Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia

Nina Asrini Noor,1 Tri Rahayu,1,2 Tjahjono D Gondhowiardjo1,2 1JEC Eye Hospitals and Clinics, Jakarta, Indonesia; 2Ophthalmology Department, Cipto Mangunkusumo Kirana Hospital, Jakarta, IndonesiaCorrespondence: Nina Asrini NoorJEC Eye Hospital Kedoya, Jalan Terusan Arjuna Utara Nomor 1, Jakarta Bara...

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Autores principales:	Noor NA, Rahayu T, Gondhowiardjo TD
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	dry eye elderly population tear film cataract cross sectional study Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/85e582f3158a49fa81ca96925bbb1dee
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spelling	oai:doaj.org-article:85e582f3158a49fa81ca96925bbb1dee2021-12-02T12:55:43ZPrevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia1177-5483https://doaj.org/article/85e582f3158a49fa81ca96925bbb1dee2020-07-01T00:00:00Zhttps://www.dovepress.com/prevalence-of-dry-eye-and-its-subtypes-in-an-elderly-population-with-c-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Nina Asrini Noor,1 Tri Rahayu,1,2 Tjahjono D Gondhowiardjo1,2 1JEC Eye Hospitals and Clinics, Jakarta, Indonesia; 2Ophthalmology Department, Cipto Mangunkusumo Kirana Hospital, Jakarta, IndonesiaCorrespondence: Nina Asrini NoorJEC Eye Hospital Kedoya, Jalan Terusan Arjuna Utara Nomor 1, Jakarta Barat, DKI, Jakarta 11520, IndonesiaTel +62 813 9520 9670Email nina.noor@jec.co.idPurpose: To describe the prevalence of dry eye disease (DED) and its subtypes in elderly population with cataracts prior to surgery in Jakarta, Indonesia.Patients and Methods: Forty-nine eyes of 49 patients (16 males, 33 females; mean age: 66.6 years) planned for phacoemulsification surgery were consecutively recruited from two tertiary eye hospitals in this hospital-based cross-sectional study. Symptoms were assessed using the Ocular Surface Disease Index (OSDI) questionnaire, and the patient was defined as symptomatic if their OSDI score was ≥ 13. Objective examinations included the noninvasive tear film break up time (NIBUT) and Schirmer tests. The results were deemed abnormal if they were < 10 seconds and < 10 mm for NIBUT and Schirmer, respectively.Results: Participants were classified into four groups: DED (positive symptoms and short NIBUT), preclinical dry eye (positive symptoms without short NIBUT), predisposition to dry eye (short NIBUT without symptoms), and normal group. Median OSDI score was 12.5 (0– 45.0), NIBUT was 10.4 (5.1– 28.9) seconds, and Schirmer score was 8.0 (2.0– 28.0) mm. The prevalence of DED, preclinical dry eye, and predisposition to dry eye were 22.5%, 22.5%, and 26.5%, respectively, while the other 28.5% subjects were normal. The DED group had significantly lower Schirmer test results (4.0 [2– 17] mm) compared to all other groups. Older age (> 70 years) was associated with poorer NIBUT and Schirmer test results and a significant difference between age groups was observed, especially in males.Conclusion: Dry eye is a common problem among the elderly population with cataracts in Indonesia. Almost half of the subjects presented with dry eye symptoms and either categorized as DED or preclinical dry eye, while more than one quarter were predisposed to dry eye. Care must be taken prior to cataract surgery to rule out existing dry eye with additional attention on those presenting without any symptoms as dry eye may develop after surgery.Keywords: dry eye, elderly population, tear film, cataract, cross-sectional studyNoor NARahayu TGondhowiardjo TDDove Medical Pressarticledry eyeelderly populationtear filmcataractcross sectional studyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2143-2150 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	dry eye elderly population tear film cataract cross sectional study Ophthalmology RE1-994
spellingShingle	dry eye elderly population tear film cataract cross sectional study Ophthalmology RE1-994 Noor NA Rahayu T Gondhowiardjo TD Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia
description	Nina Asrini Noor,1 Tri Rahayu,1,2 Tjahjono D Gondhowiardjo1,2 1JEC Eye Hospitals and Clinics, Jakarta, Indonesia; 2Ophthalmology Department, Cipto Mangunkusumo Kirana Hospital, Jakarta, IndonesiaCorrespondence: Nina Asrini NoorJEC Eye Hospital Kedoya, Jalan Terusan Arjuna Utara Nomor 1, Jakarta Barat, DKI, Jakarta 11520, IndonesiaTel +62 813 9520 9670Email nina.noor@jec.co.idPurpose: To describe the prevalence of dry eye disease (DED) and its subtypes in elderly population with cataracts prior to surgery in Jakarta, Indonesia.Patients and Methods: Forty-nine eyes of 49 patients (16 males, 33 females; mean age: 66.6 years) planned for phacoemulsification surgery were consecutively recruited from two tertiary eye hospitals in this hospital-based cross-sectional study. Symptoms were assessed using the Ocular Surface Disease Index (OSDI) questionnaire, and the patient was defined as symptomatic if their OSDI score was ≥ 13. Objective examinations included the noninvasive tear film break up time (NIBUT) and Schirmer tests. The results were deemed abnormal if they were < 10 seconds and < 10 mm for NIBUT and Schirmer, respectively.Results: Participants were classified into four groups: DED (positive symptoms and short NIBUT), preclinical dry eye (positive symptoms without short NIBUT), predisposition to dry eye (short NIBUT without symptoms), and normal group. Median OSDI score was 12.5 (0– 45.0), NIBUT was 10.4 (5.1– 28.9) seconds, and Schirmer score was 8.0 (2.0– 28.0) mm. The prevalence of DED, preclinical dry eye, and predisposition to dry eye were 22.5%, 22.5%, and 26.5%, respectively, while the other 28.5% subjects were normal. The DED group had significantly lower Schirmer test results (4.0 [2– 17] mm) compared to all other groups. Older age (> 70 years) was associated with poorer NIBUT and Schirmer test results and a significant difference between age groups was observed, especially in males.Conclusion: Dry eye is a common problem among the elderly population with cataracts in Indonesia. Almost half of the subjects presented with dry eye symptoms and either categorized as DED or preclinical dry eye, while more than one quarter were predisposed to dry eye. Care must be taken prior to cataract surgery to rule out existing dry eye with additional attention on those presenting without any symptoms as dry eye may develop after surgery.Keywords: dry eye, elderly population, tear film, cataract, cross-sectional study
format	article
author	Noor NA Rahayu T Gondhowiardjo TD
author_facet	Noor NA Rahayu T Gondhowiardjo TD
author_sort	Noor NA
title	Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia
title_short	Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia
title_full	Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia
title_fullStr	Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia
title_full_unstemmed	Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia
title_sort	prevalence of dry eye and its subtypes in an elderly population with cataracts in indonesia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/85e582f3158a49fa81ca96925bbb1dee
work_keys_str_mv	AT noorna prevalenceofdryeyeanditssubtypesinanelderlypopulationwithcataractsinindonesia AT rahayut prevalenceofdryeyeanditssubtypesinanelderlypopulationwithcataractsinindonesia AT gondhowiardjotd prevalenceofdryeyeanditssubtypesinanelderlypopulationwithcataractsinindonesia
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Prevalence of Dry Eye and its Subtypes in an Elderly Population with Cataracts in Indonesia

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