Seasonal Variation in Dry Eye

Feuer, William J.; Lanza, Nicole L.

doi:10.1016/j.ophtha.2015.02.013

Cited by 35 publications

(27 citation statements)

References 4 publications

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“… 6 While most of these variables are relatively constant throughout the year, meteorological conditions vary by season. In fact, studies support a seasonal pattern in the prevalence of DE in the US 7 , 8 and other parts of the world. 9 Specifically, a nationwide retrospective analysis of US veterans found that the diagnosis of DE had a seasonal pattern, with the maximum prevalence in winter and spring.…”

Section: Introductionmentioning

confidence: 85%

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Impact of seasonal variation in meteorological conditions on dry eye severity

Dermer¹,

Hackam²,

Mirsaeidi³

2018

OPTH

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PurposeTo compare dry eye (DE) diagnosis patterns by season in Miami vis-a-vis the US and examine differences in DE symptoms and signs by season in Miami.Patients and methodsUS veteran affairs (VA) patient visits with ICD-9 codes for DE (375.15) and routine medical examination (V70.0) from 2010 to 2013 were retrospectively analyzed to evaluate the seasonal pattern of DE diagnosis. A total of 365 patients with normal ocular anatomy were prospectively recruited from the Miami VA eye clinic from 2014 to 2016 for the assessment of symptoms and signs.ResultsWhile DE visit prevalence in Miami was about 10% lower than that of the rest of the country (22.5% vs 33.7%), Miami had roughly four times higher variability in DE visit prevalence throughout the year than the US. Peak values for DE symptoms in the Miami cohort aligned with peak DE prevalence seen in the retrospective sample, occurring in spring and fall. A similar, but less dramatic, pattern was noted with DE signs. The seasonal pattern in DE symptoms remained even after controlling for confounders including demographics and medication use.ConclusionDE symptoms, and to a lesser degree signs, varied by month, with the highest severity of symptoms occurring in spring and fall, which corresponded with peak allergy season and weather fluctuations, respectively. These findings have important implications for season-specific diagnosis, treatment, and management of DE.

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Section: Introductionmentioning

confidence: 85%

“… 9 Specifically, a nationwide retrospective analysis of US veterans found that the diagnosis of DE had a seasonal pattern, with the maximum prevalence in winter and spring. 7 Yet, we still do not fully understand the role of seasonality in specific DE symptoms and signs.…”

Section: Introductionmentioning

confidence: 99%

Impact of seasonal variation in meteorological conditions on dry eye severity

Dermer¹,

Hackam²,

Mirsaeidi³

2018

OPTH

Self Cite

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“…For this reason, some glaucoma medications come in preservative-free, single-dose units, with reduced toxicity from chlorhexidine and SofziaR, and a decreased concentration of benzalkonium chloride (BAK), the most commonly used preservative in such agents [7]. DED are also multifactorial diseases that predominantly affect women and the elderly, rheumatoid disease, and immunological disease, and the seasonal variation in symptoms and signs of DED has been well documented [8][9][10][11]. Previous investigations have indicated that different seasons (spring, summer, and winter), cold and hot weather, seasonal air pollen, wind, and sunshine can exacerbate DED.…”

Section: Introductionmentioning

confidence: 99%

Tear Break-Up Time and Seasonal Variation in Intraocular Pressure in a Japanese Population

et al. 2020

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Purpose: To evaluate seasonal variation in intraocular pressure (IOP) with and without short tear break-up time (SBUT, BUT ≤5 s) since dry eye and IOP are known to have seasonal variation. Methods: This study enrolled 176 patients who visited one of six eye clinics, in Japan, four times for IOP measurement, in every season. The mean patient age was 67.9 years, including 79 males. Participants were divided into four groups based on the presence of glaucoma and/or SBUT and we compared the seasonal variation in IOP (winter and summer) among the four groups. Results: The IOP (mmHg) in winter and summer, respectively, was 12.8 ± 3.7 and 12.8 ± 3.1 for non-glaucoma patients without SBUT (n = 47, p = 0.964), 14.8 ± 3.4 and 13.3 ± 3.4 for non-glaucoma patients with SBUT (n = 57, p < 0.001), 14.3 ± 3.2 and 14.1 ± 3.4 for glaucoma patients without SBUT (n = 36, p = 0.489), and 13.3 ± 3.0 and 11.6 ± 2.9 for glaucoma with SBUT (n = 36, p < 0.001). Seasonal variation was largest across the seasons in the glaucoma with the SBUT group, and the magnitude of seasonal variation correlated with BUT (β = 0.228, p = 0.003). Conclusions: Seasonal variation tended to be larger in patients with SBUT than those without SBUT.

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“… 1 – 4 Previous investigations have indicated that different seasons (spring, summer, and winter), cold and hot weather, wind, and sunshine may all exacerbate DED. 1 – 3 Air pollen is a seasonal environmental factor 3 that can induce allergic conjunctivitis, a problem that may be associated with DED. 5 , 6 A national survey demonstrated a close association between the severity of hay fever and elevated air pollen counts.…”

Section: Introductionmentioning

confidence: 99%

Possible association between subtypes of dry eye disease and seasonal variation

Ayaki

Kawashima

Uchino

et al. 2017

OPTH

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PurposeThe purpose of this study was to evaluate the influence of seasons on the signs and symptoms of dry eye disease (DED).MethodsThis is a cross-sectional, case-control study, and participants were non-DED subjects (n=1,916, mean age 54.4±14.4 years) and DED patients (n=684, 54.2±12.1 years) visiting six eye clinics at various practices and locations in Japan. We evaluated the signs and symptoms of DED and the seasons with the most severe results were compared to those with the least severe results in both groups. Main outcome measures were differences in the severity of the signs and symptoms of DED between the most and least severe seasons.ResultsThe majority of DED symptoms were most severe during spring and least severe in summer. Significant differences between these two seasons were found for irritation (P=0.001), pain (P=0.007), blurring (P=0.000), and photophobia (P=0.007) in the DED group. Superficial punctate keratopathy (P=0.001) and tear break-up time (BUT; P=0.000) results also indicated that DED was most severe in spring. In contrast, fewer patients had low Schirmer test results in spring, although this was not statistically significant (P=0.061).ConclusionOur results demonstrated that the severity of DED is seasonal, which may explain the increase of short BUT-type DED cases observed in spring when air pollen counts are highest.

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Seasonal Variation in Dry Eye

Abstract: openAccessArticle: Falsecover date: 2015-08-01pii: S0161-6420(15)00128-1Harvest Date: 2016-01-06 13:08:18issueName:Page Range: 1727-1727href scidir: http://www.sciencedirect.com/science/article/pii/S0161642015001281pubType: Repor

Cited by 35 publications

References 4 publications

Impact of seasonal variation in meteorological conditions on dry eye severity

Impact of seasonal variation in meteorological conditions on dry eye severity

Tear Break-Up Time and Seasonal Variation in Intraocular Pressure in a Japanese Population

Possible association between subtypes of dry eye disease and seasonal variation

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