Impact of seasonal variation in meteorological conditions on dry eye severity

Harrison Dermer,1 Anat Galor,2,3 Abigail S Hackam,3 Mehdi Mirsaeidi,2–4 Naresh Kumar5 1Miller School of Medicine, University of Miami, Miami, FL, USA; 2Eye Care (Ophthalmology), Miami Veterans Affairs (VA) Medical Center, Miami, FL, USA; 3Ophthalmology Department, Bascom Palmer Eye Instit...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Dermer H, Galor A, Hackam AS, Mirsaeidi M, Kumar N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Seasonality DE signs and symptoms Weather Pollen United States Epidemiology Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/458a78bdee4a48ba9658cc96b755a06d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:458a78bdee4a48ba9658cc96b755a06d
record_format	dspace
spelling	oai:doaj.org-article:458a78bdee4a48ba9658cc96b755a06d2021-12-02T02:56:22ZImpact of seasonal variation in meteorological conditions on dry eye severity1177-5483https://doaj.org/article/458a78bdee4a48ba9658cc96b755a06d2018-11-01T00:00:00Zhttps://www.dovepress.com/impact-of-seasonal-variation-in-meteorological-conditions-on-dry-eye-s-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Harrison Dermer,1 Anat Galor,2,3 Abigail S Hackam,3 Mehdi Mirsaeidi,2–4 Naresh Kumar5 1Miller School of Medicine, University of Miami, Miami, FL, USA; 2Eye Care (Ophthalmology), Miami Veterans Affairs (VA) Medical Center, Miami, FL, USA; 3Ophthalmology Department, Bascom Palmer Eye Institute, Miami, FL, USA; 4Divison of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Miami, Miami, FL, USA; 5Public Health Sciences, Environmental Health Division, University of Miami, Miami, FL, USA Purpose: To compare dry eye (DE) diagnosis patterns by season in Miami vis-a-vis the US and examine differences in DE symptoms and signs by season in Miami.Patients and methods: US veteran affairs (VA) patient visits with ICD-9 codes for DE (375.15) and routine medical examination (V70.0) from 2010 to 2013 were retrospectively analyzed to evaluate the seasonal pattern of DE diagnosis. A total of 365 patients with normal ocular anatomy were prospectively recruited from the Miami VA eye clinic from 2014 to 2016 for the assessment of symptoms and signs.Results: While DE visit prevalence in Miami was about 10% lower than that of the rest of the country (22.5% vs 33.7%), Miami had roughly four times higher variability in DE visit prevalence throughout the year than the US. Peak values for DE symptoms in the Miami cohort aligned with peak DE prevalence seen in the retrospective sample, occurring in spring and fall. A similar, but less dramatic, pattern was noted with DE signs. The seasonal pattern in DE symptoms remained even after controlling for confounders including demographics and medication use.Conclusion: DE symptoms, and to a lesser degree signs, varied by month, with the highest severity of symptoms occurring in spring and fall, which corresponded with peak allergy season and weather fluctuations, respectively. These findings have important implications for season-specific diagnosis, treatment, and management of DE. Keywords: seasonality, DE signs and symptoms, weather, pollen, United States, epidemiologyDermer HGalor AHackam ASMirsaeidi MKumar NDove Medical PressarticleSeasonalityDE signs and symptomsWeatherPollenUnited StatesEpidemiologyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2471-2481 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Seasonality DE signs and symptoms Weather Pollen United States Epidemiology Ophthalmology RE1-994
spellingShingle	Seasonality DE signs and symptoms Weather Pollen United States Epidemiology Ophthalmology RE1-994 Dermer H Galor A Hackam AS Mirsaeidi M Kumar N Impact of seasonal variation in meteorological conditions on dry eye severity
description	Harrison Dermer,1 Anat Galor,2,3 Abigail S Hackam,3 Mehdi Mirsaeidi,2–4 Naresh Kumar5 1Miller School of Medicine, University of Miami, Miami, FL, USA; 2Eye Care (Ophthalmology), Miami Veterans Affairs (VA) Medical Center, Miami, FL, USA; 3Ophthalmology Department, Bascom Palmer Eye Institute, Miami, FL, USA; 4Divison of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Miami, Miami, FL, USA; 5Public Health Sciences, Environmental Health Division, University of Miami, Miami, FL, USA Purpose: To compare dry eye (DE) diagnosis patterns by season in Miami vis-a-vis the US and examine differences in DE symptoms and signs by season in Miami.Patients and methods: US veteran affairs (VA) patient visits with ICD-9 codes for DE (375.15) and routine medical examination (V70.0) from 2010 to 2013 were retrospectively analyzed to evaluate the seasonal pattern of DE diagnosis. A total of 365 patients with normal ocular anatomy were prospectively recruited from the Miami VA eye clinic from 2014 to 2016 for the assessment of symptoms and signs.Results: While DE visit prevalence in Miami was about 10% lower than that of the rest of the country (22.5% vs 33.7%), Miami had roughly four times higher variability in DE visit prevalence throughout the year than the US. Peak values for DE symptoms in the Miami cohort aligned with peak DE prevalence seen in the retrospective sample, occurring in spring and fall. A similar, but less dramatic, pattern was noted with DE signs. The seasonal pattern in DE symptoms remained even after controlling for confounders including demographics and medication use.Conclusion: DE symptoms, and to a lesser degree signs, varied by month, with the highest severity of symptoms occurring in spring and fall, which corresponded with peak allergy season and weather fluctuations, respectively. These findings have important implications for season-specific diagnosis, treatment, and management of DE. Keywords: seasonality, DE signs and symptoms, weather, pollen, United States, epidemiology
format	article
author	Dermer H Galor A Hackam AS Mirsaeidi M Kumar N
author_facet	Dermer H Galor A Hackam AS Mirsaeidi M Kumar N
author_sort	Dermer H
title	Impact of seasonal variation in meteorological conditions on dry eye severity
title_short	Impact of seasonal variation in meteorological conditions on dry eye severity
title_full	Impact of seasonal variation in meteorological conditions on dry eye severity
title_fullStr	Impact of seasonal variation in meteorological conditions on dry eye severity
title_full_unstemmed	Impact of seasonal variation in meteorological conditions on dry eye severity
title_sort	impact of seasonal variation in meteorological conditions on dry eye severity
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/458a78bdee4a48ba9658cc96b755a06d
work_keys_str_mv	AT dermerh impactofseasonalvariationinmeteorologicalconditionsondryeyeseverity AT galora impactofseasonalvariationinmeteorologicalconditionsondryeyeseverity AT hackamas impactofseasonalvariationinmeteorologicalconditionsondryeyeseverity AT mirsaeidim impactofseasonalvariationinmeteorologicalconditionsondryeyeseverity AT kumarn impactofseasonalvariationinmeteorologicalconditionsondryeyeseverity
_version_	1718402038194241536

Impact of seasonal variation in meteorological conditions on dry eye severity

Ejemplares similares