TFOS lifestyle: Impact of lifestyle challenges on the ocular surface

Anat Galor; Alexis Ceecee Britten-Jones; Yun Feng; Giulio Ferrari; David Goldblum; Preeya K Gupta; Jesus Merayo-Lloves; Kyung-Sun Na; Shehzad A Naroo; Kelly K Nichols; Eduardo M Rocha; Louis Tong; Michael T M Wang; Jennifer P Craig

doi:10.1016/j.jtos.2023.04.008

TFOS lifestyle: Impact of lifestyle challenges on the ocular surface

Anat Galor^*, Alexis Ceecee Britten-Jones, Yun Feng, Giulio Ferrari, David Goldblum, Preeya K Gupta, Jesus Merayo-Lloves, Kyung-Sun Na, Shehzad A Naroo, Kelly K Nichols, Eduardo M Rocha, Louis Tong, Michael T M Wang, Jennifer P Craig

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Many factors in the domains of mental, physical, and social health have been associated with various ocular surface diseases, with most of the focus centered on aspects of dry eye disease (DED). Regarding mental health factors, several cross-sectional studies have noted associations between depression and anxiety, and medications used to treat these disorders, and DED symptoms. Sleep disorders (both involving quality and quantity of sleep) have also been associated with DED symptoms. Under the domain of physical health, several factors have been linked to Meibomian gland abnormalities, including obesity and face mask wear. Cross-sectional studies have also linked chronic pain conditions, specifically migraine, chronic pain syndrome and fibromyalgia, to DED, principally focusing on DED symptoms. A systematic review and meta-analysis reviewed available data and concluded that various chronic pain conditions increased the risk of DED (variably defined), with odds ratios ranging from 1.60 to 2.16. However, heterogeneity was noted, highlighting the need for additional studies examining the impact of chronic pain on DED signs and subtype (evaporative versus aqueous deficient). With respect to societal factors, tobacco use has been most closely linked to tear instability, cocaine to decreased corneal sensitivity, and alcohol to tear film disturbances and DED symptoms.

Original language	English
Pages (from-to)	262-303
Number of pages	42
Journal	The ocular surface
Volume	28
Early online date	11 Apr 2023
DOIs	https://doi.org/10.1016/j.jtos.2023.04.008
Publication status	Published - Apr 2023

Bibliographical note

© 2023 Elsevier Inc. All rights reserved.
Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Keywords

Anxiety
Sleep disorders
Systematic review
Depression
Ocular surface disease
Social factors
Physical factors
Dry eye disease
Mental health
Chronic pain

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10.1016/j.jtos.2023.04.008

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10102706/Licence: Other

Cite this

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title = "TFOS lifestyle: Impact of lifestyle challenges on the ocular surface",

abstract = "Many factors in the domains of mental, physical, and social health have been associated with various ocular surface diseases, with most of the focus centered on aspects of dry eye disease (DED). Regarding mental health factors, several cross-sectional studies have noted associations between depression and anxiety, and medications used to treat these disorders, and DED symptoms. Sleep disorders (both involving quality and quantity of sleep) have also been associated with DED symptoms. Under the domain of physical health, several factors have been linked to Meibomian gland abnormalities, including obesity and face mask wear. Cross-sectional studies have also linked chronic pain conditions, specifically migraine, chronic pain syndrome and fibromyalgia, to DED, principally focusing on DED symptoms. A systematic review and meta-analysis reviewed available data and concluded that various chronic pain conditions increased the risk of DED (variably defined), with odds ratios ranging from 1.60 to 2.16. However, heterogeneity was noted, highlighting the need for additional studies examining the impact of chronic pain on DED signs and subtype (evaporative versus aqueous deficient). With respect to societal factors, tobacco use has been most closely linked to tear instability, cocaine to decreased corneal sensitivity, and alcohol to tear film disturbances and DED symptoms.",

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year = "2023",

month = apr,

doi = "10.1016/j.jtos.2023.04.008",

language = "English",

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AU - Galor, Anat

AU - Britten-Jones, Alexis Ceecee

AU - Feng, Yun

AU - Ferrari, Giulio

AU - Goldblum, David

AU - Gupta, Preeya K

AU - Merayo-Lloves, Jesus

AU - Na, Kyung-Sun

AU - Naroo, Shehzad A

AU - Nichols, Kelly K

AU - Rocha, Eduardo M

AU - Tong, Louis

AU - Wang, Michael T M

AU - Craig, Jennifer P

N1 - © 2023 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

PY - 2023/4

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N2 - Many factors in the domains of mental, physical, and social health have been associated with various ocular surface diseases, with most of the focus centered on aspects of dry eye disease (DED). Regarding mental health factors, several cross-sectional studies have noted associations between depression and anxiety, and medications used to treat these disorders, and DED symptoms. Sleep disorders (both involving quality and quantity of sleep) have also been associated with DED symptoms. Under the domain of physical health, several factors have been linked to Meibomian gland abnormalities, including obesity and face mask wear. Cross-sectional studies have also linked chronic pain conditions, specifically migraine, chronic pain syndrome and fibromyalgia, to DED, principally focusing on DED symptoms. A systematic review and meta-analysis reviewed available data and concluded that various chronic pain conditions increased the risk of DED (variably defined), with odds ratios ranging from 1.60 to 2.16. However, heterogeneity was noted, highlighting the need for additional studies examining the impact of chronic pain on DED signs and subtype (evaporative versus aqueous deficient). With respect to societal factors, tobacco use has been most closely linked to tear instability, cocaine to decreased corneal sensitivity, and alcohol to tear film disturbances and DED symptoms.

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KW - Systematic review

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KW - Physical factors

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KW - Mental health

KW - Chronic pain

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VL - 28

SP - 262

EP - 303

JO - The ocular surface

JF - The ocular surface

ER -

TFOS lifestyle: Impact of lifestyle challenges on the ocular surface

Abstract

Bibliographical note

Keywords

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