Title: Passive Smoking as a Risk Factor for Dry Eye in Children
Authors: Vijayta Gupta, Anuj Bhatti
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.195
Abstract
Introduction: To find an association of passive smoking with dry eye in children
Methodology: Cross-sectional study, all children presenting with eye discomfort were eligible. After applying exclusion criteria, children was assessed and graded for severity of dry eye based upon history and sequential testing- Tear film Break Up time (TBUT), Corneal examination by fluorescent staining, Schirmer-1 test. Passive smoking was evaluated based upon questionnaire and recall method.
Results: Out of 250 children reported with eye discomfort, 100 were eligible for study. 70/100 children were diagnosed with dry eye. Passive smoking was evaluated using two parameters- number of cigarette smoked per day and exposure to smoke per day; both the factor showed strong association with dry eye as compared to non dry eye (0.66 ± 2.1 vs 18.7 ±11.2, p <0.0001) and (0.9 ± 2.88 vs 9.5 ± 5.2, p<0.0001) respectively.
Conclusion: Passive smoking represents a significant risk factor of dry eye in children.
Keywords: Passive smoking, dry eye, eye discomfort.
References
- The definition and classification of dry eye disease: report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop (2007). The ocular surface. 2007;5(2):75-92.
- Satici A, Bitiren M, Ozardali I, Vural H, Kilic A, Guzey M. The effects of chronic smoking on the ocular surface and tear characteristics: a clinical, histological and biochemical study. Acta ophthalmologica Scandinavica. 2003;81(6):583-7.
- Xu L, Zhang W, Zhu XY, Suo T, Fan XQ, Fu Y. Smoking and the risk of dry eye: a Meta-analysis. International journal of ophthalmology. 2016;9(10):1480-6.
- Dogru M, Katakami C, Inoue M. Tear function and ocular surface changes in noninsulin-dependent diabetes mellitus. Ophthalmology. 2001;108(3):586-92.
- Jones LT. The lacrimal secretory system and its treatment. Journal of the All-India Ophthalmological Society. 1966;14(5): 191-6.
- Behrens A, Doyle JJ, Stern L, Chuck RS, McDonnell PJ, Azar DT, et al. Dysfunctional tear syndrome: a Delphi approach to treatment recommendations. Cornea. 2006;25(8):900-7.
- El-Shazly AA-F, El-Zawahry WMAER, Hamdy AM, Ahmed MB. Passive Smoking as a Risk Factor of Dry Eye in Children. Journal of Ophthalmology. 2012;2012:5.
- Alves M, Dias AC, Rocha EM. Dry eye in childhood: epidemiological and clinical aspects. The ocular surface. 2008;6(1):44-51.
- Sahai A, Malik P. Dry eye: prevalence and attributable risk factors in a hospital-based population. Indian journal of ophthalmology. 2005;53(2):87-91.
- Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Archives of ophthalmology (Chicago, Ill : 1960). 2000;118(9):1264-8.
- Lee AJ, Lee J, Saw SM, Gazzard G, Koh D, Widjaja D, et al. Prevalence and risk factors associated with dry eye symptoms: a population based study in Indonesia. The British journal of ophthalmology. 2002;86(12):1347-51.
- Uchino M, Schaumberg DA, Dogru M, Uchino Y, Fukagawa K, Shimmura S, et al. Prevalence of dry eye disease among Japanese visual display terminal users. Ophthalmology. 2008;115(11):1982-8.
- Bukhari A, Ajlan R, Alsaggaf H. Prevalence of dry eye in the normal population in Jeddah, Saudi Arabia. Orbit (Amsterdam, Netherlands). 2009;28(6):392-7.
- Tong L, Saw SM, Lamoureux EL, Wang JJ, Rosman M, Tan DT, et al. A questionnaire-based assessment of symptoms associated with tear film dysfunction and lid margin disease in an Asian population. Ophthalmic epidemiology. 2009;16(1):31-7.
- Gayton JL. Etiology, prevalence, and treatment of dry eye disease. Clinical ophthalmology (Auckland, NZ). 2009;3:405-12.