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PSYCHIATRIC DISORDERS AND DRY EYE DISEASE - A TRANSDISCIPLINARY APPROACH

Snježana Kaštelan orcid id orcid.org/0000-0002-3983-1157 ; School of Medicine, University of Zagreb, Zagreb, Croatia ; Department for Ophthalmology, Clinical Hospital Dubrava, Zagreb, Croatia
Ivana Bakija ; Psychiatry Hospital "Sveti Ivan", Department of Integrative psychiatry , Zagreb, Croatia
Marija Bogadi ; Psychiatry Hospital for children and adolescents, Zagreb, Croatia
Ivana Orešković ; School of Medicine, University of Zagreb, Zagreb, Croatia
Boris Kasun ; Special hospital for medical rehabilitation Stubičke Toplice, Stubičke Toplice, Croatia
Marta Gotovac ; General Hospital Požega , Department of Ophthalmology, Požega, Croatia
Antonela Gverović Antunica ; General Hospital Dubrovnik, Department of Ophthalmology, Dubrovnik, Croatia


Puni tekst: engleski pdf 163 Kb

str. 580-587

preuzimanja: 159

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Sažetak

Dry eye disease (DED) is a multifactorial disorder representing one of the most common ocular morbidities and a significant
public health problem. It often results in eye discomfort, visual disturbances and potential damage to the corneal surface affecting
quality of life (QOL).
In recent years, the relationship between DED and psychiatric disorders has been gaining attention. A number of
epidemiological studies have reported a possible association between dry eye and psychiatric disorders showing that the subjective
symptoms of dry eye can be affected not only by changes of the tear film and ocular surface but also psychological factors such as
anxiety, depression, schizophrenia, post-traumatic stress disorder (PTSP) and subjective happiness. Apart from psychiatric
disorders, psychiatric medications are also considered as risk factors for DED due to their influence on the tear film status. The
incidence of ocular side effects increases rapidly with the use of polypharmacy, a very common form of treatment used in psychiatry.
There is often inconsistency between signs and symptoms of DED, where symptoms often are more related to non-ocular
conditions including psychiatric disorders than to tear film parameters. Consequently, in many cases DED may be considered as a
psychiatric as well as ophthalmological problem. Psychiatrists and ophthalmologists need to be aware of the potential influence of
psychiatric disorders and medications on tear film stability. In treatment of psychiatric patients, an integrative and transdisciplinary
approach will result in better functioning and higher QOL.

Ključne riječi

dry eye disease; psychiatric disorders; psychiatric medications; transdisciplinary approach

Hrčak ID:

271753

URI

https://hrcak.srce.hr/271753

Datum izdavanja:

19.10.2021.

Posjeta: 299 *