Study of dry eye in post-menopausal women
Abstract
Aim: The aim of the study is to evaluate hospital-based prevalence of dry eye in post-menopausal women, according to age, symptoms of dry eye and occupation. Materials and
Methods: A cross-sectional study of 200 post-menopausal women attending ophthalmology out-patient department of SRM Medical College Hospital for 6 months. The diagnosis of dry eye was based on Schirmer’s test. The value of < 5mm is considered severe dry eye, 5 – 8 mm is moderate dry Eye, 9–14 mm is mild dry eye and > 15 mm is normal. The results were analyzed using the Chi-square test.
Results: The prevalence of dry eye in post-menopausal women was 52%. The prevalence of dry eye increases with age from 26.8 % (50-54 years) to 85.7% (>70years). The prevalence of dry eye in patients with symptoms of dry eye was 88% and without symptoms was 30.4%. The Schirmer`s test showed majority of patients had mild dry eye (27.5%) followed by moderate dry eye in 21%. The prevalence of dry eye with outdoor occupation was 64.4% compared to 41.8% for indoors.
Conclusion: The prevalence of dry eye in this study was high. Even patients without symptoms of dry eye can have subclinical dry eye. Patients with outdoor occupation had a higher prevalence of dry eye. Simple treatment with artificial tear substitutes can effectively manage mild and moderate dry eye and help post-menopausal women in improving their quality of life. It would be advisable to screen all post-menopausal women for dry eye using a simple Schirmer`s test.
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References
The definition and classification of dry eye disease: report of the Definition and Classification Sub-committee of the International Dry Eye Work Shop (2007). Ocul Surf. 2007;5(2):75-92. doi: https://doi.org/10.1016/S1542-0124(12)70081-2
Peck T, Olsakovsky L, Aggarwal S. Dry Eye Syndrome in Menopause and Perimenopausal Age Group. J Midlife Health. 2017; 8(2):51-54. doi: https://dx.doi.org/10.4103%2Fjmh.JMH_41_17.
Uchino M, Schaumberg DA. Dry Eye Disease: Impact on Quality of Life and Vision. Curr Ophthalmol Rep. 2013;1(2):51-57. doi: https://doi.org/10.1007/s40135-013-0009-1
Aditi G, Surabhi S. Study of Dry Eyes in Post-Menopausal Women-A Rural Hospital Based Study. Int J Adv Res Ideas Innov Technol. 2017;3(1):473-478.
Adlakha N, Tirkey ER, Lakhtakia S. To assess the prevalence of dry eye disease in postmenopausal females in a tertiary care centre in Central India. J Med Sci Clin Res. 2017;05(10):29012-29017.
Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Arch Ophthalmol. 2000;118(9): 1264-1248. doi: https://doi.org/10.1001/archopht.118.9.1264
Agarwal R, Singh P, Rajpal T, Kumar R, Raghu-wanshi S, Ramnani V. Hospital based study of prevalence of dry eye in post-menopausal women. Indian J Clinic Experiment Ophthalmol. 2016;2(1):56-61. doi:10.5958/2395-1451.2016.00014.7
Kumar GV, Praneetha G, Pandharpurkar A, Prasad B, Pavani G, Vasavi T, Naik A. A study on prevalence of dry eyes among menopausal women attending a tertiary care centre in Hyderabad, Telangana. International J Commun Med Publ Health. 2018;6(1):423-427. doi: http://dx.doi.org/10.18203/2394-6040.ijcmph20185266
Pujari MR, Salagar K, Bagare SN. Prevalence of Dry Eye in post-menopausal women. J Evolution Med Dent Sci.2015;4(75):13005-13010. doi: https://doi.org/10.14260/jemds/2015/1874.
Mohana Majumdar, Rekha Khandelwal, Tanya Gangwani. Comparison of dry eyes in post-menopausal women with and without symptoms of dry eyes. J Evolution Med Dent Sci. 2014;3(57):12933-12938. doi: https://doi.org/10.14260/jemds/2014/3716.
Rahul Verma, Mishrikotkar JP, Thakre S. Comparitive study of occurrence of dry eye in post menopausal women. Medpulse Int med J.2016;3(10): 893-896.
Cynthia Matossian, Marguerite McDonald, Kendall E. Donaldson et al. J Women’s Health.2019;28(4):502-514. doi: https://doi.org/10.1089/jwh.2018.7041.
Gagliano C, Caruso S, Napolitano G, Malaguarnera G, Cicinelli MV, Amato R, et al. Low levels of 17 -β-oestradiol, oestrone and testosterone correlate with severe evaporative dysfunctional tear syndrome in postmenopausal women: a case-control study. Br J Ophthalmol 2014; 98(3): 371-376 .doi: http://dx.doi.org/10.1136/bjophthalmol-2012-302705.
Huang FC, Tseng SH, Shih MH, Chen FK. Effect of artificial tears on corneal surface regularity, contrast sensitivity, and glare disability in dry eyes. Ophthalmol. 2002; 109 (10):1934-1940. doi: https://doi.org/10.1016/S0161-6420(02)01136-3.
Schaumberg DA, Buring JE, Sullivan DA, Dana MR. Hormone replacement therapy and dry eye syndrome.JAMA. 2001;286(17):2114-2119.doi: https://doi.org/10.1001/jama.286.17.2114.
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