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健康受试者和干眼患者在不同光照条件下的光不适阈值。

Light discomfort thresholds under different lighting conditions in healthy subjects and dry eye patients.

作者信息

Lixi Filippo, Coco Giulia, Corda Claudia, Villani Edoardo, Curci Alessandra, Slidsborg Carina, Giannaccare Giuseppe

机构信息

Eye Clinic, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.

Ophthalmology Unit, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.

出版信息

Sci Rep. 2025 Aug 9;15(1):29213. doi: 10.1038/s41598-025-15633-1.


DOI:10.1038/s41598-025-15633-1
PMID:40783462
Abstract

Light-related visual disturbances are common symptoms among patients with dry eye disease (DED) but difficult to be evaluated in the clinical practice. This cross-sectional, multicenter, controlled study aimed at comparing light discomfort thresholds in healthy individuals and patients with DED, and to further correlate thresholds with ocular surface parameters. The Lumiz 100 device (Essilor International, Paris, France) was employed to measure light discomfort thresholds in 25 patients with DED and 25 sex- and age-matched healthy subjects under different lighting conditions: continuous warm, continuous cold and flashing warm. Participants were instructed to press a button twice to signal discomfort levels as "just perceptible" and "really disturbing". The mean of the two values was calculated for each lighting condition. DED patients exhibited lower discomfort thresholds for all measurements compared to controls (continuous warm: 2.81 ± 0.56 log10[lux] vs. 3.47 ± 0.51 log10[lux], continuous cold: 2.78 ± 0.54 log10[lux] vs. 3.48 ± 0.50 log10[lux], flashing warm: 2.54 ± 0.53 log10[lux] vs. 3.12 ± 0.69 log10[lux], all p ≤ 0.004). A significant negative correlation was found between total light sensitivity threshold and ocular discomfort symptoms in patients with DED (r=-0.499, p = 0.011). Conversely, no significant correlation was found between light thresholds and the other ocular surface parameters. These findings show that DED patients have a higher light sensitivity than healthy subjects.

摘要

与光相关的视觉障碍是干眼疾病(DED)患者的常见症状,但在临床实践中难以评估。这项横断面、多中心对照研究旨在比较健康个体和DED患者的光不适阈值,并进一步将阈值与眼表参数相关联。使用Lumiz 100设备(法国巴黎依视路国际公司)在不同光照条件下测量25例DED患者和25例性别及年龄匹配的健康受试者的光不适阈值:持续暖光、持续冷光和闪烁暖光。参与者被指示按下按钮两次,以表示不适程度为“刚可察觉”和“确实困扰”。计算每种光照条件下两个值的平均值。与对照组相比,DED患者在所有测量中的不适阈值均较低(持续暖光:2.81±0.56 log10[勒克斯] 对 3.47±0.51 log10[勒克斯],持续冷光:2.78±0.54 log10[勒克斯] 对 3.48±0.50 log10[勒克斯],闪烁暖光:2.54±0.53 log10[勒克斯] 对 3.12±0.69 log10[勒克斯],所有p≤0.004)。在DED患者中,总光敏感度阈值与眼部不适症状之间存在显著负相关(r = -0.499,p = 0.011)。相反,在光阈值与其他眼表参数之间未发现显著相关性。这些发现表明,DED患者比健康受试者对光更敏感。

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本文引用的文献

[1]
Tear Film and Dry Eye Characteristics as Predictors of Photophobia in 374 Patients with Dry Eye Disease.

Semin Ophthalmol. 2025-4

[2]
A Novel Noninvasive Screening Tool for Dry Eye Disease.

Diagnostics (Basel). 2024-6-7

[3]
The Unmet Challenge of Diagnosing and Treating Photophobia.

J Neuroophthalmol. 2022-9-1

[4]
Visual photosensitivity threshold and objective photosensitivity luminance in healthy human eyes assessed using an automated ocular photosensitivity analyser: a step towards translation of a clinical tool for assessing photophobia.

Ophthalmic Physiol Opt. 2022-3

[5]
Evaluation of Physiological Parameters on Discomfort Glare Thresholds Using LUMIZ 100 Tool.

Transl Vis Sci Technol. 2021-7-1

[6]
Diagnostic Performance of a Novel Noninvasive Workup in the Setting of Dry Eye Disease.

J Ophthalmol. 2020-12-11

[7]
Performance of a new device for the clinical determination of light discomfort.

Expert Rev Med Devices. 2020-11

[8]
Photophobia: shared pathophysiology underlying dry eye disease, migraine and traumatic brain injury leading to central neuroplasticity of the trigeminothalamic pathway.

Br J Ophthalmol. 2021-6

[9]
Validation of a photophobia symptom impact scale.

Cephalalgia. 2019-5-22

[10]
New Methods for Quantification of Visual Photosensitivity Threshold and Symptoms.

Transl Vis Sci Technol. 2017-8-15

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