Impact of Taping The Upper Mask Edge On Ocular Surface Stability and Dry Eye Symptoms
To evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users. Prospective interventional before-and-after study. Fifty eyes of 50 health care workers regularly using N95 masks were included. Preintervention, ocular surf...
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Published in | American journal of ophthalmology Vol. 238; pp. 128 - 133 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
01.06.2022
Elsevier Limited |
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Online Access | Get full text |
ISSN | 0002-9394 1879-1891 1879-1891 |
DOI | 10.1016/j.ajo.2022.01.006 |
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Abstract | To evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users.
Prospective interventional before-and-after study.
Fifty eyes of 50 health care workers regularly using N95 masks were included. Preintervention, ocular surface parameters, subjective dry eye score, and visual acuity were assessed at the end of an 8-hour shift when the subjects used an N95 face mask without taping the upper edge. Next day, the upper edge of the N95 mask was taped to the nasal bridge in all subjects at the beginning of the 8-hour shift, and postintervention assessment was performed after the shift. The primary outcome measure was change in noninvasive tear break-up time (NIBUT). Secondary outcome measures were change in the symptom score, tear lipid layer thickness (LLT), tear break-up time (TBUT), Schirmer I test, tear meniscus height (TMH), osmolarity, and visual acuity.
Mean age of the cohort was 26.7 ± 3.67 years. Post-taping, significantly better ocular surface stability was observed in terms of NIBUT (P < .001), TBUT (P < .001), LLT (P < .001), TMH (P = .01), corneal staining score (P = .001), and tear osmolarity (P = .04). There was no significant change in visual acuity, Schirmer I, and Ocular Surface Disease Index score (P > .05). Symptom improvement was reported by 68% patients (SANDE version 2), which correlated well with change in NIBUT (r = 0.38; P = .005), TMH (r = 0.37; P = .007), LLT (r = 0.35; P = .01), and TBUT (r = 0.28; P = .04).
Taping of the upper mask edge resulted in significantly better ocular surface stability, which correlated well with decrease in dry eye symptoms. |
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AbstractList | To evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users.
Prospective interventional before-and-after study.
Fifty eyes of 50 health care workers regularly using N95 masks were included. Preintervention, ocular surface parameters, subjective dry eye score, and visual acuity were assessed at the end of an 8-hour shift when the subjects used an N95 face mask without taping the upper edge. Next day, the upper edge of the N95 mask was taped to the nasal bridge in all subjects at the beginning of the 8-hour shift, and postintervention assessment was performed after the shift. The primary outcome measure was change in noninvasive tear break-up time (NIBUT). Secondary outcome measures were change in the symptom score, tear lipid layer thickness (LLT), tear break-up time (TBUT), Schirmer I test, tear meniscus height (TMH), osmolarity, and visual acuity.
Mean age of the cohort was 26.7 ± 3.67 years. Post-taping, significantly better ocular surface stability was observed in terms of NIBUT (P < .001), TBUT (P < .001), LLT (P < .001), TMH (P = .01), corneal staining score (P = .001), and tear osmolarity (P = .04). There was no significant change in visual acuity, Schirmer I, and Ocular Surface Disease Index score (P > .05). Symptom improvement was reported by 68% patients (SANDE version 2), which correlated well with change in NIBUT (r = 0.38; P = .005), TMH (r = 0.37; P = .007), LLT (r = 0.35; P = .01), and TBUT (r = 0.28; P = .04).
Taping of the upper mask edge resulted in significantly better ocular surface stability, which correlated well with decrease in dry eye symptoms. PurposeTo evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users.DesignProspective interventional before-and-after study.MethodsFifty eyes of 50 health care workers regularly using N95 masks were included. Preintervention, ocular surface parameters, subjective dry eye score, and visual acuity were assessed at the end of an 8-hour shift when the subjects used an N95 face mask without taping the upper edge. Next day, the upper edge of the N95 mask was taped to the nasal bridge in all subjects at the beginning of the 8-hour shift, and postintervention assessment was performed after the shift. The primary outcome measure was change in noninvasive tear break-up time (NIBUT). Secondary outcome measures were change in the symptom score, tear lipid layer thickness (LLT), tear break-up time (TBUT), Schirmer I test, tear meniscus height (TMH), osmolarity, and visual acuity.ResultsMean age of the cohort was 26.7 ± 3.67 years. Post-taping, significantly better ocular surface stability was observed in terms of NIBUT (P < .001), TBUT (P < .001), LLT (P < .001), TMH (P = .01), corneal staining score (P = .001), and tear osmolarity (P = .04). There was no significant change in visual acuity, Schirmer I, and Ocular Surface Disease Index score (P > .05). Symptom improvement was reported by 68% patients (SANDE version 2), which correlated well with change in NIBUT (r = 0.38; P = .005), TMH (r = 0.37; P = .007), LLT (r = 0.35; P = .01), and TBUT (r = 0.28; P = .04).ConclusionTaping of the upper mask edge resulted in significantly better ocular surface stability, which correlated well with decrease