Uzun Seda Liman, Topcu Husna
Department of Ophthalmology, Fethi Sekin City Hospital, Elazıg, Turkey.
Department of Ophthalmology, UHS Beyoglu Eye Training and Research Hospital, Istanbul, Turkey.
Int Ophthalmol. 2022 Oct;42(10):3045-3051. doi: 10.1007/s10792-022-02290-w. Epub 2022 Apr 4.
To evaluate ocular surface disorders in students whose daily screen time increased due to distance learning during the COVID-19 pandemic.
Eighty-eight eyes of 44 cases were included in this cross-sectional study. The distance learning students with complaints of redness, stinging, and increased blinking were evaluated. Biomicroscopic examination findings, spherical equivalent, keratometry values, and average daily average screen time were recorded. Ocular Surface Disease Index (OSDI) survey and non-contact tear film breakup time (BUT) assessment (Topcon CA-800) were performed.
Forty-four cases between 15 and 25 years old were evaluated; 25 were girls (56.8%), 19 were boys (43.2%), and the mean age was 19.2 ± 3.9 years (15-25). The mean daily screen time was 4.9 ± 0.9 h. The mean non-contact BUT was 3.18 ± 2.0 s (1.24-8.80 s), and the spherical equivalent was -1.39 ± 1.79. Punctate epitheliopathy was present in 33 eyes (37.5%) on biomicroscopic examination. The mean OSDI score was 37.12 ± 20.30 (10-75) points. A significant positive correlation was present between daily average screen time, punctate epitheliopathy (r = 0,341; p = 0,001), and OSDI score (r = 0,510; p < 0,001). There was also a significant positive correlation between the OSDI score and punctate epitheliopathy (r = 0.754; p < 0.001). There was no significant correlation between the non-contact BUT and punctate epitheliopathy, OSDI score, or daily screen time (p > 0.05).
Ocular surface disorders in students can be associated with increasing daily screen time due to distance learning.
评估在2019年冠状病毒病大流行期间因远程学习而导致每日屏幕使用时间增加的学生的眼表疾病。
本横断面研究纳入了44例患者的88只眼。对有眼红、刺痛和眨眼增多主诉的远程学习学生进行评估。记录生物显微镜检查结果、等效球镜度、角膜曲率计值和每日平均屏幕使用时间。进行眼表疾病指数（OSDI）调查和非接触泪膜破裂时间（BUT）评估（Topcon CA-800）。
评估了44例年龄在15至25岁之间的患者；其中25例为女性（56.8%），19例为男性（43.2%），平均年龄为19.2±3.9岁（15 - 25岁）。平均每日屏幕使用时间为4.9±0.9小时。平均非接触BUT为3.18±2.0秒（1.24 - 8.80秒），等效球镜度为-1.39±1.79。生物显微镜检查发现33只眼（37.5%）存在点状上皮病变。平均OSDI评分为37.12±20.30（10 - 75）分。每日平均屏幕使用时间与点状上皮病变（r = 0.341；p = 0.001）以及OSDI评分（r = 0.510；p < 0.001）之间存在显著正相关。OSDI评分与点状上皮病变之间也存在显著正相关（r = 0.754；p < 0.001）。非接触BUT与点状上皮病变、OSDI评分或每日屏幕使用时间之间无显著相关性（p > 0.05）。
学生的眼表疾病可能与因远程学习导致的每日屏幕使用时间增加有关。
