Department of Conservative Dentistry and Endodontics, Medical University of Lublin, Lublin, Poland.
Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, Lublin, Poland.
Med Sci Monit. 2018 Jan 10;24:200-206. doi: 10.12659/msm.906618.
BACKGROUND Eye and mouth dryness are the most common symptoms reported during ophthalmological and dental examinations, and their frequency increases with age. In connection with population aging and the huge variety of factors and conditions that can induce this condition, it is becoming a serious and growing problem. The purpose of the present study was to determine whether ocular dryness and concomitant xerostomia is associated with particular systemic diseases. MATERIAL AND METHODS We enrolled 642 non-Sjögren patients referred for examination to the ophthalmology or dental clinic of Lublin region, Poland. The research was conducted using a standardized interview: The Interview and Examination Questionnaire. All patients responded to the survey questions, which concerned systemic diseases, lifestyle, with special emphasis on computer work, spending time in polluted and air-conditioned rooms, and subsequent questions about the subjective symptoms of ocular and mouth dryness. RESULTS There were 424 patients who presented signs and symptoms of both ocular and mouth dryness. Our study showed a statistically significant association between this condition and the age and sex of the patients and systemic diseases such as hypertension (p=0.0000), cardiovascular disease (p=0.057), and stress (p=0.036), and time spent at the computer (p=0.00015). CONCLUSIONS Ocular dryness and concomitant xerostomia may occur in apparently healthy individuals, but is more frequent in patients with systemic disorders. The lack of dry eye and dry mouth symptoms does not exclude insufficient tearing and salivation; thus, the disorders are usually underestimated. Our study indicates that ocular and mouth dryness are the most common conditions seen in out-patients, due to increased use of medications, computers, and air conditioning.
眼部和口腔干燥是眼科和牙科检查中最常见的症状,且其发生率随年龄增长而增加。随着人口老龄化以及可引起这种情况的各种因素和条件的增加,它正成为一个严重且日益严重的问题。本研究旨在确定眼部干燥和同时发生的口干是否与特定的系统性疾病有关。
我们招募了 642 名非干燥综合征患者,这些患者因眼部或口腔问题到波兰卢布林地区的眼科或牙科诊所就诊。研究使用标准化访谈:访谈和检查问卷进行。所有患者均回答了有关系统性疾病、生活方式的问题,特别强调了计算机工作、在污染和空调房间中度过的时间,以及随后有关眼部和口腔干燥的主观症状的问题。
有 424 名患者表现出眼部和口腔干燥的迹象和症状。我们的研究表明,这种情况与患者的年龄和性别以及高血压(p=0.0000)、心血管疾病(p=0.057)、压力(p=0.036)和使用计算机时间(p=0.00015)等系统性疾病之间存在统计学显著关联。
眼部干燥和同时发生的口干可能发生在看似健康的个体中,但在患有系统性疾病的患者中更为常见。缺乏干眼和口干症状并不排除泪液和唾液分泌不足;因此,这些疾病通常被低估了。我们的研究表明,由于使用药物、计算机和空调的增加,眼部和口腔干燥是门诊患者最常见的疾病。