PMID- 24126152 OWN - NLM STAT- MEDLINE DCOM- 20150105 LR - 20220409 IS - 1476-5411 (Electronic) IS - 1367-0484 (Linking) VI - 37 IP - 3 DP - 2014 Jun TI - Dry eye disease: prevalence, distribution and determinants in a hospital-based population. PG - 157-61 LID - S1367-0484(13)00279-8 [pii] LID - 10.1016/j.clae.2013.09.009 [doi] AB - OBJECTIVES: To determine the prevalence, distribution and risk factors for dry eye disease (DED) in a tertiary ophthalmic outpatient population. METHODS: The study was a cross-sectional descriptive hospital-based survey conducted at the Eye clinic of the University of Nigeria Teaching Hospital (UNTH), Enugu, between September and December, 2011. The participants comprised adult ophthalmic outpatients aged 18 years or older. Participants' sociodemographic data were obtained. Dry eye disease was assessed subjectively with the Ocular Surface Disease Index (OSDI) questionnaire; and objectively with Schirmer's test and Tear-film Break-up Time (TBUT). An OSDI score of >/= 50 with a TBUT of <10s or Schirmer's test reading of <10mm was considered diagnostic of DED. Descriptive and analytical statistics were performed. In all comparisons, a p<0.05 was considered statistically significant. RESULTS: The participants (n=402) comprised 193 males and 209 females who were aged 50.1 +/- 19.06 SD years (range 18-94 years). The majorities of the participants were married - 74.1%, possessed formal education - 86.0% and were civil servants - 33.6%. The prevalence of DED was 19.2%. Dry eye disease was significantly associated with age>40 years (OR 1.88, 95% CI 1.06-3.35, p=0.0004), non-possession of formal education (OR 0.40, 95% CI 0.21-0.74, p=0.001) but not gender (OR 1.48, 95% CI 0.89-2.46, p=0.158). CONCLUSION: The prevalence of DED among ophthalmic outpatients at UNTH, Enugu, is comparatively high. Older age and illiteracy are predictors of DED. There is need for high index of diagnostic suspicion to prevent sight-threatening complications of DED. CI - Copyright (c) 2013 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved. FAU - Onwubiko, Stella N AU - Onwubiko SN AD - Department of Ophthalmology, University of Nigeria Teaching Hospital, PMB 01139 Ituku-Ozalla, Enugu, Nigeria. FAU - Eze, Boniface I AU - Eze BI AD - Department of Ophthalmology, University of Nigeria Teaching Hospital, PMB 01139 Ituku-Ozalla, Enugu, Nigeria. Electronic address: xy3165767@yahoo.com. FAU - Udeh, Nnemma N AU - Udeh NN AD - Department of Ophthalmology, University of Nigeria Teaching Hospital, PMB 01139 Ituku-Ozalla, Enugu, Nigeria. FAU - Arinze, Obinna C AU - Arinze OC AD - Department of Ophthalmology, University of Nigeria Teaching Hospital, PMB 01139 Ituku-Ozalla, Enugu, Nigeria. FAU - Onwasigwe, Ernest N AU - Onwasigwe EN AD - Department of Ophthalmology, University of Nigeria Teaching Hospital, PMB 01139 Ituku-Ozalla, Enugu, Nigeria. FAU - Umeh, Rich E AU - Umeh RE AD - Department of Ophthalmology, University of Nigeria Teaching Hospital, PMB 01139 Ituku-Ozalla, Enugu, Nigeria. LA - eng PT - Journal Article DEP - 20131011 PL - England TA - Cont Lens Anterior Eye JT - Contact lens & anterior eye : the journal of the British Contact Lens Association JID - 9712714 SB - IM MH - Adolescent MH - Adult MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Ambulatory Care/*statistics & numerical data MH - Child MH - Dry Eye Syndromes/*diagnosis/*epidemiology MH - *Educational Status MH - Female MH - Hospitalization/*statistics & numerical data MH - Hospitals, University/statistics & numerical data MH - Humans MH - Male MH - Middle Aged MH - Nigeria/epidemiology MH - Sex Distribution MH - Young Adult OTO - NOTNLM OT - Determinants OT - Dry eye OT - Hospital OT - Population OT - Prevalence EDAT- 2013/10/16 06:00 MHDA- 2015/01/06 06:00 CRDT- 2013/10/16 06:00 PHST- 2013/04/08 00:00 [received] PHST- 2013/09/08 00:00 [revised] PHST- 2013/09/22 00:00 [accepted] PHST- 2013/10/16 06:00 [entrez] PHST- 2013/10/16 06:00 [pubmed] PHST- 2015/01/06 06:00 [medline] AID - S1367-0484(13)00279-8 [pii] AID - 10.1016/j.clae.2013.09.009 [doi] PST - ppublish SO - Cont Lens Anterior Eye. 2014 Jun;37(3):157-61. doi: 10.1016/j.clae.2013.09.009. Epub 2013 Oct 11.