Does continuous wear of a face mask affect your tear film?

Sony Gunaganti; Manisai Koduri; Sravani Mereddy; Md Sohail Akhter

doi:10.53730/ijhs.v6nS2.8656

Authors

Sony Gunaganti Assistant Professor, Department of Optometry, School of Paramedics and Allied Health Sciences, Centurion University of Technology and Management Vizianagaram, Andhra Pradesh, India
Manisai Koduri
k.manisai@cutmap.ac.in
Assistant Professor, Department of Optometry, School of Paramedics and Allied Health Sciences, Centurion University of Technology and Management Nelimarla Mandal, Tekkali Village, Vizianagaram, Andhra Pradesh, India, Pin: 535005
Sravani Mereddy Assistant Professor & Head of the Department, Department of Optometry School of Paramedics and Allied Health Sciences, Centurion University of Technology and Management, Vizianagaram, Andhra Pradesh, India
Md Sohail Akhter Tuberculosis Project Coordinator, Synergie sustainability, New Delhi, India

Keywords:

face mask effect, TBUT, mask influence, dry eye, mask duration effect

Abstract

The study's objective was to assess the effect of type of mask wear and duration, including short-term wear of mask on TBUT. This was a cross-sectional, comparative study. A total of 90 subjects were categorized into three groups, each comprising 30 subjects. Either the groups were given a surgical, cloth, or N95 masks to wear. Baseline TBUT was collected after 30 mins without mask wear; subsequently after 1 min of mask wear and after every 30 mins for 3.5 hours among all the three groups. TBUT changes within the groups and between the groups were compared using Friedman ANOVA and the Kruskal Wallis test. TBUT was stable among N95 wearers for first 30 minutes and declined among cloth & surgical mask users. A continuous significant difference was evident only from 2 hours among surgical and cloth mask users and at 3.5 hours within N95 users. N95 wearers have a higher TBUT, and surgical having the least. Surgical mask wears significantly influence tear film stability, followed by cloth mask wear because of air leak from nose wire. TBUT is minimally affected by N95 wear.

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References

Holly, F. J., & Lemp, M. A. (1977). Tear physiology and dry eyes. Survey of ophthalmology, 22(2), 69–87. https://doi.org/10.1016/0039-6257(77)90087-x.

Wolff, E. (1946). The mucocutaneous junction of the lidmargin and the distribution of the tear fluid.

King-Smith, P. E., Fink, B. A., Hill, R. M., Koelling, K. W., & Tiffany, J. M. (2004). The thickness of the tear film. Current eye research, 29(4-5), 357–368. https://doi.org/10.1080/02713680490516099.

Cher I. (2008). A new look at lubrication of the ocular surface: fluid mechanics behind the blinking eyelids. The ocular surface, 6(2), 79–86. https://doi.org/10.1016/s1542-0124(12)70271-9.

Werkmeister, R. M., Alex, A., Kaya, S., Unterhuber, A., Hofer, B., Riedl, J., Bronhagl, M., Vietauer, M., Schmidl, D., Schmoll, T., Garhöfer, G., Drexler, W., Leitgeb, R. A., Groeschl, M., & Schmetterer, L. (2013). Measurement of tear film thickness using ultrahigh-resolution optical coherence tomography. Investigative ophthalmology & visual science, 54(8), 5578–5583. https://doi.org/10.1167/iovs.13-11920

King-Smith, P. E., Fink, B. A., Fogt, N., Nichols, K. K., Hill, R. M., & Wilson, G. S. (2000). The thickness of the human precorneal tear film: evidence from reflection spectra. Investigative ophthalmology & visual science, 41(11), 3348–3359.

Dysfunction, T. (2022). Treating Evaporative Dry Eye Associated With Meibomian Gland Dysfunction. Retrieved 30 May 2022, from https://www.aao.org/eyenet/article/treating-evaporative-dry-eye.

Findlay, Q., & Reid, K. (2018). Dry eye disease: when to treat and when to refer. Australian prescriber, 41(5), 160–163. https://doi.org/10.18773/austprescr.2018.048.

Kousha, O., Kousha, Z., & Paddle, J. (2022). Incidence, risk factors and impact of protocolised care on exposure keratopathy in critically ill adults: a two-phase prospective cohort study.

Golden, M. I., Meyer, J. J., & Patel, B. C. (2021). Dry Eye Syndrome. In StatPearls. StatPearls Publishing.

