دورية أكاديمية
أعرض في EDS

Utilizing visual symptoms to distinguish dry eye from glaucoma, cataract, and suspect glaucoma patients: a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Utilizing visual symptoms to distinguish dry eye from glaucoma, cataract, and suspect glaucoma patients: a cross-sectional study.
المؤلفون: Zhao DX; Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA., Quintero M; Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA., Mihailovic A; Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA., Akpek E; Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA., Karakus S; Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA., Guo L; Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA., Ramulu PY; Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA. pramulu@jhmi.edu.; Wilmer Eye Institute, Johns Hopkins Medical Institutions, 600 N. Wolfe St., Wilmer 129, Baltimore, MD, 21287, USA. pramulu@jhmi.edu.
المصدر: BMC ophthalmology [BMC Ophthalmol] 2024 Jan 09; Vol. 24 (1), pp. 16. Date of Electronic Publication: 2024 Jan 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967802 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2415 (Electronic) Linking ISSN: 14712415 NLM ISO Abbreviation: BMC Ophthalmol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Glaucoma*/complications , Glaucoma*/diagnosis , Ocular Hypertension* , Dry Eye Syndromes*/diagnosis , Cataract*/complications , Cataract*/diagnosis , Vision, Low*, Adult ; Humans ; Female ; Male ; Cross-Sectional Studies ; Photophobia
مستخلص: Background: The diagnosis of dry eye and other common ophthalmological conditions can be supported using patient reported symptoms, which is increasingly useful in contexts such as telemedicine. We aim to ascertain visual symptoms that differentiate dry eye from cataract, glaucoma, or glaucoma suspects.
Methods: Adults with dry eye, glaucoma, cataract, and suspected glaucoma (controls) completed a questionnaire to rate the frequency and severity of 28 visual symptoms. Univariate, followed by multivariable logistic regression with backward stepwise selection (p < 0.05), determined the individual symptoms and set of symptoms best distinguishing dry eye from each of the other conditions.
Results: Mean age of 353 patients (94 glaucoma suspect controls, 79 glaucoma, 84 cataract, and 96 dry eye) was 64.1 years (SD = 14.1); 67% were female and 68% White. Dry eye patients reported more frequent light sensitivity (OR = 15.0, 95% CI = 6.3-35.7) and spots in vision (OR = 2.8, 95% CI = 1.2-6.3) compared to glaucoma suspect controls. Compared to glaucoma patients, dry eye patients experienced more frequent light sensitivity (OR = 9.2, 95% CI = 2.0-41.7), but less frequent poor peripheral vision (OR = 0.2, 95% CI = 0.06-0.7), difference in vision between eyes (OR = 0.09, 95% CI = 0.01-0.7), and missing patches of vision (OR = 0.06, 95% CI = 0.009-0.3). Compared to cataract patients, dry eye patients reported more frequent spots in vision (OR = 4.5, 95% CI = 1.5-13.4) and vision variability across the week (OR = 4.7, 95% CI = 1.2-17.7) and were less likely to report worsening vision (OR = 0.1, 95% CI = 0.03-0.4) and blindness (OR = 0.1, 95% CI = 0.02-0.8).
Conclusion: Visual symptoms may serve as a complementary tool to distinguish dry eye from various ocular conditions, though the symptoms that best distinguish dry eye differ across comparisons. Differentiating how patients visually perceive common eye diseases may be used in a variety of clinical settings to rule out specific conditions.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Cataract; Dry eye; Glaucoma; Visual symptoms
تواريخ الأحداث: Date Created: 20240109 Date Completed: 20240111 Latest Revision: 20240112
رمز التحديث: 20240112
مُعرف محوري في PubMed: PMC10775660
DOI: 10.1186/s12886-023-03219-2
PMID: 38195490
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2415
DOI:10.1186/s12886-023-03219-2