Juntendo University Faculty of Medicine, Department of Ophthalmology, Tokyo, Japan.
Juntendo University Faculty of Medicine, Department of Strategic Operating Room Management and Improvement, Tokyo, Japan.
Sci Rep. 2018 Sep 7;8(1):13443. doi: 10.1038/s41598-018-31814-7.
The prevalence of dry eye disease (DED) is increasing worldwide, and its diagnosis often needs dedicated reagents and machines. We investigated the usefulness of maximum blink interval (MBI) (the length of time that participants could keep their eyes open) in screening for DED. This cross-sectional study included 292 patients (194 with DED and 98 without DED) recruited between September 2016 and September 2017. We compared the MBI between patients with and without DED; examined correlations between MBI and other clinical features of DED, including subjective symptoms (Dry Eye-Related Quality-of-Life Score), tear film breakup time (TFBUT), cornea fluorescence score (CFS), and Schirmer test I value; and determined the optimal cutoff value of MBI to suspect DED using a receiver operating characteristic (ROC) analysis. The MBI was significantly shortened in DED group compared to the non-DED group (10.0 ± 9.1 vs. 24.3 ± 38.2 seconds, p < 0.001). TFBUT was strongly positively correlated with MBI (r = 0.464), whereas CFS was negatively correlated with MBI (r = -0.273). The area under the ROC curve was 0.677, and the optimal MBI cutoff value was 12.4 seconds, providing a sensitivity of 82.5% and specificity of 51.0% to suspect DED. In conclusion, MBI may be a simple, useful test for screening DED.
干眼症(DED)的患病率在全球范围内呈上升趋势,其诊断通常需要专用试剂和仪器。我们研究了最大眨眼间隔(MBI)(参与者能够保持睁眼的时间长度)在 DED 筛查中的有用性。这项横断面研究纳入了 2016 年 9 月至 2017 年 9 月期间招募的 292 名患者(194 名 DED 患者和 98 名非 DED 患者)。我们比较了 DED 患者和非 DED 患者的 MBI;检查了 MBI 与 DED 的其他临床特征(包括主观症状[干眼相关生活质量评分]、泪膜破裂时间(TFBUT)、角膜荧光评分(CFS)和 Schirmer 试验 I 值)之间的相关性;并使用受试者工作特征(ROC)分析确定 MBI 怀疑 DED 的最佳截断值。与非 DED 组相比,DED 组的 MBI 明显缩短(10.0±9.1 对 24.3±38.2 秒,p<0.001)。TFBUT 与 MBI 呈强正相关(r=0.464),而 CFS 与 MBI 呈负相关(r=-0.273)。ROC 曲线下面积为 0.677,最佳 MBI 截断值为 12.4 秒,对 DED 的敏感性为 82.5%,特异性为 51.0%。总之,MBI 可能是一种简单、有用的 DED 筛查测试。
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