Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy

Masahiko Ayaki,1 Ikuko Toda,2 Naoko Tachi,3 Kazuno Negishi,1 Kazuo Tsubota11Department of Ophthalmology, Keio University School of Medicine, 2Department of Ophthalmology, Mimamiaoyama Eye Clinic, Tokyo, 3Eye Center, Shinseikai Toyama Hospital, Imizu, JapanPurpose: Dry eye disease (DED) is p...

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Autores principales:	Ayaki M, Toda I, Tachi N, Negishi K, Tsubota K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	sleep dry eye liaison psychiatry depression anxiety Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/57ca55e0a1104ce6a7b3613adf509cc8
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spelling	oai:doaj.org-article:57ca55e0a1104ce6a7b3613adf509cc82021-12-02T08:29:52ZPreliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy1178-2021https://doaj.org/article/57ca55e0a1104ce6a7b3613adf509cc82016-02-01T00:00:00Zhttps://www.dovepress.com/preliminary-report-of-improved-sleep-quality-in-patients-with-dry-eye--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Masahiko Ayaki,1 Ikuko Toda,2 Naoko Tachi,3 Kazuno Negishi,1 Kazuo Tsubota11Department of Ophthalmology, Keio University School of Medicine, 2Department of Ophthalmology, Mimamiaoyama Eye Clinic, Tokyo, 3Eye Center, Shinseikai Toyama Hospital, Imizu, JapanPurpose: Dry eye disease (DED) is potentially associated with sleep and mood disorders. This study evaluated sleep quality in patients with DED using a questionnaire-based survey before and after topical eyedrop treatment. The effectiveness of sleep and ophthalmic services in assisting with sleep problems in patients with eye disease was also assessed.Methods: Seventy-one consecutive patients with DED visiting eight general eye clinics in various locations answered a questionnaire containing the Pittsburgh Sleep Quality Index and Hospital Anxiety and Depression Scale. Photophobia and chronotype (morningness/eveningness) were also evaluated with two representative questions from established questionnaires (National Eye Institute Visual Function Questionnaire-25 and Morningness/Eveningness questionnaire). Follow-up evaluation was conducted by interview or mail 3–10 months after the initial evaluation. A sleep service was established in two eye clinics to identify possible ocular diseases related to sleep and mood disorders; it comprised a questionnaire, sleep diary, actigram, medical interviews, visual field testing, retinal ganglion cell layer thickness measurement, and DED examination.Results: Patients with newly diagnosed DED exhibited a greater improvement in sleep after DED treatment compared with patients with established DED. Improvement in Pittsburgh Sleep Quality Index was significant (P<0.05) and strongly correlated with improvement in Hospital Anxiety and Depression Scale (P<0.05) for new patients, but not for patients with established DED. Ten eye clinic patients visited the sleep service and nine of them had DED. They were successfully treated with eyedrops and sleep services, which included blue-light-shield eyewear and wearable blue-light therapy lamps according to their problem.Conclusion: Sleep quality improved in patients with DED after topical treatment with or without the sleep service. Psychiatric treatment focusing on sleep disorders could be beneficial for patients with DED.Keywords: sleep, dry eye, liaison psychiatry, depression, anxietyAyaki MToda ITachi NNegishi KTsubota KDove Medical Pressarticlesleepdry eyeliaison psychiatrydepressionanxietyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 329-337 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep dry eye liaison psychiatry depression anxiety Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	sleep dry eye liaison psychiatry depression anxiety Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ayaki M Toda I Tachi N Negishi K Tsubota K Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy
description	Masahiko Ayaki,1 Ikuko Toda,2 Naoko Tachi,3 Kazuno Negishi,1 Kazuo Tsubota11Department of Ophthalmology, Keio University School of Medicine, 2Department of Ophthalmology, Mimamiaoyama Eye Clinic, Tokyo, 3Eye Center, Shinseikai Toyama Hospital, Imizu, JapanPurpose: Dry eye disease (DED) is potentially associated with sleep and mood disorders. This study evaluated sleep quality in patients with DED using a questionnaire-based survey before and after topical eyedrop treatment. The effectiveness of sleep and ophthalmic services in assisting with sleep problems in patients with eye disease was also assessed.Methods: Seventy-one consecutive patients with DED visiting eight general eye clinics in various locations answered a questionnaire containing the Pittsburgh Sleep Quality Index and Hospital Anxiety and Depression Scale. Photophobia and chronotype (morningness/eveningness) were also evaluated with two representative questions from established questionnaires (National Eye Institute Visual Function Questionnaire-25 and Morningness/Eveningness questionnaire). Follow-up evaluation was conducted by interview or mail 3–10 months after the initial evaluation. A sleep service was established in two eye clinics to identify possible ocular diseases related to sleep and mood disorders; it comprised a questionnaire, sleep diary, actigram, medical interviews, visual field testing, retinal ganglion cell layer thickness measurement, and DED examination.Results: Patients with newly diagnosed DED exhibited a greater improvement in sleep after DED treatment compared with patients with established DED. Improvement in Pittsburgh Sleep Quality Index was significant (P<0.05) and strongly correlated with improvement in Hospital Anxiety and Depression Scale (P<0.05) for new patients, but not for patients with established DED. Ten eye clinic patients visited the sleep service and nine of them had DED. They were successfully treated with eyedrops and sleep services, which included blue-light-shield eyewear and wearable blue-light therapy lamps according to their problem.Conclusion: Sleep quality improved in patients with DED after topical treatment with or without the sleep service. Psychiatric treatment focusing on sleep disorders could be beneficial for patients with DED.Keywords: sleep, dry eye, liaison psychiatry, depression, anxiety
format	article
author	Ayaki M Toda I Tachi N Negishi K Tsubota K
author_facet	Ayaki M Toda I Tachi N Negishi K Tsubota K
author_sort	Ayaki M
title	Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy
title_short	Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy
title_full	Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy
title_fullStr	Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy
title_full_unstemmed	Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy
title_sort	preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/57ca55e0a1104ce6a7b3613adf509cc8
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Preliminary report of improved sleep quality in patients with dry eye disease after initiation of topical therapy

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