skip to main content

INCIDENT OF DRY EYE IN FK UNDIP STUDENTS USING SMARTPHONES

Adella Setyo Purnomo  -  Undergraduate Program, Faculty of Medicine, Diponegoro University, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia, 50275, Indonesia
Arief Wildan orcid scopus  -  Departement of Ophthalmology, Faculty of Medicine, Diponegoro University, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia 50275, Indonesia
*Fifin Luthfia Rahmi orcid scopus  -  Departement of Ophthalmology, Faculty of Medicine, Diponegoro University, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia 50275, Indonesia
Arnila Novitasari Saubig  -  Departement of Ophthalmology, Faculty of Medicine, Diponegoro University, Jl. Prof. Sudarto, SH, Tembalang, Semarang, Indonesia 50275, Indonesia

Citation Format:
Abstract

Background: Smartphone use is increasing over time and often causes Dry Eye Syndrome (DES). Dry Eye Syndrome (DES) is a multifactorial disease of the ocular surface characterized by loss of homeostasis and causes various ocular symptoms. The Schirmer test is a measurement of the tears quantity to diagnose DES. Objective: To determine the effect of smartphone use on the results of Schirmer test measurements. Methods: This was a quasi-experimental research with a pre-test and post-test design. The research subjects consisted of 36 students selected based on inclusion and exclusion criteria using consecutive sampling. The experimental group (n=18) used a smartphone for 2 hours by watching the video (film), while the control group (n=18) did not use the smartphone. Schirmer tests were carried out before and after observation for 5 minutes using Schirmer paper strips. Statistical tests used the Shapiro-Wilk test with a meaning value of p ≥ 0,05, Chi-square test, Paired t-test, Wilcoxon test, and Mann-Whitney test with a meaning value of p < 0,05. Results: There was a significant decrease in the Schirmer test results (p = 0,020) by 1,334 ± 0,8937 mm in the experimental group and a non-significant increase (p = 0,582) in the control group by 0,362 ± 0,4086 mm. There was a significant difference in the decrease of Schirmer test results between the experimental group compared to the control group (p = 0,048). Conclusion: The use of smartphones influences the decrease in Schirmer test measurement results.

Fulltext View|Download
Keywords: Dry Eye Syndrome, Medical Students, Schirmer Test, Smartphone

Article Metrics:

