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MENTAL DISORDERS AS INFLUENCING FACTORS FOR DISCORDANCES IN THE SIGNS AND SYMPTOMS OF DRY EYE DISEASE
Snježana Kaštelan
orcid.org/0000-0002-3983-1157
; School of Medicine, University of Zagreb, Zagreb, Croatia ; Department of Opthalmology, Clinical Hospital Dubrava, Zagreb, Croatia
Ivana Bakija
; Department of Integrative Psychiatry Psychiatric Hospital "Sveti Ivan", Zagreb, Croatia
Marija Bogadi
; Department of child psychiatry, Psychiatric Hospital for children and adolescents, Zagreb, Croatia
Antonela Gverović Antunica
; Department of Opthalmology, General Hospital Dubrovnik, Dubrovnik, Croatia
M. Gotovac
; Department of Opthalmology General Hospital Požega, Požega, Croatia
Ivona Šimunović Filipčić
; School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia
Sažetak
Dry eye disease (DED) is a multifactorial disease of the tear film and ocular surface representing one of the most common
problems in ophthalmological practice. Characteristic symptoms of DED include gritty, sandy foreign body sensation as well as
he symptoms
of dry eye are the main features of this disease, however, the symptoms do not always coincide with the signs and the results of
diagnostic tests and the cause of this discordance in perception is still unclear. Numerous studies have been conducted in order to
determine the cause of these discrepancies. Mental health disorders may be one of considerable contributing factors for dry eye
symptoms and undiagnosed mental health conditions can be an influencing element for unexplained levels of DED symptoms.
Depression, anxiety, stress, hypochondriasis, neuroticism, sleep and mood disorders may be associated with the exacerbation of
symptoms to degrees that are not consistent with the objective signs related to tear dysfunction as well as changes in the anterior
surface of the eye. Thus, a detailed medical history, thorough ophthalmological examination and referral to a psychologist or
psychiatrist may be essential in the treatment of patients whose symptoms do not correlate with objective evidence of DED
Ključne riječi
mental disorders; dry eye disease; symptoms; signs; quality of life; dry eye syndrome questionnaires
Hrčak ID:
271755
URI
Datum izdavanja:
19.10.2021.
Posjeta: 261 *