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Rationale
Dry eye syndrome, also known as dry eye disease, keratoconjunctivitis
sicca, and keratitis sicca, is a multifactorial disease of the tears and the
ocular surface that results in discomfort, visual disturbance, and tear film
instability with potential damage to the ocular surface. Dry eye syndrome is
a common form of ocular surface disease and may overlap with other causes
of the cornea and conjunctiva. It may be helpful to know that sicca is part
of the English word desiccate. The dry eye syndrome in which the eyes do
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computer use. One of such computer associated ill-effect is manifested as
dry eye. This study was done to find out prevalence of dry eye.
Dry eye occurs when people do not have either enough tears, or the
prevalence of dry eye varying between 5% and >30% in various age groups
affected by dry eye ranges from 25 to 30 million all over the world.
There is no doubt that in recent years, dry eye disease has become a
presenting with varying degrees of ocular discomfort and disability. Dry eyes
prevalence is more in elderly people, certain high risk groups like farmers,
become a part of the modern workday. And inevitably, all of tha staring can
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put real strain on your eyes. Many such activities decreased ability to
Ophthalmol. 2007;143(3):409-15.)
study was conducted pertaining to the fact that Computer Science students
were more exposed to computers than any other courses will be. This study
contains figures and/or results of the data gathered. Along with these were
should be a potent tool in providing information to the college and use this
The relationship between computer usages per day with dry eye can
awareness about regular screening and early intervention of dry eye for
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STATEMENT OF THE PROBLEM
following:
1.1 Age;
1.2 Gender;
between:
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STATEMENT OF NULL HYPOTHESIS
among Computer Studies students between self-rate, TBUT and blink rate.
generally studying in Cebu City, this study could give them more
populace.
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REVIEW OF RELATED LITERATURE
Dry eye occurs when people do not have either enough tears, or the
prevalence of dry eye varying between 5% and >30% in various age groups
affected by dry eye ranged from 25 to 30 million all over the world.
the prevalence of dry eye disease (DED) and risk factors among young
people. The title was The Prevalence of Dry Eye among University Students,
published online April 17, 2012. The authors of the present study distributed
the OSDI questionnaire to 263 university students. DED was diagnosed when
the OSDI score was greater than 13 points. According to the OSDI score,
score and possible risk factors such as gender, contact lens use and allergic
133 (50.6%) and severe cases of DED were observed in 49 (18.6%). A high
OSDI score was associated with female sex (p < 0.01), a history of allergic
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conjunctivitis (p = 0.02), contact lens use (p < 0.01), self-awareness of the
dry eye symptoms (p < 0.01) and a history of clinically diagnosed DED (p <
0.01). Prevalence of DED, which had been reported to be high in the elderly,
was considered high at 50.6% among young people in the present study.
Caution or education regarding DED is necessary for people who have a high
OSDI score, particularly females, contact lens wearers and people with
allergic conjunctivitis.
pain, watery eyes, slow focusing from near to distance or vice versa.
of 24.56 4.14 and consisting of 130 (47%) males and 147 (53%) females
participated in the study. The top three eye-related complaints were eye
The symptoms lasted less than an hour, except for headaches that persisted
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for 1 to 2 hours and had the highest mean severity of 2.31 1.24. The
duration of computer use was strongly correlated with the severity of the
was also strongly correlated with all the symptoms except for doubling of
severity of the symptoms was correlated with the duration of computer use
respondents. Gender breakdown was 55% male and 45% females. Age
the male respondents, 32% wore contact lenses; 52% of the females wore
symptom or sign of dry eye, it was counted for positive for dry eye. Nearly
one-half of the respondents reported dry eye symptom was made worse by
computer usage.
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THEORETICAL FRAMEWORK
Evaluation of Dry Eye in Computer Users Computer users were grouped into
> 6 hours to 8 hours according to their exposure to computer per day. Dry
eye evaluation was done with ocular surface disease index questionnaire,
tear meniscus height, and tear film brake-up time, Schirmers test. One way
analysis of variance test was used to compare mean values, find p values
Prevalence among the males and females was found to be of 25%. The
13.04% and 51.64 % suggesting that the prevalence of dry eye increased as
the years of computer exposure increased. The overall prevalence of dry eye
Vision Syndrome manifesting as dry eye. This study was done to find out
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METHODOLOGY
RESEARCH DESIGN
the relationship between the tear break-up time (TBUT) and the blink rate
Research Environment
University of Cebu, Cebu City, Sanciangko St, Cebu City, 6000 Cebu. The
institution in the Visayas region. The university was founded in 1964 by Atty.
education.
Research Participants
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This research examined 100 students studying in the University of
hypertension, diabetes and allergies, students who were identified with dry
eyes by their eye doctor and those who were contact lens wearers.
