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Occupational Health 2018 Journal of Nursing and Health Studies
ISSN: 2574-2825 Page 39
May 28-29, 2018
London, UK
4th Edition of International Conference on
Occupational Health and
Safety
Objective : To evaluate the prevalence and risk factors of dry eye
disease (DED) in workers using visual display terminals (VDT).
Design: Systematic review and meta-analysis.
Data sources: We searched PubMed, Cochrane Library, Embase
and Science Direct databases for studies reporting DED
prevalence in VDT workers.
Results: 16 of the 9049 identified studies were included, with a
total of 11 365 VDT workers. Despite a global DED prevalence of
49.5%(95%CI 47.5 to50.6), ranging from9.5%to87.5%, important
heterogeneity (I2=98.8%, p<0.0001) was observed. Variable
diagnosis criteria used within studies were: questionnaires
on symptoms, tear film anomalies and corneoconjunctival
epithelial damage. Some studies combined criteria to define DED.
Heterogeneous prevalence was associated with stratifications
on symptoms (I2=98.7%, p<0.0001), tears (I2=98.5%, p<0.0001)
and epithelial damage (I2=96.0%, p<0.0001). Stratification of
studies with two criteria adjusted the prevalence to 54.0% (95%
CI 52.1 to 55.9), whereas studies using three criteria resulted in
a prevalence of 11.6% (95% CI 10.5 to 12.9). According to the
literature, prevalence of DED was more frequent in females than
in males and increased with age.
Conclusions: Owing to the disparity of the diagnosis criteria
studied to define DED, the global prevalence of 49.5% lacked
reliability because of the important heterogeneity. We highlight
the necessity of implementing common DED diagnostic criteria
to allow a more reliable estimation in order to develop the
appropriate preventive occupational actions.
Biography
Frédéric Dutheil is a Professor in Medicine; Medical Doctor in Occupational
Health, Physiologist and Researcher at University Hospital of Clermont-Fer-
rand (CHU) and; a Clinical Fellow of the Australian Catholic University. He is
member of the laboratory of metabolic adaptations to exercise in clinical
and pathological conditions from 2006 to 2015; his work on biomarkers of
stress led him to the creation and the Head of the physiological and psy-
chosocial stress team at UMR CNRS 6024. He is the Scientist of Wittyfit,
a software designed to improve health of workers, through a personalized
and individualized feedback of their health, taking into account job charac-
teristics. He is now aiming at building tools for objective measures of stress
Prevalence of dry eye disease in visual display terminal
workers: A systematic review and Meta-analysis
Frédéric Dutheil1,2,3,4, Fouad Marhar5, Gil Boudet1 , Christophe Perrier1, Geraldine
Naughton3, Alain Chamoux1, Pascal Huguet2, Martial Mermillod6,7, Foued
Saâdaoui8, Farès Moustafa1 and Jeannot Schmidt 1
1University Hospital of Clermont-Ferrand, France
2Université Clermont Auvergne, Clermont‑Ferrand, France
3Australian Catholic University, Australia
4WittyFit, France
5University Hospital of Toulouse, France
6Université Grenoble Alpes, France
7Institut Universitaire de France, France
8Saudi Electronic University, Saudi Arabia
Frédéric Dutheil, J Nurs Health Stud 2018, Volume 3
DOI: 10.21767/2574-2825-C2-005