Prevalence of and risk factors associated with dry eye: The Korea National Health and Nutrition Examination Survey 2010-2011

Ji Min Ahn, Seung Hyun Lee, Tyler Hyung Taek Rim, Ryoung Jin Park, Hong Seok Yang, Tae Im Kim, Kyung Chul Yoon, Kyoung Yul Seo

Research output: Contribution to journalArticle

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Abstract

PURPOSE: To investigate the prevalence of and risk factors associated with dry eye syndrome (DES) in South Korea.

DESIGN: Cross-sectional study.

METHODS: In 2010 and 2011, 11,666 subjects, ranging in age from 19 to 95, were randomly selected as nationally representative participants in the Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were divided into 2 groups: 1 with clinically diagnosed DES and 1 with symptoms of dry eye. We determined the prevalence of and risk factors for dry eyes in a Korean population. Health-related quality of life (HRQoL), measured by the EuroQoL-5 dimension (EQ-5D), was evaluated in patients with dry eyes.

RESULTS: The mean age was 49.9 years. The overall prevalence of diagnosed DES was 8.0% (95% confidence interval [CI], 7.3% to 8.7%), and of dry eye symptoms the prevalence was 14.4% (95% CI, 13.1 to 15.7). Age (adjusted odds ratio [aOR] = 1.8, 1.6), female (aOR = 2.8, 1.9); history of eye surgery (aOR = 2.6, 2.2); stress (aOR = 1.7, 1.6); thyroid disease (aOR = 1.7, 1.5); and high education level (aOR = 1.6, 1.5) were common risk factors in the groups. Subjects who had undergone ptosis, cataract or refractive surgery were more likely to have dry eye than subjects with no history of eye surgery. Means of pain and anxiety dimensions in the EQ-5D and the Euro Quality of Life Visual Analog Scale (EQ-VAS) were significantly higher in the group with diagnosed DES than in the normal group.

CONCLUSIONS: The risk factors were mostly similar in both groups. It is thought there are more patients with DES who have not been diagnosed by doctors. Doctors should identify whether a patient has any risk factors for dry eye. Patients need to be educated about the modifiable factors of DES.

Original languageEnglish
Pages (from-to)1205-1214.e7
JournalAmerican Journal of Ophthalmology
Volume158
Issue number6
DOIs
Publication statusPublished - 2014 Dec 1

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Nutrition Surveys
Dry Eye Syndromes
Korea
Odds Ratio
Quality of Life
Confidence Intervals
Refractive Surgical Procedures
Republic of Korea
Thyroid Diseases
Visual Analog Scale
Cataract
Anxiety
Cross-Sectional Studies
Education
Pain

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Ahn, Ji Min ; Lee, Seung Hyun ; Rim, Tyler Hyung Taek ; Park, Ryoung Jin ; Yang, Hong Seok ; Kim, Tae Im ; Yoon, Kyung Chul ; Seo, Kyoung Yul. / Prevalence of and risk factors associated with dry eye : The Korea National Health and Nutrition Examination Survey 2010-2011. In: American Journal of Ophthalmology. 2014 ; Vol. 158, No. 6. pp. 1205-1214.e7.
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abstract = "PURPOSE: To investigate the prevalence of and risk factors associated with dry eye syndrome (DES) in South Korea.DESIGN: Cross-sectional study.METHODS: In 2010 and 2011, 11,666 subjects, ranging in age from 19 to 95, were randomly selected as nationally representative participants in the Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were divided into 2 groups: 1 with clinically diagnosed DES and 1 with symptoms of dry eye. We determined the prevalence of and risk factors for dry eyes in a Korean population. Health-related quality of life (HRQoL), measured by the EuroQoL-5 dimension (EQ-5D), was evaluated in patients with dry eyes.RESULTS: The mean age was 49.9 years. The overall prevalence of diagnosed DES was 8.0{\%} (95{\%} confidence interval [CI], 7.3{\%} to 8.7{\%}), and of dry eye symptoms the prevalence was 14.4{\%} (95{\%} CI, 13.1 to 15.7). Age (adjusted odds ratio [aOR] = 1.8, 1.6), female (aOR = 2.8, 1.9); history of eye surgery (aOR = 2.6, 2.2); stress (aOR = 1.7, 1.6); thyroid disease (aOR = 1.7, 1.5); and high education level (aOR = 1.6, 1.5) were common risk factors in the groups. Subjects who had undergone ptosis, cataract or refractive surgery were more likely to have dry eye than subjects with no history of eye surgery. Means of pain and anxiety dimensions in the EQ-5D and the Euro Quality of Life Visual Analog Scale (EQ-VAS) were significantly higher in the group with diagnosed DES than in the normal group.CONCLUSIONS: The risk factors were mostly similar in both groups. It is thought there are more patients with DES who have not been diagnosed by doctors. Doctors should identify whether a patient has any risk factors for dry eye. Patients need to be educated about the modifiable factors of DES.",
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Prevalence of and risk factors associated with dry eye : The Korea National Health and Nutrition Examination Survey 2010-2011. / Ahn, Ji Min; Lee, Seung Hyun; Rim, Tyler Hyung Taek; Park, Ryoung Jin; Yang, Hong Seok; Kim, Tae Im; Yoon, Kyung Chul; Seo, Kyoung Yul.

