular surface staining pattern was examined according to the Oxford scale, 50% (10/20) of the eyes in group 1 were assessed as stage 1 and the other 10 eyes as stage 0. In group 2, 47.6% (20/42) of the eyes were assessed as grade 1, 11.9% (5/42) as grade 2, and 4.7% (2/42) as grade 3.Conclusion:Face mask use was shown to cause decreased TBUT and ocular surface staining even in healthy individuals. Further studies are needed to investigate changes in tear film after extended daily mask use.
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spelling doaj.art-d4fcc8e5be3d48068678b9f917bf67402023-04-25T06:55:53ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612023-04-01532747810.4274/tjo.galenos.2022.8194813049054The Effect of Mask Use on the Ocular Surface During the COVID-19 PandemicÖzlem Dikmetaş0Hilal Toprak Tellioğlu1İzlem Özturan2Sibel Kocabeyoğlu3Ali Bülent Çankaya4Murat İrkeç5 Hacettepe Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Hacettepe Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Hacettepe Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Hacettepe Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Hacettepe Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Hacettepe Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Objectives:The new coronavirus disease 2019 (COVID-19) pandemic emerged in Wuhan, China in October 2019 and spread rapidly all over the world, making extended mask use an inescapable rule of daily life. Literature data indicate that the use of face masks increases the symptoms of dry eye in addition to preventing the spread of COVID-19. The aim of our study was to evaluate the relationship between the clinical signs and symptoms of dry eye and the duration of mask use in healthy individuals using regular face masks.Materials and Methods:Thirty-five patients aged 20-60 years with no additional ophthalmologic pathology were included in the study. Participants were stratified by duration of face mask use: ≤6 hours/day (group 1) and >6 hours/day (group 2). The patients were assessed with the ocular surface disease index (OSDI) questionnaire, fluorescein ocular surface staining, and tear break-up time (TBUT) to evaluate the effect of extended mask use on the ocular surface.Results:A total of 62 eyes of 35 patients, 20 women (57.1%) and 15 men (42.9%), were included in the study. The two mask use duration groups had similar OSDI values (p=0.618). When the ocular surface staining pattern was examined according to the Oxford scale, 50% (10/20) of the eyes in group 1 were assessed as stage 1 and the other 10 eyes as stage 0. In group 2, 47.6% (20/42) of the eyes were assessed as grade 1, 11.9% (5/42) as grade 2, and 4.7% (2/42) as grade 3.Conclusion:Face mask use was shown to cause decreased TBUT and ocular surface staining even in healthy individuals. Further studies are needed to investigate changes in tear film after extended daily mask use. http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effect-of-mask-use-on-the-ocular-surface-durin/60211 covid-19mask useocular surfacedry eye
spellingShingle Özlem Dikmetaş
Hilal Toprak Tellioğlu
İzlem Özturan
Sibel Kocabeyoğlu
Ali Bülent Çankaya
Murat İrkeç
The Effect of Mask Use on the Ocular Surface During the COVID-19 Pandemic
Türk Oftalmoloji Dergisi
covid-19
mask use
ocular surface
dry eye
title The Effect of Mask Use on the Ocular Surface During the COVID-19 Pandemic
title_full The Effect of Mask Use on the Ocular Surface During the COVID-19 Pandemic
title_fullStr The Effect of Mask Use on the Ocular Surface During the COVID-19 Pandemic
title_full_unstemmed The Effect of Mask Use on the Ocular Surface During the COVID-19 Pandemic
title_short The Effect of Mask Use on the Ocular Surface During the COVID-19 Pandemic
title_sort effect of mask use on the ocular surface during the covid 19 pandemic
topic covid-19
mask use
ocular surface
dry eye
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effect-of-mask-use-on-the-ocular-surface-durin/60211
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