Research Instruments
information. The researchers performed TBUT test and determined the blink
rate of the respondents whose results were recorded on the record sheets.
the dean of the College of Computer Studies. The letter was approved and
the researchers were allowed to start the examination the next day.
to research study. The respondents were given record sheets for them to
write their basic personal information. The once empty sheets also contained
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First, the researchers observed how many blinks the respondents do
per minute to determine the blink rate. Second, for the tear breakup time
test (TBUT test), the researchers instilled fluorescein dye and checked
through an instrument with cobalt blue light and determined the time the
tear film broke. Lastly, the soon-to-be gathered data were segregated per
To determine the age, sex and year level of students currently enrolled
%= f n x 150
n
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x
n
M=
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FLOWCHART OF THE STUDY
Constructing
the Research
Construction of Gathering of
Design,
Related
the rationale Environment,
Literature
Participants,
Instruments
Constructing a
Determining
the Theoretical Gathering of
Framework Data
Problem.
Recording of
Construction of Constructing the Data
Null the Gathered.
Hypothesis. Methodology Encoding in
Excel
DEFENSE
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Definition of Terms
Blink Rate number of blinks per minute of the respondents or the rate of
Dry eye is a common condition that occurs when your tears are not able
time during a given period and includes people who already have the
condition at the start of the study period as well as those who acquire it
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Tear Break-up Time Test a test to observe the presence of dry eye by
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CHAPTER II
TABLE 1
and year level. The samples of 100 were between 17-30 years old. 17-20
years old account for 58% of the respondents, 21-24 years old account for
34% of the respondents, 25-28 years old account for 5% of the respondents
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9% of the respondents were 1 st year students, 32% of the respondents
were second year students, 39% were third year students and 20% were
TABLE 2
based on questionnaire
Patient with no self-
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rated dry eye (score of 100 100
questionnaire)
Patient with self-rated
questionnaire)
for a dry eye. One hundred percent of the respondents scored less than 30
in the questionnaires which means none of them were suspects for dry eye.
There were factors that affected the results from the questionnaires. Some
of the students did not quite understand the questions and some were just
TABLE 2B
PREVALENCE OF DRY EYE OF RESPONDENTS ACCORDING TO TEAR
result
Normal (>10 seconds) 18 18
Marginal (5 10 80 80
18
seconds)
Low (dry eye) <5 2 2
seconds
TOTAL 100 100
tear break up time results; 18% of respondents had normal result, 80% had
marginal dry eye and 2% were positive for dry eye. Compared to the study
Users, the data gathered by the researchers showed higher prevalence. This
was, maybe, due to the increased need for people to use computer and
other gadgets in this fast-paced era. The respondents were advised to use
TABLE 2C
RATE RESULTS
blinks/minute
Mild (dry eye) 5 to 10 20 20
blinks/minute
Severe (dry eye) <5 0 -
19
blinks/minute
Total 100 100
blink rate results; 80% percent of the respondents were normal, 20% had
mild dry eye and no respondents had severe dry eye. Blink rate measured
the number of blinks the respondents did in a minute. The data showed a
Table 3A
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p-value should be less than 0.05 to be significant
statistical tool: z-score for 2 population proportions
The z-score was -11.7891. The p-value was 0. The result was
significant at p<0.05. This means that the dry eye prevalence result of
the TBUT was significantly higher than that of the self-rated prevalence.
What does this mean? Results from questionnaires were highly unreliable.
The questionnaires also did not measure the severity of the dry eye, it
has no value for low, mild or severe dry eye. A score of 30 and up
automatically suggested the presence of dry eye. This was maybe the
reason why the prevalence of the perceived dry eye was zero percent.
TABLE 3B
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Blink Rate
The z-score was -4.714. The p-value is 0. The result was significant at
p<0.05. This means that the dry eye prevalence result of the Blink rate
was significantly higher than that of the self-rated prevalence. What does
questionnaires also did not measure the severity of the dry eye, it has no
value for low, mild or severe dry eye. A score of 30 and up automatically
suggests the presence of dry eye. This maybe was the reason why the
TABLE 3C
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eye with
Blink Rate
The z-score was -8.7699. The p-value was 0. The result was significant
at p<0.05. This means that the dry eye prevalence result of the TBUT
was significantly higher than that of the prevalence of dry eye using blink
rate. The blink rate showed lower prevalence than TBUT. The TBUT still
was more reliable since the test allowed us to observe the breaks in the
tear film. Although TBUT was much more reliable, blink rate should not be
CHAPTER III
SUMMARY OF FINDINGS
gender and year level. The samples of 100 were between 17-30 years old.
