YAŞLI BİREYLERDE KURU GÖZ SEMPTOMU SIKLIĞI VE İLİŞKİLİ FAKTÖRLER

Amaç: Bu çalışma huzurevi yaşlılarında kuru göz semptomları sıklığını ve ilişkili faktörleri belirlemek amacıyla planlanmıştır. Yöntem: Tanımlayıcı ve kesitsel tipte bir saha çalışmasıdır. Araştırma öncesi Aydın Aile ve Sosyal Politikalar İl Müdürlüğü aracılığıyla Aydın ili Huzurevi'nden ve yaşlı bireylerden yazılı izin alınmıştır. Aydın'da bir huzurevinde kalan 141 yaşlı bireyden araştırmaya katılmayı kabul eden 45 yaşlı birey dahil edilmiştir. Veriler "Sosyodemografik Özellikleri Belirleyici Form" ve "McMonnies Kuru Göz Anket Formu" kullanılarak Temmuz-Eylül 2014 ayları arasında yüz yüze görüşme tekniği ile toplanmıştır. Verilerin değerlendirilmesinde SPSS 16.0 paket programı kullanıldı. Tanımlayıcı verilerin analizinde sayı ve yüzde dağılımlarından, ölçek puan ortalaması ile diğer değişkenler arasındaki farklılıkların incelenmesinde Mann Whitney U testi ve Kruskall Wallis istatistik testlerinden yararlanıldı. Bulgular: Yaşlıların kuru göz semptomları sıklığının yaklaşık %17.7'dir. Kuru göz anket puan ortalaması 10.2±6.17 (min:2, max:24) olduğu belirlenmiştir. Göz problemlerinden birine sahip olan yaşlı bireylerin kuru göz anket puan ortalaması 23.88 ile anlamlı düzeyde daha yüksek bulunmuştur (p=.036). Göz ameliyatı geçirmiş bireylerin kuru göz semptomu yaşama derecesi hiç ameliyat geçirmeyenlere göre anlamlı düzeyde daha yüksek bulunmuştur (p=.040). Sonuç: Yaşlı bireylerde kuru göz semptomunun göz problemine sahip olma ve göz ameliyatı geçirme ile ilişkili olduğu belirlenmiştir.

Prevalence of Dry Eye Symptoms and Affecting Factors in The Elderly Individuals

Objective: This study aims to determine the incidences of dry eye in nursing home population and the factors leading to this condition in Aydin Province of Turkey. Methods:A descriptive and cross-sectional type field study. AydınFamily and Social Policy Research prior written permission province through the Provincial Directorate of Nursing Home and from the elderly.A total of 141 elderly individuals living in a nursing home in Aydin were included 45 elderly individuals in the study.Data was collected by face to face meetings between the months of July to September, 2014.Data collection "sociodemographic characteristics decisive form" and "Mcmonnies Questionnaire" was used.The SPSS 16.0 package program was used to evaluate the data. Mann Whitney U test and Kruskall Wallis statistical tests were used in the analysis of descriptive data from number and percentage distributions, and between the scale point average and the other variables. Results:The mean dry eye questionnaire score was 10.2±6.17 (min: 2, max: 24). Dry eye questionnaire mean scores of elderly individuals with one eye problems were significantly higher with 23.88 (U = 5.000, p=.036).Eye degree of dry eye experience of individuals who had surgery were significantly higher than those who never had surgery (U = 160.500, p = .040). Dry eye of frequency was determined to be about 17.7% of the elderly. Conlusion: Dry eye symptoms of eye problems to have been determined to be associated with eye surgery review the situation.

