PDF(Pubmed)
Abstract：
Introduction The emergence of electronic cigarettes as the \"healthier\" version of smoking has been popular, especially among young adults. However, knowledge about the potential effects of e-cigarettes on ocular structures is scarce. Objective To compare the mean change in dry eye parameters between e-cigarette smokers and non-smokers and to correlate between dry eye parameters with device power output. Methodology A cross-sectional, single-visit study was conducted involving 85 e-cigarette smokers and 85 non-smokers. All participants were evaluated on dry eye parameters, including the Ocular Surface Disease Index (OSDI) score, tear meniscus height (TMH), tear break-up time (TBUT), cornea fluorescein staining, and Schirmer\'s I test. The mean change in dry eye parameters was compared between e-cigarette smokers and non-smokers. The correlation between dry eye parameters with device power output was analyzed. Results Specifically, 32.94% of e-cigarette smokers were found to have a TMH <0.2 mm, compared to only 5.88% of non-smokers (p<0.001). A significant change in mean TBUT was found between the e-cigarette smokers (10.41+2.65 seconds) and non-smokers (12.66+3.14 seconds, p<0.001). The lower mean Schirmer\'s I test was found among e-cigarette smokers (12.75+7.24 mm, p<0.001). No significant change in the median OSDI score and corneal fluorescein staining. The OSDI score and device power output were found to have a significant positive correlation (p=0.003). There was a significant association between dry eye signs and device power output, including TMH (p=0.047), TBUT (p=0.002), Schirmer\'s I test (p<0.001), and corneal fluorescein staining (p<0.001). Conclusion Electronic cigarette smokers are prone to develop dry eyes. Concern should be raised on the risk of electronic cigarette use on ocular health, and regulation on e-cigarette ban should be revisited.
摘要：
简介电子烟作为吸烟的“更健康”版本的出现一直很受欢迎，尤其是年轻人。然而,关于电子烟对眼部结构的潜在影响的知识很少。目的比较电子烟吸烟者和非吸烟者之间干眼参数的平均变化，并将干眼参数与设备功率输出相关联。方法论横截面，单访视研究涉及85名电子烟吸烟者和85名非吸烟者.对所有参与者进行干眼参数评估，包括眼表疾病指数（OSDI）评分，撕裂弯月面高度（TMH），泪液破裂时间(TBUT),角膜荧光素染色，Schirmer是我测试的.比较了电子烟吸烟者和非吸烟者之间干眼参数的平均变化。分析了干眼参数与设备功率输出之间的相关性。结果具体来说，32.94%的电子烟吸烟者被发现TMH<0.2mm，相比之下，只有5.88%的非吸烟者(p<0.001)。在电子烟吸烟者（10.41+2.65秒）和非吸烟者（12.66+3.14秒，p<0.001)。较低的平均Schirmer'sI测试是在电子烟吸烟者中发现的(12.75+7.24毫米，p<0.001)。中位OSDI评分和角膜荧光素染色无显著变更。发现OSDI评分和设备功率输出具有显著正相关(p=0.003)。干眼症与设备功率输出之间存在显着关联，包括TMH(p=0.047)，TBUT（p=0.002），Schirmer'sI检验（p<0.001），和角膜荧光素染色（p<0.001）。结论电子烟吸烟者易发生干眼症。应该引起人们对使用电子烟对眼睛健康的风险的关注，应重新考虑有关电子烟禁令的规定。