  1. Fadhilah A, Herbawani CK. Hubungan Durasi dan Perilaku dalam Penggunaan Laptop dengan Kejadian Computer Vision Syndrome: Systematic Review. Media Kesehatan Masyarakat Indonesia. 2022;21(4):279–85
  2. Reddy SC, Low CK, Lim YP, Low LL, Mardina F, Nursaleha MP. Computer Vision Syndrome: A Study of Knowledge and Practices in University Students. Nepal Journal of Ophthalmology. 2013;5(2):161–8
  3. Shin S, Yang EH, Lee HC, Moon SH, Ryoo JH. The Relationship between Visual Display Terminal Usage at Work and Symptoms Related to Computer Vision Syndrome. Annals of Occupational and Environmental Medicine. 2023;35:1–11
  4. Adisty N. Mengulik Perkembangan Penggunaan Smartphone di Indonesia [Internet]. GoodStats. 2020 [cited 2023 Feb 16]. Available from: https://goodstats.id/article/mengulik-perkembangan-penggunaan-smartphone-di-indonesia-sT2LA#:~:text=Sementara%2C awal tahun 2022 ini,yang sama di tahun sebelumnya
  5. American Optometric Association. Computer Vision Syndrome [Internet]. [cited 2023 Feb 16]. Available from: https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/computer-vision-syndrome?sso=y
  6. Rahmadilla AP. Hubungan Pemakai Lensa Kontak Lunak (Soft Contact Lens) Dengan Dry Eye Syndrome. Jurnal Medika Hutama. 2020;02(01):377–81
  7. Tong L, Tan J, Thumboo J, Seow G. Dry eye. British Medical Journal. 2013;346(7895):1–8
  8. Sebayang R. WHO Nyatakan Wabah COVID-19 jadi Pandemi, Apa Maksudnya? [Internet]. CNBC Indonesia. 2020 [cited 2023 Feb 16]. Available from: https://www.cnbcindonesia.com/news/20200312075307-4-144247/who-nyatakan-wabah-covid-19-jadi-pandemi-apa-maksudnya
  9. Istiqomah IN, Azizah LN, Mashuri M. Pencegahan Terjadinya Computer Vision Syndrome (CVS) akibat Pembelajaran Daring di Masa Pandemi Covid-19 Pada Siswa MTSN1 Lumajang. Jurnal Pengabdian Kepada Masyarakat. 2021;4(6):1311–7
  10. Abudawood GA, Ashi HM, Almarzouki NK. Computer Vision Syndrome among Undergraduate Medical Students in King Abdulaziz University, Jeddah, Saudi Arabia. Journal of Ophthalmol. 2020
  11. García-Ayuso D, Di Pierdomenico J, Moya-Rodríguez E, Valiente-Soriano FJ, Galindo-Romero C, Sobrado-Calvo P. Assessment of Dry Eye Symptoms among University Students during The COVID-19 Pandemic. Clinical and Experimental Optometry [Internet]. 2022;105(5):507–13. Available from: https://doi.org/10.1080/08164622.2021.1945411
  12. Kamil Z, Qurban Q, Tanweer Hassan Khan FCPS M. Tear Film Status in Smartphone Users Vs Non-Users: (an observational study). Ophthalmology Update. 2020;18(2):17–20
  13. Dumadi D, Maharani M, Kesoema TA. Prihatningtias R. Difference of Schirmer Test Results Before and After Using Smartphones with Various Screen Brightness Levels. Diponegoro International Medical Journal. 2021;2(2):36–40
  14. Tosini G, Ferguson I, Tsubota K. Effects of Blue Light on The Circadian System and Eye Physiology. Molecular Vision. 2016;22:61–72
  15. Jeng BH. Diagnostic Techniques in Ocular Surface Disease. Conjunctiva Tear Film Expert Consult - Online Print. 2013;47–54
  16. Biuk D, Vinković M, Matić S, Bradvica M, Biuk E, Benašić T. Sensitivity of Diagnostic Tests for Dry Eye in Patients with Blepharospasm. Acta Clinica Croatica. 2017;56(3):375–81
  17. Ishikawa S, Shoji T, Yamada N, Shinoda K. Efficacy of Strip Meniscometry for Detecting Lacrimal Obstructive Diseases among Patients with Epiphora. Translational Vision Science & Technology. 2019;8(6)
  18. American Optometric Association. Dry Eye [Internet]. [cited 2023 Feb 17]. Available from: https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/dry-eye?sso=y
  19. Irfan M, Rianil D, Wildan A, Johan A. Pengaruh Lama Penggunaan Komputer terhadap Kuantitas Air Mata dan Refleks Berkedip. Jurnal Kedokteran Diponegoro. 2018;7(2):388–95
  20. Akib MN, Pirade SR, Syawal SR, Fauzan MM, Eka H, Seweng A. Association between Prolonged Use of Smartphone and The Incidence of Dry Eye among Junior High School Students. Clinical Epidemiology and Global Health [Internet]. 2021;11(October):100761. Available from: https://doi.org/10.1016/j.cegh.2021.100761
  21. Wang C, Yuan K, Mou Y, Wu Y, Wang X, Hu R, et al. High-Intensity Use of Smartphone Can Significantly Increase the Diagnostic Rate and Severity of Dry Eye. Frontiers in Medicine. 2022;9(April):1–11
  22. Choi JH, Li Y, Kim SH, Jin R, Kim YH, Choi W, et al. The Influences of Smartphone Use on The Status of The Tear Film and Ocular Surface. PLoS One. 2018;13(10):1–20
  23. Moon JH, Kim KW, Moon NJ. Smartphone Use is a Risk Factor for Pediatric Dry Eye Disease According to Region and Age: A Case Control Study Pediatrics and Strabismus. BMC Ophthalmology [Internet]. 2016;16(1):1–7. Available from: http://dx.doi.org/10.1186/s12886-016-0364-4
  24. Logaraj M, Madhupriya V, Hegde S. Computer Vision Syndrome and Associated Factors among Medical and Engineering Students in Chennai. Annals of Medical and Health Science Research. 2014;4(2):179
  25. Golebiowski B, Long J, Harrison K, Lee A, Chidi-Egboka N, Asper L. Smartphone Use and Effects on Tear Film, Blinking and Binocular Vision. Current Eye Research. 2020;45(4):428–34
  26. Supiyaphun C, Jongkhajornpong P, Rattanasiri S, Lekhanont K. Prevalence and Risk Factors of Dry Eye Disease among University Students in Bangkok, Thailand. PLoS One [Internet]. 2021;16(10 October):1–9. Available from: http://dx.doi.org/10.1371/journal.pone.0258217
  27. Leigh RJ, Kennard C. Using Saccades as a Research Tool in the Clinical Neurosciences. Brain. 2004;127(3):460–77
  28. Wu Z, Begley CG, Port N, Bradley A, Braun R, King-Smith E. The Effects of Increasing Ocular Surface Stimulation on Blinking and Tear Secretion. Investigative Ophthalmology & Visual Science. 2015;56(8):4211–20

Last update:

No citation recorded.

Last update:

No citation recorded.