___

  • Akıncı A, Acaroğlu G, Gleri D. Reflex and Basal Tear Secretion and Tear Film Stability in Diabetic Patients. Türkiye Klinikleri Oftalmoloji Dergisi 2007; 16(2):88-91.
  • Akyol N. Modern Yaşam ve Kuru Göz. Türkiye Klinikleri Oftalmoloji Dergisi 2013;6(3):30-5.
  • Anshu Sahai MS, Pankaj M. Dry Eye: Prevalence and Attributable Risk Factors in a Hospital-Based Population. Indian Journal of Ophthalmology 2005;53(2):87-91.
  • Cermak JM, Krenzer KL, Sullivan RM, Dana MR, Sullivan DA. Is Complete Androgen Insensitivity Syndrome Associated with Alterations in the Meibomian Gland and Ocular Surface? The Journal of Cornea and External Disease 2003;22(6):516-21.
  • Chia E. M, Mitchell P, Rochtchina E, Lee A. J, Maroun R, Wang J. J. Prevalence and Associations of Dry Eye Syndrome in an Older Population: The Blue Mountains Eye Study. Clinical & Experimental Ophthalmology 2003;31(3):229-32.
  • Daughty MJ, Naase T. Further Analysis of the Human Spontaneous Eye Blink Rate By a Cluster Analysis Based Approach To Categorise İndividuals with ,,Normal" Versus ,,Frequent" Eye Blink Activity. Eye Contact Lens 2006; 32(6): 294-9.
  • Foulks GN. Pharmacological Management of Dry Eye in the Elderly Patient. Drugs Aging 2008; 25(2):105-118.
  • Fujita M, Igarashi T, Kurai T, Sakane M, Yoshino S, Takahashi H. Correlation Between Dry Eye and Rheumatoid Arthritis Activity. American Journal of Ophthalmology 2005;140(5): 808-813.
  • Guo B, Lu P, Chen X, Zhang W, Chen R. Prevalence of Dry Eye Disease in Mongolians at High Altitude in China: The Henan Eye Study. Ophthalmic Epidemiology 2010; 17(4): 234-41.
  • Javadi MA, Feizi S. Dry Eye Syndrome. Journal of Ophthalmic & Vision Research 2011; 6(3): 192.
  • Jie Y, Xu L, Wu YY, Jonas JB. Prevalence of Dry Eye Among Adult Chinese in The Beijing Eye Study. Eye 2009; 23(3): 688-693.
  • Lee AJ, Lee J, Saw SM, Gazzard G, Koh D, Widjaja D. et al. Prevalence and Risk Factors Associated with Dry Eye Symptoms: A Population Based Study in Indonesia. British Journal of Ophthalmology 2002; 86(12): 1347- 51.
  • Lekhanont K, Rojanaporn D, Chuck R, Vongthongsri A. Prevalence of Dry Eye in Bangkok, Thailand. Cornea 2006;25(10): 1162-1167.
  • Lin PY, Tsai SY, Cheng CY, Liu JH, Chou P, Hsu WM. Prevalence of Dry Eye Among an Elderly Chinese Population in Taiwan: The Shihpai Eye Study. American Academy of Ophthalmology 2003;110(6):1096-1101.
  • Mathew B. A Study to Assess the Effectiveness of Warm Compress on Level of Dry Eye Among Elderly Adults in a Selected Old Age Home, Mangalore. International Journal of Nursing Education and Research 2016; 4(1):15-23.
  • McMonnies CW. Key Questions in a Dry Eye History. Journal of the American Optometric Association 1986;57(7):512-7.
  • McMonnies C, Ho A, Wakefield D. Optimum Dry Eye Classification Using Questionnaire Responses. Lacrimal Gland, Tear Film and Dry Eye Syndromes 2. Springer US, 1998. p. 835-38.
  • Moss SE, Klein R, Klein BE. Prevalence of and Risk Factors For Dry Eye Syndrome. Archives of Ophthalmology 2000;118(9):1264-68.
  • Munoz B, West SK, Rubin GS, Schein OD, Quiqley HA, Bressler SB. et al. Causes of Blindness and Visual İmpairment in A Population of Older Americans: The Salisbury Eye Evaluation Study. Archives of Ophthalmology 2000;118(6):819-25.
  • O'Brien PD, Collum LM. Dry eye: Diagnosis and Current Treatment Strategies. Current Allergy and Asthma Reports 2004;4(4): 314-19.
