Impact of ocular surface symptoms on quality of life in a United States Veterans Affairs population

Details

• Personal Author:
  Fabian JA ; Feuer W ; Florez H ; Galor A ; Lee DJ ; Perez VL ; Pouyeh B ; Viteri E
• Description:
  PURPOSE: To evaluate the impact of ocular surface symptoms on quality of life in a veteran population receiving eye care services. DESIGN: Cross-sectional survey study. METHODS: Setting: Miami Veterans Affairs Medical Center (VAMC). Patient Population: Patients seen at the eye clinic between June and August 2010 were asked to fill out the Dry Eye Questionnaire 5 (DEQ5) and the Impact of Dry Eye on Everyday Life (IDEEL) questionnaire. Main Outcome Measures: Correlation between ocular surface symptoms and functionality. RESULTS: Four hundred eighty-nine patients elected to fill out the DEQ5 questionnaire (36% response rate). The mean age of respondents was 66 years (standard deviation 12). Ninety-four percent were male; 62% were white and 37% were black. Using the DEQ5 as a surrogate measure of ocular surface symptoms, 65% of respondents reported at least mild ocular surface symptoms (DEQ5 =6) and 27% of them reported severe symptoms (DEQ5 =12). Black subjects had a 2-fold increased risk of severe symptoms compared to white subjects (odds ratio 2.06, 95% confidence interval 1.33-3.19). Several medications were associated with a significantly increased risk of severe symptoms, including glaucoma medications (1.7-fold increase), antidepressants (2.3-fold increase), and antihistamines (2.1-fold increase). There was an inverse correlation between DEQ5 and IDEEL scores with regard to ability to perform activities of daily living (n = 391, r = -0.54, P < .001), emotional well-being (n = 386, r = -0.63, P < .001), and the ability to work (n = 205, r = -0.57, P < .001). Fifty percent of patients with severe symptoms had documentation that their symptoms were addressed during the visit. CONCLUSION: Severe ocular surface symptoms reduce the quality of life of Miami VAMC veterans. Eye care professionals should be vigilant in eliciting ocular surface complaints from their patients. [Description provided by NIOSH]
• Subjects:
  Aging Eye Eye Diseases Men Mental Health Occupational Health Safety Sense Organs Sense Organs / Injuries Surveys And Questionnaires Women

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• Keywords:
  Age-groups Eye-diseases Eye-disorders Eyes Eyesight Humans Psychology Questionnaires Sociological-factors Statistical-analysis
• ISSN:
  0002-9394
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  153
• Issue:
  6
• NIOSHTIC Number:
  nn:20041305
• Citation:
  Am J Ophthalmol Jun; 153(6):1061-1066.e3
• Contact Point Address:
  Anat Galor, 900 NW 17th St, Miami, FL 33136
• Email:
  agalor@med.miami.edu
• Federal Fiscal Year:
  2012
• Performing Organization:
  University of Miami School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20020901
• Source Full Name:
  American Journal of Ophthalmology
• End Date:
  20130831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b67940e2e5fe3d2def321c2725c0336814e998f30b20d4d445cd2578e649ad4cda53084f19e009ae4316d8b13569ed46046adb92de8224b4ebdcf3e27f938ff7
• Download URL:
  https://stacks.cdc.gov/view/cdc/193906/cdc_193906_DS1.pdf
• File Type:
  [PDF - 1.74 MB ]