In: American Journal of Ophthalmology, Vol. 158, No. 6, 01.12.2014, p. 1205-1214.e7.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence of and risk factors associated with dry eye

T2 - The Korea National Health and Nutrition Examination Survey 2010-2011

AU - Ahn, Ji Min

AU - Lee, Seung Hyun

AU - Rim, Tyler Hyung Taek

AU - Park, Ryoung Jin

AU - Yang, Hong Seok

AU - Kim, Tae Im

AU - Yoon, Kyung Chul

AU - Seo, Kyoung Yul

PY - 2014/12/1

Y1 - 2014/12/1

N2 - PURPOSE: To investigate the prevalence of and risk factors associated with dry eye syndrome (DES) in South Korea.DESIGN: Cross-sectional study.METHODS: In 2010 and 2011, 11,666 subjects, ranging in age from 19 to 95, were randomly selected as nationally representative participants in the Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were divided into 2 groups: 1 with clinically diagnosed DES and 1 with symptoms of dry eye. We determined the prevalence of and risk factors for dry eyes in a Korean population. Health-related quality of life (HRQoL), measured by the EuroQoL-5 dimension (EQ-5D), was evaluated in patients with dry eyes.RESULTS: The mean age was 49.9 years. The overall prevalence of diagnosed DES was 8.0% (95% confidence interval [CI], 7.3% to 8.7%), and of dry eye symptoms the prevalence was 14.4% (95% CI, 13.1 to 15.7). Age (adjusted odds ratio [aOR] = 1.8, 1.6), female (aOR = 2.8, 1.9); history of eye surgery (aOR = 2.6, 2.2); stress (aOR = 1.7, 1.6); thyroid disease (aOR = 1.7, 1.5); and high education level (aOR = 1.6, 1.5) were common risk factors in the groups. Subjects who had undergone ptosis, cataract or refractive surgery were more likely to have dry eye than subjects with no history of eye surgery. Means of pain and anxiety dimensions in the EQ-5D and the Euro Quality of Life Visual Analog Scale (EQ-VAS) were significantly higher in the group with diagnosed DES than in the normal group.CONCLUSIONS: The risk factors were mostly similar in both groups. It is thought there are more patients with DES who have not been diagnosed by doctors. Doctors should identify whether a patient has any risk factors for dry eye. Patients need to be educated about the modifiable factors of DES.

AB - PURPOSE: To investigate the prevalence of and risk factors associated with dry eye syndrome (DES) in South Korea.DESIGN: Cross-sectional study.METHODS: In 2010 and 2011, 11,666 subjects, ranging in age from 19 to 95, were randomly selected as nationally representative participants in the Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were divided into 2 groups: 1 with clinically diagnosed DES and 1 with symptoms of dry eye. We determined the prevalence of and risk factors for dry eyes in a Korean population. Health-related quality of life (HRQoL), measured by the EuroQoL-5 dimension (EQ-5D), was evaluated in patients with dry eyes.RESULTS: The mean age was 49.9 years. The overall prevalence of diagnosed DES was 8.0% (95% confidence interval [CI], 7.3% to 8.7%), and of dry eye symptoms the prevalence was 14.4% (95% CI, 13.1 to 15.7). Age (adjusted odds ratio [aOR] = 1.8, 1.6), female (aOR = 2.8, 1.9); history of eye surgery (aOR = 2.6, 2.2); stress (aOR = 1.7, 1.6); thyroid disease (aOR = 1.7, 1.5); and high education level (aOR = 1.6, 1.5) were common risk factors in the groups. Subjects who had undergone ptosis, cataract or refractive surgery were more likely to have dry eye than subjects with no history of eye surgery. Means of pain and anxiety dimensions in the EQ-5D and the Euro Quality of Life Visual Analog Scale (EQ-VAS) were significantly higher in the group with diagnosed DES than in the normal group.CONCLUSIONS: The risk factors were mostly similar in both groups. It is thought there are more patients with DES who have not been diagnosed by doctors. Doctors should identify whether a patient has any risk factors for dry eye. Patients need to be educated about the modifiable factors of DES.

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