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The Scientific World Journal
Volume 2012 (2012), Article ID 589875, 7 pages
http://dx.doi.org/10.1100/2012/589875
Clinical Study

The Dry Eye Disease Activity Log Study

1Ocular Surface Research group, Singapore Eye Research Institute, Singapore 168751
2Corneal and External Eye Services, Singapore National Eye Centre, Singapore 168751
3Office of Clinical Science, Duke-NUS Graduate Medical School, Singapore 169857
4Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228

Received 3 August 2012; Accepted 1 October 2012

Academic Editors: A. Galor and S. Pflugfelder

Copyright © 2012 Jayant V. Iyer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Prolonged visually stressful activities aggravate dry eye disease (DED). The duration spent on such activities and their relationship with DED clinical features were investigated. Patients completed an activity log as they performed their usual activities over 1 typical rest day and 1 typical work day. The log included time spent in an air-conditioned environment, windy environment, driving, watching television, computer use, reading, watching a movie in the theatre, and wearing contact lens. Average daily activity hours were calculated and correlated with clinical features of DED. Thirty-five logs were returned. Positive correlation was found between watching television and episodic blurred vision ( ). Computer use was negatively correlated with episodic blur vision, burning sensation, and gritty sensation ( ). Negative correlation was found between time spent in windy environments, driving, reading, and certain DED symptoms ( ). Reading correlated positively with severity of corneal fluorescein staining and reduced Schirmer’s values ( ). The use of air conditioning correlated negatively with episodic blur vision but positively with visual blurring that improves with lubricants ( ). This study is the first to evaluate the relationship between time spent on DED-aggravating activities and DED clinical features. Negative correlations between certain activities and DED symptoms suggest an unconscious modification of lifestyle to alleviate symptoms.