Relation between signs and symptoms of dry eye in the elderly - A population-based perspective
Relation between signs and symptoms of dry eye in the elderly - A population-based perspective
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DOI：
10.1016/s0161-6420(97)30125-0
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发表时间：
1997-09-01
期刊：
影响因子：
13.7
通讯作者：
West, S
中科院分区：
文献类型：
--
作者：
Schein, OD;Tielsch, JM;West, S
目的：研究干眼症症状、Schirmer试验结果和虎红评分在美国老年人人群样本中的分布和相关性。设计：基于人群的患病率调查。参与者：涉及马里兰州索尔兹伯里的2240名非机构化居民，年龄65岁及以上，1993年9月，由卫生保健金融管理局医疗保险数据库确定。主要结果测量：一个标准化的干眼症状问卷，虎红评分的眼表染色，和Schirmer tests.Results：百分之十四的参与者报告一个或多个症状经常或所有的时间。下测试眼的平均Schirmer评分为12.4，42%的虎红评分为1或更高，在症状、Schirmer或虎红测试方面，未观察到年龄、性别或种族的显著差异，较低的Schirmer评分与更频繁的症状之间无相关性。较高的虎红评分与症状弱相关。Schirmer和虎红测试的结果，无论是单独和组合，是不敏感的识别个人谁有symptoms.Conclusions：虽然眼部刺激的症状是常见的老年人，这些基于人群的数据表明，有最小的重叠，个人之间的问卷调查，Schirmer测试，和虎红评分。
Purpose: To examine the distribution and association of dry eye symptoms, Schirmer test results, and rose bengal scores in a population-based sample of elderly Americans.Design: Population-based prevalence survey.Participants: Involved were 2240 noninstitutionalized residents of Salisbury, Maryland, aged 65 years and older as of September 1993, and identified by the Health Care Financing Administration Medicare database.Main Outcome Measures: A standardized dry eye symptom questionnaire, rose bengal scoring of ocular surface staining, and Schirmer tests.Results: Fourteen percent of participants reported one or more symptoms to be present often or all the time. The mean Schirmer score in the lower testing eye was 12.4 and 42% had a rose bengal score of 1 or greater, No significant differences by age, gender, or race were seen for symptoms, Schirmer, or rose bengal testing, No association was seen between lower Schirmer scores and presence of more frequent symptoms. Higher rose bengal scores were weakly associated with symptoms. The Schirmer and rose bengal test results, both individually and in combination, were insensitive in identifying individuals who had symptoms.Conclusions: Although symptoms of ocular irritation are common among the elderly, these population-based data indicate that there is minimal overlap between individuals identified by questionnaire, Schirmer tests, and rose bengal scoring.