Ocular surface and tear film status among contact lens wearers and non-wearers who use VDT at work: comparing three different lens types
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Title: | Ocular surface and tear film status among contact lens wearers and non-wearers who use VDT at work: comparing three different lens types |
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Authors: | Tauste Francés, Ana | Ronda-Pérez, Elena | Baste, Valborg | Bråtveit, Magne | Moen, Bente E. | Seguí-Crespo, Mar |
Research Group/s: | Salud Pública |
Center, Department or Service: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia | Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía |
Keywords: | Contact lenses | Computer terminals | Occupational exposure | Anterior eye segment | Conjunctiva | Tears |
Knowledge Area: | Medicina Preventiva y Salud Pública | Óptica |
Issue Date: | 4-Dec-2017 |
Publisher: | Springer Berlin Heidelberg |
Citation: | International Archives of Occupational and Environmental Health. 2017. doi:10.1007/s00420-017-1283-2 |
Abstract: | Purpose: To analyze differences in the ocular surface appearance and tear film status of contact lens wearers and non-wearers in a group of visual display terminals (VDT) workers and additionally to assess differences between lens materials. Methods: Cross-sectional study of 236 office workers, of whom 92 were contact lens wearers. Workers provided information on their contact lenses (conventional hydrogel, silicone hydrogel or rigid gas permeable lenses) and exposure to VDT at work. Ocular surface and tear film status were determined by the presence of bulbar, limbal and lid redness, lid roughness and corneal staining type, and by Schirmer’s and tear break-up time tests (TBUT). A generalized linear model was used to calculate the crude (cRR) and age- and sex-adjusted (aRR) relative risk to measure the association between ocular surface and tear film abnormalities and contact lens use and type. Results: The aRR of ocular surface abnormalities was higher in contact lens wearers compared to non-wearers: bulbar redness (aRR 1.69; 95% CI 1.25–2.30), limbal redness (aRR 2.87; 1.88–4.37), lid redness (aRR 2.53; 1.35–4.73) and lid roughness (aRR 7.03; 1.31–37.82). VDT exposure > 4 h/day increased wearers’ risk of limbal and lid redness. Conventional hydrogel wearers had the highest risk of ocular surface abnormalities, followed by silicone hydrogel wearers. Both contact and non-contact lens wearers had a high prevalence of altered TBUT (77.3 and 75.7% respectively) and Schirmer (51.8 and 41.3%). Conclusions: Regular contact lens use during VDT exposure at work increases risk of bulbar, limbal and lid redness, and lid roughness, especially in soft contact lens wearers. The high prevalence of altered TBUT and Schirmer’s results in all participants suggests that VDT use greatly affects tear film characteristics. |
Sponsor: | This work was supported by a grant to carry out Projects in Emerging Fields of Research of the University of Alicante (GRE11-22). |
URI: | http://hdl.handle.net/10045/73849 |
ISSN: | 0340-0131 (Print) | 1432-1246 (Online) |
DOI: | 10.1007/s00420-017-1283-2 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © Springer-Verlag GmbH Germany, part of Springer Nature 2017 |
Peer Review: | si |
Publisher version: | http://dx.doi.org/10.1007/s00420-017-1283-2 |
Appears in Collections: | INV - SP - Artículos de Revistas |
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File | Description | Size | Format | |
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2017_Tauste_etal_IntArchOccupEnvironHealth_final.pdf | Versión final (acceso restringido) | 748,44 kB | Adobe PDF | Open Request a copy |
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