Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Türkiye.
Ankara University Institute of Health Sciences, Department of Interdisciplinary Neuroscience, Ankara, Türkiye.
Turk J Ophthalmol. 2024 Aug 28;54(4):183-189. doi: 10.4274/tjo.galenos.2024.54359.
Computer vision syndrome (CVS) is a common disorder among children and is often associated with dry eye disease (DED). While researchers have shown a higher prevalence of psychopathology in older patients with DED, the impact of CVS-induced DED on the psychological state of children is not well known. This study aimed to evaluate psychological outcomes before and after DED treatment in pediatric patients with CVS-related DED.
In this study, a total of 38 children (32 girls, 6 boys) with CVS-related DED were evaluated with the Schirmer test, tear break-up time (TBUT), ocular surface disease index (OSDI), and Oxford grading scale at the time of diagnosis and after treatment with artificial tear drops. Additionally, quality of life (QoL) and anxiety and depression symptoms were assessed using self-report scales for children.
The mean age and mean daily screen exposure of the patients were 13.95±2.42 years and 5.65±2.31 hours, respectively. After treatment, TBUT and Schirmer test values of the patients increased significantly, while OSDI values decreased (p<0.001 for all). The anxiety and depression scores of the patients decreased, while QoL functionality scores increased (p<0.05 for all) following treatment. There were significant correlations between Schirmer test values and anxiety scores (r=-0.32, p=0.045) and QoL total scores (r=0.38, p=0.016).
Enhanced QoL and decreased anxiety and depression scores were associated with improved Schirmer test results, indicating that appropriate DED treatment may mitigate the psychosocial effects of CVS-related DED in pediatric patients.
计算机视觉综合征（CVS）在儿童中较为常见，且常与干眼症（DED）相关。虽然研究人员发现，年龄较大的 DED 患者中精神病理学的患病率更高，但 CVS 引起的 DED 对儿童心理状态的影响尚不清楚。本研究旨在评估 CVS 相关 DED 患儿在接受 DED 治疗前后的心理结果。
本研究共评估了 38 例 CVS 相关 DED 患儿（32 名女孩，6 名男孩）。在诊断时和使用人工泪液滴眼治疗后，分别采用 Schirmer 测试、泪膜破裂时间（TBUT）、眼表疾病指数（OSDI）和牛津分级量表对患儿进行评估。此外，采用儿童自评量表评估生活质量（QoL）和焦虑抑郁症状。
患儿的平均年龄和平均每日屏幕暴露时间分别为 13.95±2.42 岁和 5.65±2.31 小时。治疗后，患儿的 TBUT 和 Schirmer 测试值显著增加，而 OSDI 值降低（均 p<0.001）。治疗后患儿的焦虑和抑郁评分降低，而 QoL 功能评分升高（均 p<0.05）。Schirmer 测试值与焦虑评分（r=-0.32，p=0.045）和 QoL 总分（r=0.38，p=0.016）呈显著负相关。
生活质量提高，焦虑和抑郁评分降低与 Schirmer 测试结果改善相关，这表明适当的 DED 治疗可能减轻 CVS 相关 DED 对儿科患者的心理社会影响。