in dry eye symptoms. To evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users.PURPOSETo evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users.Prospective interventional before-and-after study.DESIGNProspective interventional before-and-after study.Fifty eyes of 50 health care workers regularly using N95 masks were included. Preintervention, ocular surface parameters, subjective dry eye score, and visual acuity were assessed at the end of an 8-hour shift when the subjects used an N95 face mask without taping the upper edge. Next day, the upper edge of the N95 mask was taped to the nasal bridge in all subjects at the beginning of the 8-hour shift, and postintervention assessment was performed after the shift. The primary outcome measure was change in noninvasive tear break-up time (NIBUT). Secondary outcome measures were change in the symptom score, tear lipid layer thickness (LLT), tear break-up time (TBUT), Schirmer I test, tear meniscus height (TMH), osmolarity, and visual acuity.METHODSFifty eyes of 50 health care workers regularly using N95 masks were included. Preintervention, ocular surface parameters, subjective dry eye score, and visual acuity were assessed at the end of an 8-hour shift when the subjects used an N95 face mask without taping the upper edge. Next day, the upper edge of the N95 mask was taped to the nasal bridge in all subjects at the beginning of the 8-hour shift, and postintervention assessment was performed after the shift. The primary outcome measure was change in noninvasive tear break-up time (NIBUT). Secondary outcome measures were change in the symptom score, tear lipid layer thickness (LLT), tear break-up time (TBUT), Schirmer I test, tear meniscus height (TMH), osmolarity, and visual acuity.Mean age of the cohort was 26.7 ± 3.67 years. Post-taping, significantly better ocular surface stability was observed in terms of NIBUT (P < .001), TBUT (P < .001), LLT (P < .001), TMH (P = .01), corneal staining score (P = .001), and tear osmolarity (P = .04). There was no significant change in visual acuity, Schirmer I, and Ocular Surface Disease Index score (P > .05). Symptom improvement was reported by 68% patients (SANDE version 2), which correlated well with change in NIBUT (r = 0.38; P = .005), TMH (r = 0.37; P = .007), LLT (r = 0.35; P = .01), and TBUT (r = 0.28; P = .04).RESULTSMean age of the cohort was 26.7 ± 3.67 years. Post-taping, significantly better ocular surface stability was observed in terms of NIBUT (P < .001), TBUT (P < .001), LLT (P < .001), TMH (P = .01), corneal staining score (P = .001), and tear osmolarity (P = .04). There was no significant change in visual acuity, Schirmer I, and Ocular Surface Disease Index score (P > .05). Symptom improvement was reported by 68% patients (SANDE version 2), which correlated well with change in NIBUT (r = 0.38; P = .005), TMH (r = 0.37; P = .007), LLT (r = 0.35; P = .01), and TBUT (r = 0.28; P = .04).Taping of the upper mask edge resulted in significantly better ocular surface stability, which correlated well with decrease in dry eye symptoms.CONCLUSIONTaping of the upper mask edge resulted in significantly better ocular surface stability, which correlated well with decrease in dry eye symptoms. |
Author | Sah, Ramkishor Titiyal, Jeewan S. Nair, Sridevi Kaur, Manpreet |
Author_xml | – sequence: 1 givenname: Sridevi surname: Nair fullname: Nair, Sridevi organization: From the Cornea, Cataract, and Refractive Surgery Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India (S.N, M.K, R.S, J.S.T) – sequence: 2 givenname: Manpreet surname: Kaur fullname: Kaur, Manpreet organization: From the Cornea, Cataract, and Refractive Surgery Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India (S.N, M.K, R.S, J.S.T) – sequence: 3 givenname: Ramkishor orcidid: 0000-0001-8315-5312 surname: Sah fullname: Sah, Ramkishor organization: From the Cornea, Cataract, and Refractive Surgery Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India (S.N, M.K, R.S, J.S.T) – sequence: 4 givenname: Jeewan S. surname: Titiyal fullname: Titiyal, Jeewan S. email: titiyal@gmail.com organization: From the Cornea, Cataract, and Refractive Surgery Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India (S.N, M.K, R.S, J.S.T) |
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CitedBy_id | crossref_primary_10_14479_jkoos_2023_28_1_37 crossref_primary_10_3390_jcm12247727 crossref_primary_10_1038_s41433_023_02847_8 crossref_primary_10_2147_OPTH_S395877 crossref_primary_10_1038_s41598_022_23994_0 crossref_primary_10_1002_ajim_23535 crossref_primary_10_18231_j_ijceo_2023_100 crossref_primary_10_1186_s12886_022_02377_z crossref_primary_10_4274_jpr_galenos_2022_60243 crossref_primary_10_1038_s41598_022_17486_4 crossref_primary_10_1016_j_jtos_2022_12_006 crossref_primary_10_1177_23779608221127948 crossref_primary_10_1038_s41598_023_49645_6 |
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Snippet | To evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users.
Prospective... PurposeTo evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask... To evaluate the impact of taping the upper mask edge on ocular surface stability, dry eye symptomology, and tear osmolarity in N95 mask users.PURPOSETo... |
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StartPage | 128 |
SubjectTerms | Eye diseases Investigations Masks Nose Questionnaires Severe acute respiratory syndrome coronavirus 2 Statistical analysis |
Title | Impact of Taping The Upper Mask Edge On Ocular Surface Stability and Dry Eye Symptoms |
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