Bhakhri Raman, Zoltoski Rebecca, Athar Moheera, Hasan Shaadan
Illinois College of Optometry, Chicago, IL, USA.
Clin Exp Optom. 2025 Jul;108(5):561-565. doi: 10.1080/08164622.2024.2388125. Epub 2024 Sep 4.
Understanding the associations between mask wear and hordeola and chalazia formation are important for eyecare physicians as they may be overlooked as a direct cause. The literature on these possible relationships is limited.
The intention of this study was to determine if there was an increased incidence of internal/external hordeola and chalazia secondary to the implementation of mask wear due to the COVID-19 pandemic in an academic clinical setting.
A retrospective chart review of electronic medical records at the Illinois Eye Institute was conducted. Cases were categorised into two groups: pre-COVID/pre- mask wear (December 2018-February 2020) and during the pandemic/mask wear (May 2020-July 2022). Demographic data were also compared between the two groups.
A total of 163 cases of hordeola and chalazia were reported pre-COVID, with an increase to 225 during the pandemic/mask wear period. Due to the reduction in patient visits because of COVID restrictions, an incidence analysis was conducted to determine occurrence rates per 1000 visits. The pre-COVID period showed a total incidence rate of 3.06 cases per 1000 patients (hordeola 1.6/chalazia 1.57) while during the mask wearing period the incidence rate increased to 6.32 cases per 1000 patients (hordeola 2.5/chalazions 3.82). A total incidence rate ratio was calculated to be 2.1 (hordeola 1.6/chalazia 2.6) correlating to a greater chance of developing the conditions during mask wear.
An increase in the incidence of chalazia and hordeola were noted in the mask wear/pandemic group when compared to the pre-mask wear group. Increased mask wear may be a principal cause of hordeola and chalazia.
了解佩戴口罩与睑腺炎和睑板腺囊肿形成之间的关联，对眼科医生很重要，因为它们可能被忽视作为直接病因。关于这些可能关系的文献有限。
本研究的目的是确定在学术临床环境中，由于新冠疫情实施口罩佩戴后，内/外睑腺炎和睑板腺囊肿的发病率是否增加。
对伊利诺伊眼科研究所的电子病历进行回顾性图表审查。病例分为两组：新冠疫情前/未佩戴口罩时期（2018年12月至2020年2月）和疫情期间/佩戴口罩时期（2020年5月至2022年7月）。还比较了两组的人口统计学数据。
新冠疫情前共报告了163例睑腺炎和睑板腺囊肿病例，在疫情/佩戴口罩期间增加到225例。由于新冠疫情限制导致患者就诊减少，进行了发病率分析以确定每1000次就诊的发生率。新冠疫情前时期每1000例患者的总发病率为3.06例（睑腺炎1.6/睑板腺囊肿1.57），而在佩戴口罩期间发病率增加到每1000例患者6.32例（睑腺炎2.5/睑板腺囊肿3.82）。计算得出总发病率比为2.1（睑腺炎1.6/睑板腺囊肿2.6），这表明在佩戴口罩期间发生这些病症的可能性更大。
与未佩戴口罩组相比，佩戴口罩/疫情组中睑板腺囊肿和睑腺炎的发病率有所增加。增加口罩佩戴可能是睑腺炎和睑板腺囊肿的主要原因。
