• Journal of Acupuncture Research
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• v.29 no.4
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• pp.55-69
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• 2012

Objectives : The aim of this study was to compare the effects of 12 acupuncture treatments versus 24 acupuncture treatments for patients with dry eye syndrome. Methods : We have assessed the symptom score, number of dry eye symptoms, and ocular surface disease index(OSDI) scores before and after the acupuncture treatments. The group A received 12 acupuncture treatments, and the group B received 24 acupuncture treatments. To evaluate the efficacy of acupuncture treatments the before and after scores of both groups were compared. Results : After treatment, symptom score, number of dry eye symptoms, and ocular surface disease index(OSDI) were significantly decreased in each group (p<0.001). The symptom score has shown a greater decrease in group B than group A, but no significant differences were seen in the numbers of existing symptoms and ocular surface disease index(OSDI) scores between the two groups. Conclusions : Acupuncture is an effective way to relieve the symptoms of dry eye syndrome. The more number of acupuncture treatments may be correlated with better outcomes in the means of symptom score.

• The Journal of Internal Korean Medicine
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• v.39 no.5
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• pp.929-938
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• 2018

Objectives: To report the clinical application and effects of Rg3 ginseng (ginseng radix) pharmacopuncture in patients with dry eye syndrome. Methods: Six patients who suffered from dry eye syndrome were treated with Rg3 ginseng pharmacopuncture for 4 weeks. The Ocular Surface Disease Index (OSDI) was used twice, at the start and end of treatment, to analyze the results. Results: After treatment with Rg3 ginseng pharmacopuncture, OSDI scores were improved in all six patients. Conclusion: Rg3 ginseng pharmacopuncture is an effective treatment for patients with the symptoms of dry eye syndrome.

• Journal of Acupuncture Research
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• v.29 no.5
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• pp.39-50
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• 2012

Objectives : The purpose of this study was to identify the effects of self-acupressure on the visual health of college students. Methods : A nonequivalent control group pretest-posttest design was used. Participants were determined by OSDI(ocular surface disease index) and the Schirmer test, they were assigned to an experimental group of 22 and control group of 22. The experimental group participated in self-acupressure, which were practiced 2 times a day, 5 days a week for 4 weeks. Results : Scores of ocular surface disease index, Schirmer test and ocular fatigue were significantly better in the experimental group after the intervention compared to the control group. Conclusions : The result indicate that self-acupressure is an effective nursing intervention for improving the dry eye syndrome and decreasing ocular fatigue in college students.

• Journal of Korean Medicine Rehabilitation
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• v.21 no.2
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• pp.299-307
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• 2011

This study was performed to report the effectiveness of upper cervical chuna and release of cranial base on patients with dry eye syndrome. The patients diagnosed as dry eye syndrome and treated with upper cervical chuna and release of cranial base. Outcomes were measured by ocular surface disease index(OSDI). After treatments, discomfort and ocular surface disease index decreased. These results suggest that upper cervical chuna and release of cranial base were effective on patients with dry eye syndrome.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.10
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• pp.93-103
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• 2016

This study consisted of descriptive research to determine the prevalence of dry eye disease using the Ocular Surface Disease Index (OSDI) questionnaire targeting workers in hospitals to understand the differences between general and health related characteristics depending on whether people have dry eye disease, and to determine the influencing factors of the disease. The subjects were 502 (Male: 51, Female: 451) general hospital employees in G-city. The data were collected from October 1 to October 31, 2015. Logistic regression was used to analyze the data. The results showed that hospital workers' prevalence of dry eye disease was 76.1%. Factors influencing DED in this population included currently having or adjusting medication (OR: 4.73), among those who felt their eyes dry, those who visited clinics and received medical treatment (artificial tears) (OR: 2.37), those who felt eye dryness (OR: 2.23), and not eating regularly (OR: 0.55). Moreover, 54.0% of those who had dry eye disease reported serious conditions. Accordingly, education to manage the risk factors of the disease and improve lifestyle is needed to prevent and manage dry eye disease.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.4
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• pp.457-467
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• 2012

Purpose: This study was performed to investigate the relationship between ocular and allergy symptoms in children by environmental pollutants emitted from new constructed building. Methods: Two different types of survey (6-Item Dry Eye Questionnaire and Ocular Surface Disease Index) were used to study dry eye syndromes and ocular subjective symptoms for a six-grade of elementary school students (54 males and 61 females) in newly built buildings in the past three month, located near capital city, Seoul. Atopy and medical history of allergic rhinitis were investigated with using questionnaire for allergy, and also nose itchiness and ocular symptoms were checked as visual analog scale(10-score) with using questionnaire of allergy rhinitis and conjunctivitis under the guideline of ARIA(Allergic Rhinitis Impacts on Asthma). Results: Fifty seven students (50%) from DEQ and 19 students (16.52%) from OSDI were diagnosed as dry eye, and 18 students (15.79%) were diagnosed as dry eye from both questionnaires. It was surveyed that 45 students (39.5%) and 29 students (25.4%) had atopy and allergy rhinitis, respectively. Among 45 students having atopy, 30 students and 8 students were diagnosed as dry eye with using DEQ and OSDI, respectively. And also, 22 students were diagnosed as dry eye by DEQ and 5 students were diagnosed as dry eye by OSDI from 29 students having allergy rhinitis. Among 29 students having both medical history atopy and allergy rhinitis, 15 students detected observable ocular symptom. The complicating allergy symptoms with ocular syndrome were arranged with sneeze, nose itchiness, nose stuffiness, and runny nose in order of frequency. As students recognized eye symptoms, the number of allergy found and student's number were increased proportionally. Conclusions: It was found that children's subjective ocular symptoms were confirmed in the environment as newly built building. The number of student for dry eye was proportionally increased to students having atopy and allergy symptoms.

