Emmanuel Eric Pazo

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Prevalence of dry eye in people over 50 years old in Beichen district, Tianjin city: a cross-sectional population-based survey

Lianqing Chang, Qian Guo, Emmanuel Eric Pazo, Fei Ran Li, Zhongfang Zhang, Zijie Fang, Yue Huang, Ruibo Yang, Hui Liu, Xiaorong Li, Chen Zhang, Shaozhen Zhao

BMC Public Health, 2024 · article · doi:10.1186/s12889-024-19616-1 · cited by 10 · Open access (CC BY-NC-ND)

Ocular surface & dry eye

Abstract

BACKGROUND: A cross-sectional population-based survey in the Beichen district of Tianjin was conducted to estimate the prevalence of dry eye disease (DED) among the population over 50 years old with Dry Eye Workshop (DEWS) II and Chinese expert consensus (CEC) criteria. METHODS: A total of 5791 subjects over 50 years old were enrolled. Ocular surface disease index (OSDI) questionnaire, lipid layer thickness (LLT), partial blink ratio (PBR), fluorescein tear film breakup time (FBUT), Schirmer I test (SIT), fluorescein staining, meibomian gland dropout, meibomian gland expression scores (MES) and quantity scores (MQS) was assessed. Additionally, basic information, weight, disease history, living habits, anxiety, and depression condition were collected. RESULTS: According to the CEC, the prevalence of DED was 39.0%, whereas 44.0% based on DEWS II. The prevalence of DED increased with age and was substantially greater among women (41.1%, 95% CI, 39.5-42.6%) than males (35.1%, 95% CI, 33.1 -37.2%) (p < 0.001). Furthermore, the severity of DED was more severe in women (p = 0.006). The associated risk factors were age, female, depression, smoking, insomnia, and glaucoma. On the other hand, 53.6% of these populations were diagnosed as asymptomatic DED, and the morbidity was higher in males (p = 0.007). CONCLUSIONS: The prevalence of DED in China was relatively high, which was associated with aging, female(sex), depression, smoking and sleep problems. Hence, it is crucial for clinicians and caregivers to be aware of the existence of asymptomatic DED within the susceptible population.

Keywords: dry eye; prevalence; older adults; meibomian gland dysfunction; meibomian gland dropout; meibomian gland expression; tear film break-up time; Schirmer test

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How to cite

Chang, L., Guo, Q., Pazo, E. E., Li, F. R., Zhang, Z., Fang, Z., Huang, Y., Yang, R., Liu, H., Li, X., Zhang, C., Zhao, S. (2024). Prevalence of dry eye in people over 50 years old in Beichen district, Tianjin city: a cross-sectional population-based survey. BMC Public Health. https://doi.org/10.1186/s12889-024-19616-1

@article{chang2024prevalence,
  title = {{Prevalence of dry eye in people over 50 years old in Beichen district, Tianjin city: a cross-sectional population-based survey}},
  author = {Chang, Lianqing and Guo, Qian and Pazo, Emmanuel Eric and Li, Fei Ran and Zhang, Zhongfang and Fang, Zijie and Huang, Yue and Yang, Ruibo and Liu, Hui and Li, Xiaorong and Zhang, Chen and Zhao, Shaozhen},
  journal = {BMC Public Health},
  year = {2024},
  doi = {10.1186/s12889-024-19616-1},
  url = {https://doi.org/10.1186/s12889-024-19616-1},
}

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