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Maximum blink interval is associated with tear film breakup time: A new simple, screening test for dry eye disease

机译:最大眨眼间隔与泪膜破裂时间有关:一种针对干眼症的新的简单筛查方法

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The prevalence of dry eye disease (DED) is increasing worldwide, and its diagnosis often needs dedicated reagents and machines. We investigated the usefulness of maximum blink interval (MBI) (the length of time that participants could keep their eyes open) in screening for DED. This cross-sectional study included 292 patients (194 with DED and 98 without DED) recruited between September 2016 and September 2017. We compared the MBI between patients with and without DED; examined correlations between MBI and other clinical features of DED, including subjective symptoms (Dry Eye-Related Quality-of-Life Score), tear film breakup time (TFBUT), cornea fluorescence score (CFS), and Schirmer test I value; and determined the optimal cutoff value of MBI to suspect DED using a receiver operating characteristic (ROC) analysis. The MBI was significantly shortened in DED group compared to the non-DED group (10.0?±?9.1 vs. 24.3?±?38.2?seconds, p?
机译:在世界范围内,干眼病(DED)的患病率正在上升,其诊断通常需要专用的试剂和机器。我们调查了最大眨眼间隔(MBI)(参与者睁开眼睛的时间长度)对DED筛查的有用性。这项横断面研究纳入了2016年9月至2017年9月期间招募的292例患者(194例DED和98例无DED)。检查MBI与DED其他临床特征之间的相关性,包括主观症状(与干眼相关的生活质量评分),泪膜破裂时间(TFBUT),角膜荧光评分(CFS)和Schirmer测试I值;并使用接收器工作特性(ROC)分析确定可疑DED的MBI最佳截止值。与非DED组相比,DED组的MBI显着缩短(10.0±±9.1 vs. 24.3±±38.2μs,p = <0.001)。 TFBUT与MBI呈极强的正相关(r = 0.464),而CFS与MBI呈负相关(r = = 0.273)。 ROC曲线下的面积为0.677,最佳MBI截止值为12.4微秒,对可疑DED的敏感性为82.5%,特异性为51.0%。总之,MBI可能是筛查DED的简单,有用的测试。

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