Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study

Abstract To assess the prevalence of dry eye disease (DED) and Meibomian gland dysfunction (MGD) in a population in Russia. The population-based Ural Eye and Medical Study was conducted in an urban and rural region in Bashkortostan/Russia and included 5899 (80.5%) out of 7328 eligible persons, aged...

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Main Authors: Mukharram M. Bikbov, Timur R. Gilmanshin, Rinat M. Zainullin, Gyulli M. Kazakbaeva, Ellina M. Iakupova, Albina A. Fakhretdinova, Azaliia M. Tuliakova, Songhomitra Panda-Jonas, Iuliia A. Rusakova, Ildar F. Nuriev, Artur F. Zaynetdinov, Liana A. Miniazeva, Jost B. Jonas
Format: Article
Language:English
Published: Nature Portfolio 2022-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-22580-8
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author Mukharram M. Bikbov
Timur R. Gilmanshin
Rinat M. Zainullin
Gyulli M. Kazakbaeva
Ellina M. Iakupova
Albina A. Fakhretdinova
Azaliia M. Tuliakova
Songhomitra Panda-Jonas
Iuliia A. Rusakova
Ildar F. Nuriev
Artur F. Zaynetdinov
Liana A. Miniazeva
Jost B. Jonas
author_facet Mukharram M. Bikbov
Timur R. Gilmanshin
Rinat M. Zainullin
Gyulli M. Kazakbaeva
Ellina M. Iakupova
Albina A. Fakhretdinova
Azaliia M. Tuliakova
Songhomitra Panda-Jonas
Iuliia A. Rusakova
Ildar F. Nuriev
Artur F. Zaynetdinov
Liana A. Miniazeva
Jost B. Jonas
author_sort Mukharram M. Bikbov
collection DOAJ
description Abstract To assess the prevalence of dry eye disease (DED) and Meibomian gland dysfunction (MGD) in a population in Russia. The population-based Ural Eye and Medical Study was conducted in an urban and rural region in Bashkortostan/Russia and included 5899 (80.5%) out of 7328 eligible persons, aged 40 + years. DED and MGD were assessed by Schirmer´s test, slit-lamp based examination of the Meibomian glands, and an interview with DED-related questions. The study included 5153 (87.4%) individuals with DED and MGD assessments (mean age: 58.5 ± 10.5 years). The mean Schirmer´s test result was 11.8 ± 6.8 mm and 12.5 ± 7.1 mm for the right/left eye, with a result of ≤ 5 mm measured in 1098 (21.3%; 95% confidence intervals (CI) 20.2, 22.4) of the worse eyes. The mean subjective dry eye symptoms score was 1.37 ± 1.82. MGD grade 1 (telangiectasia at the lid margin), 2, 3, 4 or any grade in the worse eye was diagnosed in 901 (21.1%), 1161 (27.1%), 158 (3.7%), 32 (0.7%), and 2252 (52.6%; 95% CI 51.1, 54.1) eyes respectively. The prevalence of DED diagnosis #1, #2 and #3 (Schirmer´s test ≤ 5 mm, and dry eye score ≥ 1, ≥ 2, and ≥ 3, respectively), #4 (dry eye score ≥ 1, Schirmer test ≤ 5 mm, MGD grade 1 +), and #5 (dry eye score ≥ 1, Schirmer test ≤ 5 mm, MGD grade 2 +) were 598/5142 (11.6%), 426/5153 (8.3%), 273/5142 (5.3%), 335/5142 (6.5%), and 186/5142 (3.6%), respectively. Mean depression score as applied was 5.1 ± 3.8. Higher DED prevalence (definition #4) was associated (multivariable analysis) with female sex (odds ratio (OR) 1.71; 95% CI 1.31, 2.22; P < 0.001), higher depression score (OR 1.04; 95% CI 101, 1.07; P = 0.009), and higher prevalence of thyroid disease history (OR 1.63; 95% CI 1.19, 2.24; P = 0.006). DED and MGD were common in this rural and urban population, and their prevalence was associated with female sex, thyroid disease, and depression.