Dennis, R. J., Miller, R. E., 2nd, Peterson, R. D., & Jackson, W. G., Jr (1992). Contact lens wear with the USAF Protective Integrated Hood/Mask chemical defense ensemble. Aviation, space, and environmental medicine, 63(7), 565–571

Moshirfar, M., West, W. B., Jr, & Marx, D. P. (2020). Face Mask-Associated Ocular Irritation and Dryness. Ophthalmology and therapy, 9(3), 397–400. https://doi.org/10.1007/s40123-020-00282-6

Arriola-Villalobos, P., Burgos-Blasco, B., Vidal-Villegas, B., Oribio-Quinto, C., Ariño-Gutiérrez, M., Diaz-Valle, D., & Benitez-Del-Castillo, J. M. (2021). Effect of Face Mask on Tear Film Stability in Eyes With Moderate-to-Severe Dry Eye Disease. Cornea, 40(10), 1336–1339. https://doi.org/10.1097/ICO.0000000000002734

Tang YF, Chong EWT. Face Mask-Associated Recurrent Corneal Erosion Syndrome and Corneal Infection. Eye Contact Lens. 2021 Oct 1;47(10):573-574. doi: 10.1097/ICL.0000000000000837. PMID: 34483243.

Face Mask-associated Dry Eye in Health Care Professionals amid the COVID-19 Pandemic. Optometry and vision science : official publication of the American Academy of Optometry, 98(8), 995–996. https://doi.org/10.1097/OPX.0000000000001758

16 Krolo, I., Blazeka, M., Merdzo, I., Vrtar, I., Sabol, I., & Petric-Vickovic, I. (2021). Mask-Associated Dry Eye During COVID-19 Pandemic-How Face Masks Contribute to Dry Eye Disease Symptoms. Medical archives (Sarajevo, Bosnia and Herzegovina), 75(2), 144–148. https://doi.org/10.5455/medarh.2021.75.144-148

Scalinci, S. Z., Pacella, E., & Battagliola, E. T. (2021). Prolonged face mask use might worsen dry eye symptoms. Indian journal of ophthalmology, 69(6), 1508–1510. https://doi.org/10.4103/ijo.IJO_2641_20

Kuroyedov, A., Zavadski, P., Brezhnev, A., Gorodnichii, V., Gazizova, I., & Seleznev, A. et al. (2020). Influence of Personal Respiratory and Visual Protective Equipment on the Development and Progression of Dry Eye Syndrome. Ophthalmology In Russia, 17(3), 519-526. doi: 10.18008/1816-5095-2020-3-519-526

Boccardo L. (2022). Self-reported symptoms of mask-associated dry eye: A survey study of 3,605 people. Contact lens & anterior eye : the journal of the British Contact Lens Association, 45(2), 101408. https://doi.org/10.1016/j.clae.2021.01.003

Martinez-Perez, C., Monteiro, B., Soares, M., Portugues, F., Matos, S., Ferreira, A., Alvarez-Peregrina, C., & Sánchez-Tena, M. Á. (2021). Influence of Face Masks on the Use of Contact Lenses. International journal of environmental research and public health, 18(14), 7407. https://doi.org/10.3390/ijerph18147407

Shetty, R., Sethu, S., Deshmukh, R., Deshpande, K., Ghosh, A., Agrawal, A., & Shroff, R. (2016). Corneal Dendritic Cell Density Is Associated with Subbasal Nerve Plexus Features, Ocular Surface Disease Index, and Serum Vitamin D in Evaporative Dry Eye Disease. BioMed research international, 2016, 4369750. https://doi.org/10.1155/2016/4369750.

Mastropasqua, L., Lanzini, M., Brescia, L., D'Aloisio, R., Nubile, M., Ciancaglini, M., D'Amario, C., Agnifili, L., & Mastropasqua, R. (2021). Face Mask-Related Ocular Surface Modifications During COVID-19 Pandemic: A Clinical, In Vivo Confocal Microscopy, and Immune-Cytology Study. Translational vision science & technology, 10(3), 22. https://doi.org/10.1167/tvst.10.3.22

Silkiss, R. Z., Paap, M. K., & Ugradar, S. (2021). Increased incidence of chalazion associated with face mask wear during the COVID-19 pandemic. American journal of ophthalmology case reports, 22, 101032. https://doi.org/10.1016/j.ajoc.2021.101032.

Aksoy, M., & Simsek, M. (2021). Evaluation of Ocular Surface and Dry Eye Symptoms in Face Mask Users. Eye & contact lens, 47(10), 555–558. https://doi.org/10.1097/ICL.0000000000000831.

Koduri, M., Vankudoth, V., & Gunaganti, S. (2022). Potential combined ocular effects of mask wear and digital device usage during COVID-19 pandemic: A survey study. International Journal of Health Sciences, 6(S2), 10373–10388. https://doi.org/10.53730/ijhs.v6nS2.7710