Effect of warming eyelids on tear film stability and quality of life in visual display terminal users: a randomized controlled trial

Sci Rep. 2020 Oct 9;10(1):16919. doi: 10.1038/s41598-020-73779-6.

Abstract

We aimed to evaluate the effect of warming eyelids on tear-film stability and quality of life (QoL) in video display terminal (VDT) users. A prospective study was conducted and 45 volunteers with ocular symptoms and tear-film instability associated with VDT use were randomly allocated into the study (n = 22) or control groups (n = 23). Subjects in the study group used eyelid warming steamer (EWS) for 2 weeks and tear fluorescein breakup time (TBUT) after single and 2-week EWS treatment, Schirmer I test, ocular surface staining scores, meibomian gland assessment, severity of dry eye disease (DED) and QoL scores after 2-week EWS treatment were analysed. The TBUT improved after both single and 2-week EWS treatment (P = 0.023 and 0.027, respectively) in the study group. The ocular surface staining scores were significantly decreased only in the study group (P = 0.038). About 60% DED patients in the study group shifted towards non-DED and the pattern of distribution was significantly different compared to baseline (P < 0.001). The QoL scores significantly improved in the study group (P = 0.002) with a negative correlation with TBUT. In conclusion, in VDT users with short TBUT, eyelid warming steamer is effective in improving tear-film stability and QoL.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Dry Eye Syndromes / physiopathology*
  • Eyelids / physiology*
  • Female
  • Fluorescein
  • Humans
  • Male
  • Meibomian Glands / physiology
  • Prospective Studies
  • Quality of Life
  • Tears / physiology*
  • Vision, Ocular / physiology

Substances

  • Fluorescein