Clinical Characteristics of Dry Eye Patients With Chronic Pain Syndromes REPLY
| Autor: | Jelle Vehof, Simone A. Nibourg, Diana Kozareva, Nicole Sillevis Smitt-Kamminga, Christopher J Hammond |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Letter SUBCOMMITTEE Dry Eye Syndromes Disease DISEASE 03 medical and health sciences 0302 clinical medicine Fibromyalgia Internal medicine KERATOCONJUNCTIVITIS SICCA medicine Eye Pain Humans WORKSHOP 2007 COHORT Ocular Surface Disease Index FIBROMYALGIA Irritable bowel syndrome business.industry Pelvic pain Chronic pain medicine.disease eye diseases PREVALENCE Ophthalmology Anesthesia Tears RISK-FACTORS 030221 ophthalmology & optometry Physical therapy SENSITIVITY Chronic Pain medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | American journal of ophthalmology, 166, 203-204. ELSEVIER SCIENCE INC Vehof, J, Sillevis Smitt-Kamminga, N, Kozareva, D, Nibourg, S A & Hammond, C J 2016, ' Clinical Characteristics of Dry Eye Patients With Chronic Pain Syndromes ', American Journal of Ophthalmology, vol. 162, pp. 59-65.e2 . https://doi.org/10.1016/j.ajo.2015.11.017 American journal of ophthalmology, 162, 59-65. ELSEVIER SCIENCE INC |
| ISSN: | 0002-9394 |
| Popis: | PURPOSE: To investigate clinical characteristics of dry eye disease (DED) patients with a chronic pain syndrome.DESIGN: Cross-sectional. study.METHODS: Four hundred twenty-five patients of a tertiary care DED patient cohort in the Netherlands were included. Chronic pain syndromes irritable bowel syndrome, chronic pelvic pain, and fibromyalgia were assessed by questionnaires. Outcome variables were the Ocular Surface Disease Index (OSDI) symptom questionnaire, tear osmolarity, Schirmer test, tear breakup time, conjunctival hyperemia, staining of the cornea and conjunctiva, and amount of mucus. Outcomes were cross-sectionally compared between DED patients with a chronic pain syndrome and those without.RESULTS: A total of 74 out of 425 DED patients (17%) had at least 1 chronic pain syndrome. The total symptom score was significantly higher in DED patients with a chronic pain syndrome than in those without (45.8 vs 33.8, P CONCLUSION: In DED patients, chronic pain syndromes are common and are associated with increased severity of DED symptoms across all domains of the OSDI, even though objective ocular surface signs are no worse. In clinical practice, more awareness of chronic pain syndromes might help in understanding the discrepancy between signs and symptoms in DED. (C) 2016 by Elsevier Inc. All rights reserved. |
| Databáze: | OpenAIRE |
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