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游泳镜对实验室环境中非侵入性泪膜破裂时间的影响。

Effects of wearing swimming goggles on non-invasive tear break-up time in a laboratory setting.

机构信息

Department of Optics, Faculty of Sciences, University of Granada, Spain.

Department of Optics, Faculty of Sciences, University of Granada, Spain.

出版信息

J Optom. 2022 Apr-Jun;15(2):154-159. doi: 10.1016/j.optom.2020.09.003. Epub 2021 Jan 19.

DOI:10.1016/j.optom.2020.09.003
PMID:33478924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9068525/
Abstract

PURPOSE

The use of swimming goggles (SG) has demonstrated to alter different ocular parameters, however, the impact of wearing SG on the tear film stability remain unknown. The main objective of this study was to determine the short-term effects of wearing SG on tear film surface quality break-up time (TFSQ-BUT).

METHODS

Twenty-eight young healthy adults (14 men and 14 women) wore a drilled SG, and TFSQ-BUT was measured before, during and after SG use. Dynamic-area high-speed videokeratoscopy was used for the non-invasive assessment of TFSQ-BUT.

RESULTS

TFSQ-BUT was significantly reduced while SG wear in comparison to the baseline measurement (4.8 ± 4.5 s vs. 8.8 ± 6.9 s; corrected p-value = 0.017, d = 0.57, mean difference = 4.0 [0.6, 7.3]; 45% reduction). Immediately after SG removal, TFSQ-BUT rapidly recovered baseline levels (8.2 ± 5.9 s vs. 8.8 ± 6.9 s; corrected p-value = 0.744). The impact of wearing SG on TFSQ-BUT were independent of the gender of the participants (p = 0.934).

CONCLUSION

The use of SG induces a TFSQ-BUT reduction, with these changes returning to baseline levels immediately after SG removal. These data may be of relevance for the management of dry eye patients, who need to avoid circumstances that exacerbate tear film instability. Nevertheless, these results must be interpreted with caution since the experiment did not entirely mimic real-life conditions (e.g., eye cup piece drilled, time of exposure, environmental conditions). Future studies should consider the inclusion of dry eye patients and older individual in order to explore the generalizability of these findings.

摘要

目的

游泳镜(SG)的使用已被证明会改变不同的眼部参数,但佩戴 SG 对泪膜稳定性的影响尚不清楚。本研究的主要目的是确定佩戴 SG 对泪膜表面质量破裂时间(TFSQ-BUT)的短期影响。

方法

28 名年轻健康的成年人(14 名男性和 14 名女性)佩戴有孔的 SG,在佩戴 SG 前后和之后测量 TFSQ-BUT。动态面积高速视频角膜镜用于非侵入性评估 TFSQ-BUT。

结果

与基线测量相比,佩戴 SG 时 TFSQ-BUT 显著降低(4.8±4.5s 比 8.8±6.9s;校正后的 p 值=0.017,d=0.57,平均差异=4.0[0.6,7.3];减少 45%)。SG 去除后,TFSQ-BUT 迅速恢复基线水平(8.2±5.9s 比 8.8±6.9s;校正后的 p 值=0.744)。佩戴 SG 对 TFSQ-BUT 的影响与参与者的性别无关(p=0.934)。

结论

佩戴 SG 会引起 TFSQ-BUT 减少,这些变化在 SG 去除后立即恢复到基线水平。这些数据可能与需要避免加剧泪膜不稳定的情况的干眼症患者的管理有关。然而,由于实验并未完全模拟实际情况(例如,眼罩片钻孔、暴露时间、环境条件),因此必须谨慎解释这些结果。未来的研究应考虑纳入干眼症患者和老年人,以探索这些发现的普遍性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5a1/9068525/6dc697c3ea4f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5a1/9068525/6dc697c3ea4f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5a1/9068525/6dc697c3ea4f/gr1.jpg

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本文引用的文献

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Curr Eye Res. 2020 May;45(5):535-541. doi: 10.1080/02713683.2019.1662056. Epub 2020 Feb 28.
2
Ocular and visual discomfort associated with smartphones, tablets and computers: what we do and do not know.与智能手机、平板电脑和电脑相关的眼部及视觉不适:我们所知道和不知道的情况。
Clin Exp Optom. 2019 Sep;102(5):463-477. doi: 10.1111/cxo.12851. Epub 2019 Jan 21.
3
Evaluation of tear meniscus dimensions using anterior segment optical coherence tomography in video terminal display workers.
BMC Ophthalmol. 2022 Feb 12;22(1):73. doi: 10.1186/s12886-022-02308-y.
使用眼前节光学相干断层扫描技术评估视频终端显示工作者的泪膜半月板尺寸
Clin Exp Optom. 2019 Sep;102(5):478-484. doi: 10.1111/cxo.12872. Epub 2019 Jan 17.
4
Effects of environment pollution on the ocular surface.环境污染对眼表的影响。
Ocul Surf. 2018 Apr;16(2):198-205. doi: 10.1016/j.jtos.2018.03.001. Epub 2018 Mar 3.
5
Tear film evaluation and management in soft contact lens wear: a systematic approach.软性接触镜佩戴者的泪膜评估与管理:一种系统方法。
Clin Exp Optom. 2017 Sep;100(5):438-458. doi: 10.1111/cxo.12597.
6
TFOS DEWS II Management and Therapy Report.TFOS DEWS II 管理和治疗报告。
Ocul Surf. 2017 Jul;15(3):575-628. doi: 10.1016/j.jtos.2017.05.006. Epub 2017 Jul 20.
7
Prevalence of Diagnosed Dry Eye Disease in the United States Among Adults Aged 18 Years and Older.美国18岁及以上成年人中确诊的干眼病患病率。
Am J Ophthalmol. 2017 Oct;182:90-98. doi: 10.1016/j.ajo.2017.06.033. Epub 2017 Jul 10.
8
Comparison of non-invasive tear film stability measurement techniques.非侵入性泪膜稳定性测量技术的比较。
Clin Exp Optom. 2018 Jan;101(1):13-17. doi: 10.1111/cxo.12546. Epub 2017 May 14.
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J Glaucoma. 2016 Oct;25(10):860-864. doi: 10.1097/IJG.0000000000000482.