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17-20 years old accounted for 58% of the respondents, 21-24 years old
accounted for 34% of the respondents, 25-28 years old account for 5% of
respondents.
respondents were second year students, 39% were third year students and
2. Table 2 had shown the prevalence of self-rated dry eye based on the
for dry eye. One hundred percent of the respondents scored less than 30 in
the questionnaires which means none of them were suspect for dry eye.
tear break up time results; 18% of respondents had normal result, 80% had
blink rate results; 80% percent of the respondents were normal, 20% had
5. Table 3A, the z-score was -11.7891. The p-value was 0. The result was
significant at p<0.05. This means that the dry eye prevalence result of the
TBUT was significantly higher than that of the self-rated prevalence. What
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does this mean? Self-rated answers to dry eye from questionnaires were
highly unreliable.
6. Table 3B, the z-score was -4.714. The p-value was 0. The result was
significant at p<0.05. This means that the dry eye prevalence result of the
Blink Rate was significantly higher than that of the self-rated prevalence.
What does this mean? Self-rated answers to dry eye from questionnaires
7. Table 3C, the z-score were -8.7699. The p-value was 0. The result was
significant at p<0.05. This means that the dry eye prevalence result of the
TBUT was significantly higher than that of the prevalence of dry eye using
blink rate.
Conclusion:
University of Cebu was low. In TBUT, the 80% had marginal dry eye and 2%
Recommendations
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2. The result of this study could be presented in schools other than
3. The results of this study should be used as a basis for larger scale of
research.
REFERENCE
BOOKS
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Hon Bing Hoh (1996), Clinical Cases in Opthalmology, Butterworth-
Heinmann
edition, Buttermworth-Heinmann
Journal
Aurora Gaijta et al. (2015), Dry Eye Syndrome Among Computer Users
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Mohamed Yehia Al. Awadi et al. (2013), Probable Effects of Exposure
Internet
www.dryeyesmedical.com/diagnosis/diagnostic-tests.html
www.emedicine.medscape.com/article/1210417
www.health.com/healthy/dry-eyes-home-remedies
APPENDIX A
TRANSMITTAL LETTER TO THE COLLEGE OF COMPUTER STUDIES
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Melvin M. Ninal, Ph. D.
Dean, College of Computer Studies
University of Cebu
We, the 3rd year Optometry Proper students of SWU-Phinma would like to
Sincerely yours,
Glomarie Hope A. Paquera
Optometry III
Group Representative
Noted by:
Noeh O. Fernadez Jr., O.D., MATS
APPENDIX B
INFORMED CONSENT
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I, signing this document, is, giving my consent to participate as a subject for
the research, which will be conducted by the 3 rd year proper Optometry
students in Southwestern University-PHINMA
APPENDIX C-1
RESEARCH INSTRUMENT
STUDENT PROFILE
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The researchers will collect the following data:
Name:
Age:
Gender:
Course:
Year Level:
APPENDIX C-2
RESEARCH INSTRUMENT
RECORD SHEET
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How often do you have Never Sometimes Frequently Always Score
these problems?
Redness 0 3 4 5
Sandy or gritty 0 3 4 5
sensation
Excess watering 0 3 4 5
Burning 0 3 4 5
Excess Mucous 0 3 4 5
Blurred vision (corrected 0 3 4 5
by blinking)
Itching 0 3 4 5
Total score
If your score is 30 or higher, or you suspect you may have Dry Eye Syndrome
Big island vision center hilo
TBUT TEST
Indication OD OS
Normal >10 seconds
Marginal 5-10 seconds
Low (dry eye) <5 seconds
Blink Rate
Indication OD OS
Normal >10 blinks/minute
Mild (dry eye) 5 to 10 blinks/minute
Severe (dry eye) <5 blinks/minute
APPENDIX D
BUDGET SUMMARY
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1. Photocopy and Print out P 1000
2. Questionnaire Sheet P 500
3. Internet P 500
4. Snacks and Foods P 1500
5. Computerization P 1000
6. Fluorescein Strip P 570
7. Solution P 1500
8. Statistician P 1500
9. Defense Fee P 3500
TOTAL P 11570
APPENDIX E
MAP OF RESEARCH ENVIRONMENT
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APPENDIX F
DOCUMENTATION
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CURRICULUM VITAE
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Personal Information
Educational Background
Curriculum Vitae
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Personal Information
Educational Background
Curriculum Vitae
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Personal Information
Educational Background
Post Graduate Studies : Southwestern University-PHINMA
Course/Program : Master of Arts in Teaching Major in Science (MATS)
Date Graduated : October 2005
College : Cebu Doctors University
Course Graduated: Doctor Of Optometry (OD)
Date Graduated : March 2001
Passed Licensure Examination for Optometrist July 2001
High School : East Visayan Academy
Date Graduated : 1997
Honors received : Class Valedictorian Loyalty, CAT-1U
Unionwide
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Tactical Exam Topnotcher, National Secretary
Achievement Test (NSAT) Topnotcher
Elementary : Cebu City SDA Elementary School
Date Graduated : March 1993 Honor Received: Class Salutatorian, Loyalty
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