Jemima S Hubert ¹*, Maheswari Srinivasan ¹, Bharghavy ¹, Sasikala B¹ and Karpagam Damodaran²

¹Dr. Agarwals Institute of Optometry, Chennai, Tamil Nadu, India
²MS, FMRF (Uvea)., Dr. Agarwals Eye Hospital., Dean of Dr. Agarwals Institute of Optometry

*Corresponding Author: Jemima S Hubert , Dr. Agarwals Institute of Optometry, Chennai, Tamil Nadu, India.

Received: March 01, 2024; Published: April 06, 2024

Abstract

Background: The COVID-19 pandemic has led to lifestyle changes such as increased screen time, which has been associated with various health issues. Dry eye disease (DED) and dry skin are associated with lifestyle changes. However, the association between DED and dry skin during the pandemic remains underexplored. This study aimed to investigate the prevalence of DED and its association with dry skin, along with identifying other risk factors for DED.

Methods: A cross-sectional survey was conducted from December 2020 to June 2021 using Google Forms distributed through social media platforms. The questionnaire included the Ocular Surface Disease Index (OSDI) and the Baumann skin-type questionnaire. Data on demographics, gadget usage, and other relevant factors were collected. The chi-square test and descriptive statistics were performed for analysis.

Results: Out of 510 participants who responded to the questionnaire, 342 (67%) subjects had dry eye disease (DED) based on OSDI scoring. Among the participants with DED, 135 (26.5%) had mild DED, 86 (16.9%) had moderate DED, and 121 (23.7%) had severe DED. We also found the prevalence of dry skin to be 36%. Among those with dry skin, 10 (2.0%) had very dry skin, and 173 (33.9%) had slightly dry skin. The chi-square test revealed a significant association between DED and dry skin (χ2 = 4.90; p = 0.027). Moreover, a significant association was observed between skin condition and DED severity (χ2 = 43.47; p < 0.001). However, there was no significant association between occupation and DED severity (χ2 = 4.40; p = 0.62). We found a significant association between the duration of gadget use and DED severity (χ2 = 18.59; p = 0.02).

Conclusion: This study revealed the alarming prevalence of DED. We also identified a significant association between DED and dry skin. DED severity also exhibited a significant association with skin condition and duration of gadget usage. These findings indicate the importance of addressing DED and dry skin as interconnected health concerns, particularly concerning lifestyle changes induced by the COVID-19 pandemic. Early detection and management of DED and dry skin can improve the quality of life for affected individuals.

