Academic Journal

Tear Film Dynamics in Visual Display Terminal Users: A Review of Impact on Goblet Cells, Lacrimal and Meibomian Gland Function.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Tear Film Dynamics in Visual Display Terminal Users: A Review of Impact on Goblet Cells, Lacrimal and Meibomian Gland Function.
Συγγραφείς: Maity M; Center for Ocular Regeneration (CORE), L V Prasad Eye Institute, Hyderabad, Telangana, India., Galor A; Bascom Plamer Eye Institute, University of Miami, Miami, FL, USA.; Miami Veterans Administration Medical Center, Miami, FL, USA., Basu S; Brien Holden Center for Eye Research (BHERC), L V Prasad Eye Institute, Hyderabad, Telangana, India.; Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, Telangana, India., Singh S; Brien Holden Center for Eye Research (BHERC), L V Prasad Eye Institute, Hyderabad, Telangana, India.
Πηγή: Seminars in ophthalmology [Semin Ophthalmol] 2025 May; Vol. 40 (4), pp. 306-319. Date of Electronic Publication: 2024 Apr 17.
Τύπος έκδοσης: Journal Article; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Informa Healthcare Country of Publication: England NLM ID: 8610759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5205 (Electronic) Linking ISSN: 08820538 NLM ISO Abbreviation: Semin Ophthalmol Subsets: MEDLINE
Imprint Name(s): Publication: London : Informa Healthcare
Original Publication: [Orlando, FL] : Grune & Stratton, [c1986-
Ιατρικοί όροι (MeSH): Tears*/metabolism , Tears*/physiology , Meibomian Glands*/physiopathology , Meibomian Glands*/metabolism , Dry Eye Syndromes*/physiopathology , Dry Eye Syndromes*/etiology , Dry Eye Syndromes*/metabolism , Lacrimal Apparatus*/physiopathology , Goblet Cells*/physiology , Goblet Cells*/pathology , Computer Terminals*, Blinking/physiology ; Humans
Περίληψη: Purpose: The prevalence of dry eye disease (DED) is rising among visual display terminal (VDT) users, a trend that correlates with the growing use of digital devices. The prevalence of VDT-associated DED is reported based on dry eye questionnaires; however, VDT's impact on tear film parameters is less understood.
Methods: A review of published literature on both the alterations in tear film observed in VDT users and the impact of various interventions on their tear film.
Results: Most studies show reduction in tear stability as well as reduction in the blink rate. The role of lacrimal gland hypofunction in visual display terminal (VDT) users is a subject of ongoing debate. Schirmer test values typically exceed the 10 mm threshold, suggesting normal tear production, and tear osmolarity remains within normal ranges but VDT users consistently present with lower Schirmer values compared to non-VDT users. The effects on Meibomian glands and mucin levels need more research as the numbers studied are small. Very few studies have analysed mucin levels in VDT users with reports of normal or reduced values. Even asymptomatic users can have tear film instability; hence, the diagnostic criteria need to be formulated and validated. Different interventions such as neurostimulation, blink improving apps, eyelid warming devices, moist goggles, and lubricants have been explored in VDT users but without a control arm and in asymptomatic VDT users in most studies.
Conclusion: The alterations have been observed on aqueous, lipid and mucin components of the tear film, although the extent of the impact is variable across studies. There is urgent need of well-designed studies for studying the tear film changes and management options for the upcoming lifestyle epidemic in VDT users.
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Grant Information: United Kingdom WT_ Wellcome Trust; IA/CPHE/21/1/505970 India WTDBT_ DBT-Wellcome Trust India Alliance
Contributed Indexing: Keywords: Dry eye disease; lacrimal gland; tear break-up time; tear film; visual display terminal
Entry Date(s): Date Created: 20240417 Date Completed: 20250418 Latest Revision: 20251102
Update Code: 20260130
PubMed Central ID: PMC7616525
DOI: 10.1080/08820538.2024.2332355
PMID: 38629642
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1744-5205
DOI:10.1080/08820538.2024.2332355