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목적 : To assess socio-demographic and health-related risk factors associated with a dry eye in Korea.
방법 : In 2010-2011, a total of 11,666 randomly selected national representative participants of the Korea National Health and Nutrition Examination Survey underwent additional ophthalmologic examinations by the Korean Ophthalmologic Society. Subjects were classified as dry eye diagnosed group by doctor and symptomatic dry eye group. Socio-demographic factors, health examination variables, health behavioral risk factors, variables about eye and quality of life were the main outcome measures. The risk factors for dry eye were identified by using a multivariate logistic regression analysis.
결과 : Mean age was 49.9±0.2 years. Prevalence of diagnosed dry eye was 8.0%, and symptomatic dry eye was 14.4%. History of eye surgery(OR =2.4, 1.9), female(OR=2.0,1.8), stress(OR=1.9,1.8), hypercholesterolemia(OR=1.3,1.4), thyroid disease(OR=1.7, 1.6) were independent risk factors for diagnosed dry eye syndrome(DES) and group with dry eye symptom. Among subjects who received an eye surgery, ptosis (OR = 4.9), cataract t(OR = 2.2), refractive (OR=2.8) compare to subject with no eye surgery before were more likely have dry eye. Pain and depression categories in EQ-5D were significant in DES group.
결론 : Ophthalmologists should be aware that past experience of ocular surgeries could be one of the most important risk factors of dry eye and have to focus on treating the dry eye problems in subjects who will receive an eye surgery or have already received. And it is important to educate the patients who were diagnosed with DES to be cautious about the risk factors and to improve their life style.
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