Ocular surface symptoms in veterans returning from operation Iraqi freedom and operation enduring freedom.
Ocular surface symptoms in veterans returning from operation Iraqi freedom and operation enduring freedom.
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从伊拉克自由行动和持久自由行动返回的退伍军人的眼表症状。
DOI：
10.1167/iovs.13-13330
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发表时间：
2014
影响因子：
4.4
通讯作者：
Galor,Anat
中科院分区：
文献类型：
--
作者：
Modi,YashaS;Qurban,Qirat;Zlotcavitch,Leonid;Echeverri,RobertoJ;Feuer,William;Florez,Hermes;Galor,Anat
目的：在参与伊拉克自由和持久自由行动(OIF/OEF)的年轻退伍军人中，将情景暴露和精神疾病与自我报告的眼表症状联系起来。方法：对2012年12月至2013年4月在OIF/OEF诊所接受评估的所有完成干眼问卷和筛查评估环境暴露、创伤后应激障碍(PTSD)和抑郁症的退伍军人进行横断面研究。主要观察指标为环境暴露和精神疾病对眼表症状的影响。结果：115名参与者的平均年龄为33岁。而在国外，接触焚烧废物(优势比[OR]2.67，95%可信区间[CI]1.23-5.81，P=0.02)和创伤后应激障碍(OR 2.68，95%可信区间1.23-5.85，P=0.02)与自我报告的眼表症状有关。返回美国后，高龄(OR每十年2.66，95%CI 1.65~4.31，P=0.04)与持续性症状相关，焚烧垃圾与症状缓解(OR 0.25，95%CI 0.07~0.90，P=0.04)相关。在评估症状严重程度时，26%的应答者抱怨有严重的眼表症状，其中创伤后应激障碍(OR3.10，95%CI1.22~7.88，P=0.02)和抑郁(OR4.28，95%CI1.71~10.68，P=0.002)是他们存在的显著危险因素。结论：无论是在国外还是回国后，创伤后应激障碍都与眼表症状显著相关，而以焚烧垃圾形式存在的空气污染与可逆症状有关。
Purpose.: To correlate situational exposures and psychiatric disease with self-reported ocular surface symptoms in a younger veteran population involved in Operation Iraqi Freedom and Operation Enduring Freedom (OIF/OEF).Methods.: Cross-sectional study of all veterans evaluated in the OIF/OEF clinic between December 2012 and April 2013 who completed the dry eye questionnaire and screening evaluations for environmental exposures, posttraumatic stress disorder (PTSD), and depression. The main outcome measures were the influence of environmental exposure and psychiatric disease on ocular surface symptoms.Results.: Of 115 participants, the average age was 33 years. While overseas, exposure to incinerated waste (odds ratio [OR] 2.67, 95% confidence interval [CI] 1.23–5.81, P= 0.02) and PTSD (OR 2.68, 95% CI 1.23–5.85, P= 0.02) were associated with self-reported ocular surface symptoms. On return to the United States, older age (OR per decade 2.66, 95% CI 1.65–4.31, P= 0.04) was associated with persistent symptoms and incinerated waste was associated with resolution of symptoms (OR 0.25, 95% CI 0.07–0.90, P= 0.04). When evaluating symptom severity, 26% of the responders complained of severe ocular surface symptoms, with PTSD (OR 3.10, 95% CI 1.22–7.88, P= 0.02) and depression (OR 4.28, 95% CI 1.71–10.68, P= 0.002) being significant risk factors for their presence.Conclusions.: PTSD was significantly associated with ocular surface symptoms both abroad and on return to the United States, whereas air pollution in the form of incinerated waste, was correlated with reversible symptoms.
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影响因子：
4.2
作者：
Galor, Anat;Feuer, William;Lee, David J.;Florez, Hermes;Carter, David;Pouyeh, Bozorgmehr;Prunty, William J.;Perez, Victor L.
通讯作者：
Perez, Victor L.
影响因子：
4.2
作者：
Pouyeh, Bozorgmehr;Viteri, Eduardo;Galor, Anat
通讯作者：
Galor, Anat
DOI：
10.1001/jama.1989.03430070062031
发表时间：
1989-08
期刊：
JAMA
影响因子：
--
作者：
K. Wells;A. Stewart;Ron D. Hays;M. Burnam;W. Rogers;M. Daniels;S. Berry;S. Greenfield;J. Ware-J.
通讯作者：
K. Wells;A. Stewart;Ron D. Hays;M. Burnam;W. Rogers;M. Daniels;S. Berry;S. Greenfield;J. Ware-J.
干眼症的流行病学和分类。
影响因子：
--
作者：
M. Lemp
通讯作者：
M. Lemp
影响因子：
13.7
作者：
Schiffman, RM;Walt, JG;Sumner, W
通讯作者：
Sumner, W