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Kuang, Tung-Mei
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Medicine & Pharmacology

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Association Between Dry Eye and Sleep Quality in an Elderly Chinese Population in Taiwan: The Shihpai Eye Study Tsai, Su-Ying; Kuang, Tung-Mei
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.27-33

Abstract

Introduction: Dry eye symptoms often do not align with test results, and discrepancies between symptoms and clinical signs are common. Interestingly, dry eye symptoms correlate more with non-ocular conditions than clinical signs. Purpose: Our study explored the link between dry eye symptoms, signs, and sleep quality among the elderly. Methods: This community-based cross-sectional survey targeted vision and eye diseases in non-institutionalized individuals aged 65 and older. It began with a structured questionnaire on dry eye symptoms and the Pittsburgh Sleep Quality Index (PSQI), followed by a standardized ophthalmic examination, including slit lamp and dry eye tests. Results: Frequent dry eye symptoms were significantly associated with poor sleep quality (OR: 1.92; 95% CI: 1.36-2.70). Positive dry eye symptoms with tear break-up time ≤ 10 sec (OR: 1.78; 95% CI: 1.25-2.52) and a Schirmer test ≤ 5mm (OR: 1.61; 95% CI: 1.10-2.34) were linked to poor sleep quality, as was having meibomian gland disease (OR: 1.60; 95% CI: 1.09-2.32). Dry eye symptoms were also associated with the use of sleeping medication (OR: 1.41; 95% CI: 1.01-1.95). Subjects with dry eye symptoms and tear break-up time ≤ 10 sec (OR: 1.59; 95% CI: 1.13-2.22) or a Schirmer test score ≤ 5mm (OR: 1.46; 95% CI: 1.01-2.08) were more likely to use sleeping medication. Conclusions: Our study showed dry eye, especially dry eye symptoms, significantly impacts subjective sleep quality and the use of sleeping medication in the elderly. The causal relationship between sleep quality and dry eye requires further investigation.
The Impact of Dry Eye Disease on Health-Related Quality of Life Among Elderly Chinese Population in Taiwan: Insights From the Shihpai Eye Study Tsai, Su-Ying; Kuang, Tung-Mei
Vision Science and Eye Health Journal Vol. 5 No. 1 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i1.2025.1-12

Abstract

Introduction: Advanced age is a significant risk factor for dry eye disease. Many individuals tend to perceive dry eye as a minor and inconsequential problem. The significant adverse impact of dry eye on an individual’s health perception cannot be underestimated. This issue demands substantial attention in public health, particularly considering the growing aging population. The present study aimed to investigate the association between dry eye symptoms and signs with health-related quality of life in an Asian elderly population. Purpose: The present study aimed to investigate the association between dry eye symptoms and dry eye signs on health-related quality of life in an Asian elderly population. Methods: This cross-sectional study was conducted within the Shihpai community in Taipei, Taiwan, involving individuals aged 65 years and older who lived independently in the community. A baseline examination was conducted in 1999, consisting of a structured questionnaire that included dry eye symptoms and the 36-item short form health survey (SF-36) questionnaire, followed by a standardized ophthalmic examination that included slit lamp and dry eye tests. Results: Frequent symptoms of dry eye are related to all domains of SF-36 except role limitation due to emotional problems. Schirmer test (≤ 5 mm) was found to have a significant association with greater bodily pain (p = 0.0307) when accounting for other covariates. Additionally, meibomian gland disease exhibited a significant link to lower scores in the domain of role limitation due to emotional problems (p = 0.0406). Conclusions: Our study demonstrated that dry eye, particularly its symptoms, has a significant negative impact on the health-related quality of life in the elderly. It was reported that effective intervention of dry eye could alleviate symptoms of anxiety and depression. Further study will be required to assess whether treatment of dry eye would also improve the health-related quality of life in elderly participants.
Co-Authors Tsai, Su-Ying