  • Oghre E, Amiebenomo OMA. Comparison of The Occurence of Dry Eye Between Arthritic and NonArthritic Subjects. African Vision and Eye Health 2013;72(1):34-40.
  • Oray M, Toker E. McMonnies Kuru Göz Anketinin Türkçe Çevirisinin Güvenilirliği ve Geçerliliği. Türkiye Klinikleri Journal of Ophthalmology 2010;19(2):71-7.
  • Paulsen AJ, Cruickshanks KJ, Fischer ME, Huang GH, Klein BE, Klein R. et.al. Dry Eye in The Beaver Dam Offspring Study: Prevalence, Risk Factors, and Health-Related Quality of Life. American Journal of Ophthalmology 2014;157(4):799-806.
  • Punjabi OS, Adyanthaya RS, Mhatre AD, Jehangir RP. Rheumatoid Arthritis is a Risk Factor For Dry Eye in The Indian Population. Ophthalmic Epidemiology 2006;13(6): 379-84.
  • Sahai A, Malik P. Dry Eye: Prevalence And Attributable Risk Factors in a Hospital Based Population. Indian Journal of Ophthalmology 2005;53(2):87-91.
  • Saraç Ö, Gürdal C. Tiroid Orbitopati ve Kuru Göz. Türk Oftalmoloji Dergisi 2011;41(5):348-50.
  • Schaumberg DA, Sullivan DA, Buring JE, Dana MR. Prevalence of Dry Eye Syndrome Among Us Women. American Journal of Ophthalmology 2003;136 (2):318-26.
  • Schaumberg DA, Dana R, Buring JE, Sullivan DA. Prevalence of Dry Eye Disease Among Us Men: Estimates From The Physicians' Health Studies. Archives of Ophthalmology 2009; 127(6):763-68.
  • Scot E, Moss MA, Ronald K, Barbara E, Klein MD. Incidence of Dry Eye in Older Population. Archives Ophthalmology 2004; 122(3):369-73.
  • Sendecka M, Baryluk A, Polz-Dacewicz M. Prevalence and Risk Factors of Dry Eye Syndrome. Przeglad Epidemiologiczny 2004;58(1):227-33.
  • Sullivan DA. Sex and Sex Steroid on The Dry Eye Syndrome. Dry Eye and Ocular Surface Disorders 2004;2(2):92-123.
  • Sullivan BD, Evans JE, Dana MR, Sullivan DA. Influence of Aging on The Polar and Neutral Lipid Profiles İn Human Meibomian Gland Secretions. Archives Ophthalmology 2006;124(9):286-92.
  • Sullivan DA, Sullivan BD, Evans JE, Schirra F, Yamagami H, Lıu M. et. al. Androgen Deficiency, Meibomian Gland Dysfunction, and Evaporative Dry Eye. Annals of The New York Academy of Sciences 2002; 966(1): 211-222.
  • Tian YJ, Liu Y, Zou HD, Jiang YJ, Liang XQ, Sheng MJ. Epidemiologic Study of Dry Eye in Populations Equal or Over 20 Years Old in Jiangning District of Shanghai. Chinese Journal of Ophthalmology 2009; 45(6): 486-91.
  • TUGK. Türkiye İstatistik Kurumu. İstatistiklerle Yaşlılar, 2015.
  • DOI:www.tuik.gov.tr/PdfGetir.do?id=21520 Uchino M, Uchino Y, Dogru M, Kawashima M, Yokoi N, Komuro A. et.al. Dry Eye Disease and Work Productivity Loss in Visual Display Users: The Osaka Study. American Journal of Ophthalmology 2014;157(2): 294-300.
  • Utine CA, Akpek EK. Sjögren Semptomu ve İlişkili Kuru Göz Semptomunun İmmunopatolojisi. Türk Oftalmoloji Dergisi 2010;40(2):97-106.
  • Uyanık FY, Çetin EN, Yaylalı V, Avunduk AM, Yıldırım C. Diyabetik Hastalarda Oküler Yüzey Sağlığı ve Kuru Göz. Türkiye Klinikleri Oftalmoloji Dergisi 2011; 20(4):204-211.
  • Valtysdttir ST, Wide L, Hallgren R. Low Serum Dehydroepiandrosterone Sulfate in Women with Primary Sjogren"s Syndrome as an Isolated Sign of Impaired Hpa Axis Function. Journal of Rheumatology 2001; 28(6):1259- 65.
  • Viso E, Rodriquez-Ares MT, Gude F. Prevalence of and Associated Factors For Dry Eye in a Spanish Adult Population. Ophthalmic Epidemiology 2009;16(1): 15-21.
  • Zilelioğlu G, HoGal BM. Kuru Göz Tanı ve Tedavisindeki Son Gelişmeler. Türkiye Klinikleri Journal of Ophthalmology 2004; 13(1): 53-9.