• Research in Community and Public Health Nursing
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• v.25 no.4
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• pp.259-269
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• 2014

Purpose: The purpose of this study was to examine dry eye syndrome and ocular fatigue according to the status of contact lens wearing and management among female university students. Methods: The subjects were 195 female university students wearing contact lenses. Ocular Surface Disease Index (OSDI) and Virtual Reality Symptom Questionnaire (VRSQ) were used to determine the level of dry eye syndrome and ocular fatigue. The SPSS/WIN 21.0 program was used for analysis of data. Results: Significant differences in the level of dry eye syndrome were observed according to the period of case solution change (F=3.36, p=.037) and the reasons for the change of lens (F=4.56, p=.004). In ocular fatigue, significant differences were observed according to the price of lens (F=3.53, p=.031), rinse in storing lens in a case (t=-2.57, p=.011), and learning about contact lens (t=-2.01, p=.046). A significant positive correlation was observed between dry eye syndrome and ocular fatigue in the subjects. Conclusion: The results of this study show that some subjects have problems in wearing and management of contact lenses. Therefore, an education program related to contact lenses should be provided to contact lens wearers to improve the status of wearing and management of contact lenses.

• Journal of The Korean Ophthalmological Society
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• v.59 no.12
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• pp.1103-1107
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• 2018

Purpose: To evaluate the clinical effect of intense regulated pulse light (IRPL) and changes in tear film thickness in dry eye patients. Methods: A retrospective study was conducted on 25 patients with Meibomian gland dysfunction who had subjective dry eye discomfort and whose tear film break-up time (TBUT) was < 10 seconds. All patients were treated with IRPL three times on days 1, 15, and 45. TBUT, Schirmer 1 test results, cornea staining score with fluorescein, ocular surface disease index (OSDI), and lipid layer thickness were measured and compared before and after the procedure. Results: TBUT was significantly increased from $3.7{\pm}1.2s$ to $4.4{\pm}2.1s$ after IRPL (p = 0.03). Schirmer 1 test and cornea staining scores changed significantly (p < 0.01 and p = 0.01, respectively). OSDI also showed a statistically significant improvement from $39.5{\pm}17.5points$ to $30.4{\pm}18.7points$ (p = 0.01). However, no significant difference in lipid layer thickness was observed (p = 0.49). Conclusions: IRPL is an effective treatment modality to improve TBUT, Schirmer 1 test scores, cornea staining scores, and subjective dry eye symptoms.

• Journal of Preventive Medicine and Public Health
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• v.50 no.6
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• pp.369-376
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• 2017

Objectives: Dry eye disease (DED) is an increasingly important public health problem in Korea. Previous studies conducted in Korea have reported inconsistent results regarding the protective effects of vitamin D on DED, and these discrepancies may be related to the relatively simple questionnaire that has been used. Thus, we evaluated the association of serum vitamin D levels with DED using the ocular surface disease index (OSDI). Methods: The present study evaluated data from participants in the Study Group for Environmental Eye Disease (2014-2015). This group included data from 752 participants, and data from 740 participants (253 men and 487 women) were analyzed in the present study. DED severity was evaluated using the OSDI. Results: Higher serum vitamin D levels were associated with a non-significantly reduced risk of DED in the crude analysis (odds ratio [OR], 0.991; 95% confidence interval [CI], 0.971 to 1.011) and in the adjusted analysis (OR, 0.988; 95% CI, 0.966 to 1.010). In the crude analysis of no/mild DED vs. moderate/severe DED, men exhibited a decreased risk with increasing serum vitamin D levels (OR, 0.999; 95% CI, 0.950 to 1.051), while women exhibited an increased risk (OR, 1.003; 95% CI, 0.979 to 1.027). In these analyses, we found no significant associations. Conclusions: The findings of the present study support previous reports that serum vitamin D levels are not associated with DED.

• Journal of the Korean Society of School Health
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• v.31 no.3
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• pp.178-185
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• 2018

Purpose: This study aims to examine the effects of auriculotherapy on reducing signs of dry eye syndrome. Methods: This study is based on a pretest-posttest nonequivalent control group design. The participants who scored higher than 13 on the Ocular Surface Disease Index (OSDI) were divided randomly into two groups, the experimental group (n=45) and the control group (n=44). Auriculotherapy was performed by researchers for 2 weeks. For the experimental group, seed stickers were applied to the eye, liver, shenmen, and tubercle point of their ears. The pretest and the posttest included the same questionnaires of the OSDI as well as the Visual Function Questionnaire (NEI-VFQ25) and the eye fatigue. Data were analyzed by descriptive statistics, $x^2$ test, t-test and paired t-test, using SAS 20.0 program. Results: The difference in the OSDI's scores showed a significant decrease between the pretest and the posttest (t=-4.12, p<.001) in the experimental group. No significant difference was found in the NEI-VFQ25 (t=-0.10, p=.921, t=-0.91 p=.374). However, the experimental group showed a significant decrease in eye fatigue (t=5.78, p<.001), whereas the control group showed no difference (t=1.38, p=.18). Conclusion: Auriculotherapy can be used effectively on relieving the symptoms of dry eye syndrome and eye fatigue. However, the quality of life related to eyes was not improved by auriculotherapy.