Keywords: Dry Eye; Dry Skin; OSDI; DED

References

1. Romero-Blanco C., et al. “Physical Activity and Sedentary Lifestyle in University Students: Changes during Confinement Due to the COVID-19 Pandemic”. International Journal of Environmental Research and Public Health18 (2020): 6567.
2. Clayton JA. “Dry Eye. Longo DL, editor”. The New England Journal of Medicine 23 (2018): 2212-2223.
3. Koh S and Rhee MK. “COVID-19 and Dry Eye”. Eye and Contact Lens-science and Clinical Practice 6 (2021): 317-322.
4. Pandey S and Sharma V. “Mask-associated dry eye disease and dry eye due to prolonged screen time: Are we heading towards a new dry eye epidemic during the COVID-19 era?” Indian Journal of Ophthalmology 2 (2021): 448.
5. Elhusseiny AM., et al. “Relationship between screen time and dry eye symptoms in pediatric population during the COVID-19 pandemic”. The Ocular Surface 22 (2021): 117-119.
6. Hong N., et al. “Evaluation of ocular symptoms and tropism of SARS‐CoV‐2 in patients confirmed with COVID‐19.” Acta Ophthalmologica (Copenhagen) 5 (2020).
7. Skiveren JG., et al. “Adverse skin reactions among health care workers using face personal protective equipment during the coronavirus disease 2019 pandemic: A cross‐sectional survey of six hospitals in Denmark”. Contact Dermatitis4 (2022): 266-275.
8. Korrapati NH., et al. “Assessing the Impact of Social Distance on Skin Condition during COVID-19 Pandemic Based on an Online Survey”. International Journal of Progressive Sciences and Technologies1 (2020).
9. Sindhuja K., et al. “Clinical profile and prevalence of conjunctivitis in mild COVID-19 patients in a tertiary care COVID-19 hospital: A retrospective cross-sectional study”. Indian Journal of Ophthalmology 8 (2020): 1546-1550.
10. Darlenski R and Tsankov N. “COVID-19 pandemic and the skin: what should dermatologists know?” Clinics in Dermatology 6 (2021): 785-787.
11. The role of psychological stress in skin disease.
12. Saif GAB., et al. “Association of psychological stress with skin symptoms among medical students”. Saudi Medical Journal 1 (2018): 59-66.
13. Petriček I., et al. “Dry Eye and Dry Skin - Is There a Connection? (2023).
14. Mental Impact of COVID-19 - Fear, Stress, Anxiety, Depression and Sequels (2023).
15. Claudio Brasso., et al. “Impact of COVID-19 pandemic on major depressive disorder in acute psychiatric inpatients”. Frontiers in Psychology (2023).
16. Soumaya Bouhout., et al. “Impact of the COVID-19 Pandemic on Mental Health among Patients with Chronic Ocular Conditions (2023).
17. Maryam Rasoulian., et al. “Psychiatric morbidity in dermatological conditions”. International Journal of Psychiatry in Clinical Practice (2010).
18. Ari Tuckman. “The Potential Psychological Impact of Skin Conditions. Dermatologic Therapy (2017).
19. Karolina Kalanj., et al. “Impact of COVID-19 on inpatient care related to skin conditions”. Frontiers in Medicine (2023).
20. Nasir Arefinia., et al. “A comprehensive narrative review of the cutaneous manifestations associated with COVID‐19”. International Wound Journal (2022).
21. Xavier Sanchez-Flores., et al. “Covid-19 skin manifestations: an update”. Current Opinion in Pediatrics (2021).
22. Max Bueckert., et al. “Infectivity of SARS-CoV-2 and Other Coronaviruses on Dry Surfaces: Potential for Indirect Transmission”. Materials (2020).
23. Manar A Alotaibi., et al. “The Prevalence and Clinical Features of Skin Irritation Caused by Infection Prevention Measures During COVID-19 in Riyadh Region, Saudi Arabia”. Cureus (2023).
24. Aman Tiwari., et al. “The covid-19 pandemic led to an upsurge of irritant contact hand dermatitis”. IP Indian Journal of Clinical and Experimental Dermatology (2023).
25. Jaspriya Sandhu., et al. “Corona Chronicles: A Cross-sectional Survey of Practices, Challenges, and Dermatological Impact of the COVID-19 Pandemic”. The Journal of Clinical and Aesthetic Dermatology (2022).
26. B de Valk., et al. “Mask-related skin changes among healthcare workers in a community-based hospital”. Journal of Osteopathic Medicine (2022).
27. Vincenzo Piccolo., et al. “Face mask‐induced purpura: another unexpected effect of COVID era”. Journal of The European Academy of Dermatology and Venereology (2022).
28. A Bukhari., et al. “Face mask-induced skin changes: a new common phenomenon during the coronavirus disease 2019 pandemic”. Dermatology Reports (2022).
29. Trang Vu., et al. “Factors associated with mask-induced dermatosis and its impact on patients’ quality of life”. Dermatology Reports (2023).
30. Mask Acne in Skin of Color: A Significant Dermatological Condition Amidst the COVID-19 Pandemic (2022).
31. Wróbel-Dudzińska D., et al. “Prevalence of Dry Eye Symptoms and Associated Risk Factors among University Students in Poland”. International Journal of Environmental Research and Public Health 20 (2023):
32. Preoteasa LD and Preoteasa D. “Assessment of the prevalence and risk factors for dry eye symptoms among Romanian medical students using the ocular surface disease index - a cross-sectional study”. BMC Ophthalmology24 (2024): 12.
33. Lin F., et al. “Prevalence of dry eye disease among Chinese high school students during the COVID-19 outbreak”. BMC Ophthalmology22 (2022):
34. Azzam S., et al. “Assessment of dry eye disease in N95 versus surgical face mask wearers during COVID-19”. Indian Journal of Ophthalmology 3 (2022): 995.
35. Titiyal J., et al. “Prevalence and risk factors of dry eye disease in North India: Ocular surface disease index-based cross-sectional hospital study”. Indian Journal of Ophthalmology 2 (2018): 207.
36. Mallik D., et al. “Prevalence of dry eye amongst computer workers in Kanpur”. International Journal of Community Medicine and Public Health 7 (2017): 2308.v
37. Donthineni PR., et al. “Incidence, demographics, types and risk factors of dry eye disease in India: Electronic medical records driven big data analytics report I”. The Ocular Surface2 (2016): 250-256.
38. Bakkar MM., et al. “Epidemiology of symptoms of dry eye disease (DED) in Jordan: A cross-sectional non-clinical population-based study”. Contact Lens Anterior Eye3 (2016): 197-202.
39. Ma J., et al. “Association of different digital media experiences with paediatric dry eye in China: a population-based study”. BMJ Open11 (2022): e062850.
40. Powell JB., et al. “Powered air-purifying respirator use in healthcare: Effects on thermal sensations and comfort”. Journal of Occupational and Environmental Hygiene12 (2017): 947-954.
41. Mufti M., et al. “Does digital screen exposure cause dry eye?” Indian Journal of Clinical Anatomy and Physiology1 (2019): 68-72.
42. Nair S., et al. “Refractive surgery and dry eye - An update”. Indian Journal of Ophthalmology 4 (2023): 1105-1114.

Citation

Citation: Jemima S Hubert., et al. “Prevalence and Association of Dry Eye Disease and Dry Skin Post COVID 19 Pandemic".Acta Scientific Ophthalmology 7.5 (2024): 15-23.

Copyright

Copyright: © 2024 Jemima S Hubert., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.