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spelling doaj.art-e186511fdd2e460f82a30cd2ea6e5f9e2022-12-22T02:31:08ZengNature PortfolioScientific Reports2045-23222022-11-0112111410.1038/s41598-022-22580-8Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical studyMukharram M. Bikbov0Timur R. Gilmanshin1Rinat M. Zainullin2Gyulli M. Kazakbaeva3Ellina M. Iakupova4Albina A. Fakhretdinova5Azaliia M. Tuliakova6Songhomitra Panda-Jonas7Iuliia A. Rusakova8Ildar F. Nuriev9Artur F. Zaynetdinov10Liana A. Miniazeva11Jost B. Jonas12Ufa Eye Research InstituteUfa Eye Research InstituteUfa Eye Research InstituteUfa Eye Research InstituteUfa Eye Research InstituteUfa Eye Research InstituteUfa Eye Research InstitutePrivatpraxis Prof Jonas und Dr Panda-JonasUfa Eye Research InstituteUfa Eye Research InstituteUfa Eye Research InstituteUfa Eye Research InstitutePrivatpraxis Prof Jonas und Dr Panda-JonasAbstract To assess the prevalence of dry eye disease (DED) and Meibomian gland dysfunction (MGD) in a population in Russia. The population-based Ural Eye and Medical Study was conducted in an urban and rural region in Bashkortostan/Russia and included 5899 (80.5%) out of 7328 eligible persons, aged 40 + years. DED and MGD were assessed by Schirmer´s test, slit-lamp based examination of the Meibomian glands, and an interview with DED-related questions. The study included 5153 (87.4%) individuals with DED and MGD assessments (mean age: 58.5 ± 10.5 years). The mean Schirmer´s test result was 11.8 ± 6.8 mm and 12.5 ± 7.1 mm for the right/left eye, with a result of ≤ 5 mm measured in 1098 (21.3%; 95% confidence intervals (CI) 20.2, 22.4) of the worse eyes. The mean subjective dry eye symptoms score was 1.37 ± 1.82. MGD grade 1 (telangiectasia at the lid margin), 2, 3, 4 or any grade in the worse eye was diagnosed in 901 (21.1%), 1161 (27.1%), 158 (3.7%), 32 (0.7%), and 2252 (52.6%; 95% CI 51.1, 54.1) eyes respectively. The prevalence of DED diagnosis #1, #2 and #3 (Schirmer´s test ≤ 5 mm, and dry eye score ≥ 1, ≥ 2, and ≥ 3, respectively), #4 (dry eye score ≥ 1, Schirmer test ≤ 5 mm, MGD grade 1 +), and #5 (dry eye score ≥ 1, Schirmer test ≤ 5 mm, MGD grade 2 +) were 598/5142 (11.6%), 426/5153 (8.3%), 273/5142 (5.3%), 335/5142 (6.5%), and 186/5142 (3.6%), respectively. Mean depression score as applied was 5.1 ± 3.8. Higher DED prevalence (definition #4) was associated (multivariable analysis) with female sex (odds ratio (OR) 1.71; 95% CI 1.31, 2.22; P < 0.001), higher depression score (OR 1.04; 95% CI 101, 1.07; P = 0.009), and higher prevalence of thyroid disease history (OR 1.63; 95% CI 1.19, 2.24; P = 0.006). DED and MGD were common in this rural and urban population, and their prevalence was associated with female sex, thyroid disease, and depression.https://doi.org/10.1038/s41598-022-22580-8
spellingShingle Mukharram M. Bikbov
Timur R. Gilmanshin
Rinat M. Zainullin
Gyulli M. Kazakbaeva
Ellina M. Iakupova
Albina A. Fakhretdinova
Azaliia M. Tuliakova
Songhomitra Panda-Jonas
Iuliia A. Rusakova
Ildar F. Nuriev
Artur F. Zaynetdinov
Liana A. Miniazeva
Jost B. Jonas
Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study
Scientific Reports
title Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study
title_full Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study
title_fullStr Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study
title_full_unstemmed Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study
title_short Prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study
title_sort prevalence and associations of dry eye disease and meibomian gland dysfunction in the ural eye and medical study
url https://doi.org/10.1038/s41598-022-22580-8
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