Al-Dairi Walaa, Al Saeed Ali A, Al Sowayigh Omar M
Surgery, King Faisal University, Al Ahsa, SAU.
College of Medicine, King Faisal University, Al Ahsa, SAU.
Cureus. 2020 Dec 23;12(12):e12240. doi: 10.7759/cureus.12240.
Introduction The conjunctiva is one of the most frequently damaged targets for inflammatory responses induced by allergic immunological hypersensitivity reactions. Allergic conjunctivitis (AC) typically manifests as a spectrum of potential severity, ranging from mild symptoms to severe troublesome symptoms that might interfere significantly with daily activities and overall quality of life. Aim This study aimed to evaluate impact of the quarantine during the COVID-19 pandemic on the quality of life of allergic conjunctivitis patients. Methodology This is a cross-sectional study conducted among confirmed patients with allergic conjunctivitis in Saudi Arabia from the period of July 2020 to September 2020. An electronic validated structured-questionnaire explored the participants' demography, symptoms, known allergen and risk factors, and patient psychological and functional domains of life using Eye Allergy Patient Impact Questionnaire (EAPIQ). Data were gathered in MS Excel and all statistical analyses were performed using SPSS version 21. Results The most common symptoms of AC was itching (79.9%) and redness of the eye (38.8%), while the most common causes was dust (46.9%) and pollens (46.9%). With regards to the assessment of EAPIQ, the mean score was higher in the impact of eye allergy symptoms domain (mean 12.6 ± 4.84 SD.), while it was lower in the impact of AC on the psychological and emotional domain (mean 10.7 ± 5.62 SD.). Statistical analysis revealed that previous history of AC and a visit to healthcare provider were the significant factors associated with the increased risk of eye allergy symptoms, troubled daily activities and bothered psychological and emotional life. Conclusion This study demonstrated that a patients' eye allergy symptoms affect many aspects of patients' daily activities. In addition to affecting functionality, these symptoms also affect patients' emotional state. Although the impact of daily activities and emotions due to eye allergy were minimal, the impact of eye allergy symptoms during quarantine period was still found to be moderate. We found the severity of AC & its impact over a patients' quality of life was moderate which suggests there was no major effect found on AC severity during the COVID-19 pandemic quarantine period. Further studies with detailed analysis of triggering factors might lead to a better understanding of the disease and its relation to the patients' activities & lifestyle which can directly affect the AC management & quality of life.
结膜是变应性免疫超敏反应引发的炎症反应中最常受损的靶点之一。变应性结膜炎(AC)通常表现出一系列潜在的严重程度,从轻微症状到严重的困扰症状,可能会严重干扰日常活动和整体生活质量。
本研究旨在评估2019冠状病毒病大流行期间的隔离措施对变应性结膜炎患者生活质量的影响。
这是一项横断面研究,于2020年7月至2020年9月在沙特阿拉伯确诊的变应性结膜炎患者中进行。使用眼部过敏患者影响问卷(EAPIQ),通过电子验证的结构化问卷探究参与者的人口统计学、症状、已知过敏原和危险因素,以及患者生活的心理和功能领域。数据收集于MS Excel,并使用SPSS 21版进行所有统计分析。
AC最常见的症状是瘙痒(79.9%)和眼红(38.8%),而最常见的病因是灰尘(46.9%)和花粉(46.9%)。关于EAPIQ评估,眼部过敏症状领域的平均得分较高(平均12.6±4.84标准差),而AC对心理和情感领域的影响得分较低(平均10.7±5.62标准差)。统计分析显示,AC既往史和就诊于医疗服务提供者是与眼部过敏症状风险增加、日常活动困扰以及心理和情感生活受扰相关的重要因素。
本研究表明,患者的眼部过敏症状会影响患者日常活动的许多方面。这些症状除了影响功能外,还会影响患者的情绪状态。尽管眼部过敏对日常活动和情绪的影响很小,但在隔离期间眼部过敏症状的影响仍被发现为中度。我们发现AC的严重程度及其对患者生活质量的影响为中度,这表明在2019冠状病毒病大流行隔离期间对AC严重程度没有发现重大影响。对触发因素进行详细分析的进一步研究可能会更好地理解该疾病及其与患者活动和生活方式的关系,这可直接影响AC的管理和生活质量。