대학생을 대상으로 실시한 건성안 유병률 조사
Prevalence of Dry Eye Disease among University Students
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초록
목적: 젊은 성인을 대상으로 Ocular Surface Disease Index (OSDI) 설문조사를 시행하여 건성안 유병률 및 관련 인자들을 평가하고자하였다. 대상과 방법: 263명의 대학생에 대하여 OSDI 설문조사를 시행하여, OSDI 점수가 13점 이상인 경우를 건성안으로 진단하였으며, 13-22점을 경도, 23-32점을 중등도, 33-100점을 중증 건성안으로 분류하였다. 그 외에 성별, 콘택트렌즈 착용, 알레르기 결막염 등 관련인자에 대하여 조사하였다. 결과: 총 263명 중 133명(50.6%)이 건성안에 해당하였으며, 중증 건성안인 경우도 49명(18.6%)이었다. 각 조건 별 OSDI 점수는 여성(p ＜0.01), 알레르기 결막염이 있는 경우(p=0.02), 콘택트렌즈를 착용하는 경우(p＜0.01), 건성안 증상을 느끼는 경우(p＜0.01), 건성안진단 이력이 있는 경우(p＜0.01)에서 유의하게 높았다. 결론: 노년층에서 높다고 알려진 건성안 유병률이 이번 설문조사 결과 젊은 성인층에서도 50.6%로 높게 나타났다. 여성, 알레르기 결막염과 콘택트렌즈를 착용하는 경우는 OSDI 점수가 높아 건성안에 대한 주의와 교육이 필요하겠다.
Abstract
Purpose: To determine the prevalence of dry eye disease (DED) and risk factors among young people based on the Ocular Surface Disease Index (OSDI) questionnaire. Methods: The authors of the present study distributed the OSDI questionnaire to 263 university students. DED was diagnosed when the OSDI score was greater than 13 points. According to the OSDI score, DED was classified as mild (13-22points), moderate (23-32 points), or severe (33-100 points). Additionally, the associations between the OSDI score and possible risk factors such as gender, contact lens use and allergic conjunctivitis were studied. Results: Of 263 students, diagnosed DED was present in 133 (50.6%) and severe cases of DED were observed in 49(18.6%). A high OSDI score was associated with female sex (p < 0.01), a history of allergic conjunctivitis (p = 0.02), contact lens use (p < 0.01), self-awareness of the dry eye symptoms (p < 0.01) and a history of clinically diagnosed DED (p < 0.01). Conclusions: Prevalence of DED, which has been reported to be high in the elderly, was considered high at 50.6% among young people in the present study. Caution or education regarding DED is necessary for people who have a high OSDI score, particularly females, contact lens wearers and people with allergic conjunctivitis.
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