Clinical Ophthalmology (Nov 2022)
Prevalence and Behavioral-Based Risk Factors (Eye Cosmetic and Tobacco Use) of Symptomatic Dry Eye Disease in Four Middle Eastern Countries: Lebanon, Syria, Jordan, and Palestine
Abstract
Wissam Ghach,1,2 May M Bakkar,3 Mona Aridi,4 Ithar Beshtawi,5 Rita Doughaily,2 Noha Al-Fayoumi6 1Faculty of Communication, Arts and Sciences, Canadian University Dubai (CUD), Dubai, United Arab Emirates; 2School of Health Sciences, Modern University for Business and Science (MUBS), Damour, Lebanon; 3Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan; 4School of Computer and Applied Sciences, Modern University for Business and Science (MUBS), Damour, Lebanon; 5Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine; 6Ibn Al-Nafees Hospital, Damascus, SyriaCorrespondence: Wissam Ghach, School of Health Sciences, Modern University for Business and Science (MUBS), Damour, Lebanon, Tel +9615601801, Fax +9615601667, Email [email protected] Mona Aridi, School of Computer and Applied Sciences, Modern Universityfor Business and Science (MUBS), Damour, Lebanon, Tel +9615601801, Fax +9615601667, Email [email protected]: To estimate the prevalence of symptomatic dry eye disease (DED) in four Middle Eastern Countries and investigate the association between behavioral-based risk factors and severity of DED.Patients and Methods: Population-based cross-sectional study of 1463 participants from 4 Mediterranean countries (Lebanon, Syria, Jordan, and Palestine). The Arabic version of the Ocular Surface Disease Index (ARB-OSDI) questionnaire was used to estimate the prevalence and severity of symptomatic DED using an online format survey. The survey also included demographic questions and possible behavioral risk factors (tobacco and cosmetic use). One-Way ANOVA and multivariate regression analyses were used to investigate the association between OSDI mean scores and behavioral-based risk factors.Results: The prevalence of symptomatic DED (OSDI score ≥ 13) among the overall population (332 males and 1132 females) reached 70.2%. Tobacco and cosmetic users reported a higher significant prevalence and severity of symptomatic DED than non-users (p < 0.0001). Smoking habits (eg, smoking cigarettes or Ajami, smoking in closed areas, and daily smoking) were more likely to report symptomatic DED. Bad hygiene process during the use of any cosmetic product was behind the high prevalence and severity of symptomatic DED among the females of the study population.Conclusion: Symptomatic DED is substantial in Middle Eastern countries. It is statistically associated with cosmetic and tobacco use.Keywords: eye dryness, Ocular Surface Disease Index, smoking, cosmetic use, middle east
