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      Objective and subjective evaluation of tear film in machine carpet weavers

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          Abstract

          Objectives

          The present study was conducted to evaluate the status of tear film objectively and subjectively in machine carpet weavers.

          Methods

          In this cross‐sectional study, machine‐made carpet weavers were compared with the controls who were selected from people working in other parts of the factory except for the production. A complete evaluation of ocular health was done for all participants. The blink rate, tear deformation Time (TDT), and ocular staining were evaluated as an objective assessment and the ocular surface disease index (OSDI) was used for a subjective assessment of the tear film status. The results were compared between the two groups using the SPSS software.

          Results

          The results of 46 weavers (mean age: 38.43 ± 6.10 years) and 46 controls (mean age: 33.20 ± 8.40 years) were analyzed. The mean of blink rate and OSDI score were significantly higher in weavers (Blink rate: 20.67 ± 4.18 blink/min, OSDI: 22.59 ± 9.51) in comparison with controls (Blink rate: 14.00 ± 3.30 blink/min, OSDI: 6.22 ± 4.78, P < .001). The mean TDT value of the weavers was significantly lower compared with the controls (10.27 ± 3.01 and 16.58 ± 4.18 s respectively, P < .001). Ocular surface staining was seen among 60.9% of weavers while there was 6.5% in the controls ( P < .001). Based on the TDT test and OSDI results together, the percentage of dry eye in the weavers was 43.5% and that in the non‐weavers was 2.2%, which showed that the relationship between weaving and dry eyes was statistically significant ( P < .001).

          Conclusions

          The results indicate that increased symptoms and decreased tear stability in weavers compared with non‐weavers lead to more tear film abnormalities in these individuals.

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          Most cited references34

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          TFOS DEWS II Definition and Classification Report

          The goals of the TFOS DEWS II Definition and Classification Subcommittee were to create an evidence-based definition and a contemporary classification system for dry eye disease (DED). The new definition recognizes the multifactorial nature of dry eye as a disease where loss of homeostasis of the tear film is the central pathophysiological concept. Ocular symptoms, as a broader term that encompasses reports of discomfort or visual disturbance, feature in the definition and the key etiologies of tear film instability, hyperosmolarity, and ocular surface inflammation and damage were determined to be important for inclusion in the definition. In the light of new data, neurosensory abnormalities were also included in the definition for the first time. In the classification of DED, recent evidence supports a scheme based on the pathophysiology where aqueous deficient and evaporative dry eye exist as a continuum, such that elements of each are considered in diagnosis and management. Central to the scheme is a positive diagnosis of DED with signs and symptoms, and this is directed towards management to restore homeostasis. The scheme also allows consideration of various related manifestations, such as non-obvious disease involving ocular surface signs without related symptoms, including neurotrophic conditions where dysfunctional sensation exists, and cases where symptoms exist without demonstrable ocular surface signs, including neuropathic pain. This approach is not intended to override clinical assessment and judgment but should prove helpful in guiding clinical management and research.
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            TFOS DEWS II Epidemiology Report

            The subcommittee reviewed the prevalence, incidence, risk factors, natural history, morbidity and questionnaires reported in epidemiological studies of dry eye disease (DED). A meta-analysis of published prevalence data estimated the impact of age and sex. Global mapping of prevalence was undertaken. The prevalence of DED ranged from 5 to 50%. The prevalence of signs was higher and more variable than symptoms. There were limited prevalence studies in youth and in populations south of the equator. The meta-analysis confirmed that prevalence increases with age, however signs showed a greater increase per decade than symptoms. Women have a higher prevalence of DED than men, although differences become significant only with age. Risk factors were categorized as modifiable/non-modifiable, and as consistent, probable or inconclusive. Asian ethnicity was a mostly consistent risk factor. The economic burden and impact of DED on vision, quality of life, work productivity, psychological and physical impact of pain, are considerable, particularly costs due to reduced work productivity. Questionnaires used to evaluate DED vary in their utility. Future research should establish the prevalence of disease of varying severity, the incidence in different populations and potential risk factors such as youth and digital device usage. Geospatial mapping might elucidate the impact of climate, environment and socioeconomic factors. Given the limited study of the natural history of treated and untreated DED, this remains an important area for future research.
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              TFOS DEWS II Diagnostic Methodology report

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                Author and article information

                Contributors
                mirzajani.a@iums.ac.ir
                Journal
                J Occup Health
                J Occup Health
                10.1002/(ISSN)1348-9585
                JOH2
                Journal of Occupational Health
                John Wiley and Sons Inc. (Hoboken )
                1341-9145
                1348-9585
                03 June 2021
                Jan-Dec 2021
                : 63
                : 1 ( doiID: 10.1111/joh2.v63.1 )
                : e12237
                Affiliations
                [ 1 ] Department of Optometry School of Rehabilitation Sciences Iran University of Medical Sciences Tehran Iran
                [ 2 ] Department of Biostatistics School of Public Health Iran University of Medical Sciences Tehran Iran
                Author notes
                [*] [* ] Correspondence

                Ali Mirzajani, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Shahnazary Street, Mohseni Square, Mirdamad Boulevard, Tehran, Iran.

                Email: mirzajani.a@ 123456iums.ac.ir

                Author information
                http://orcid.org/0000-0003-4631-215X
                https://orcid.org/0000-0003-1520-0470
                http://orcid.org/0000-0003-3898-2217
                Article
                JOH212237
                10.1002/1348-9585.12237
                8175290
                34085344
                e66e8144-b785-4915-867c-3dc225685d89
                © 2021 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 22 April 2021
                : 11 February 2021
                : 16 May 2021
                Page count
                Figures: 1, Tables: 2, Pages: 6, Words: 3931
                Funding
                Funded by: Iran University of Medical Sciences , open-funder-registry 10.13039/100012021;
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                January/December 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.2 mode:remove_FC converted:03.06.2021

                blink rate,carpet weaver,dry eye,ocular staining,tear deformation time,tear film

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