코로나 19 상황에서 장시간 마스크 착용이 안구건조증에 미치는 영향 = The Effect of Increased Face Mask-wearing on Dry Eye Symptoms during the COVID-19 Pandemic

다국어 초록 (Multilingual Abstract)

Purpose: This study investigated the effect of prolonged face mask-wearing on dry eyes and ocular symptoms in adults during the coronavirus disease 2019 (COVID-19) pandemic. Methods: The online survey responses of 138 adults were analyzed. The survey was conducted for two months from March 2021. The questionnaire included 7 items on general characteristics, 6 items on ocular symptoms related to mask-wearing for the prevention of COVID-19, and 7 mask-associated items. Ocular symptoms, including dry eyes, were described using “no symptoms,” “the same,” or “worse” after mask-wearing. The average daily duration of mask-wearing and wearing behaviors were also investigated. Results: During the COVID-19 pandemic, 66.7% of the subjects wore a mask for an daily average of 5 hours or more. 52.2% of the subjects wore their masks correctly with nose coverage. 21.5% of the subjects reported worsening dry eye symptoms after mask-wearing. There were also reported cases of increased ocular redness and tearing (both 10.7%). During the pandemic, when the mask is not fitted well to the nose, and the mask is worn for more than 5 hours a day, individuals have an 8.24 times higher risk of having dry eye symptoms compared to the group that did not. Conclusions: During the COVID-19 pandemic, wearing a mask has become a necessity in daily life, and in the group that wore ill-fitting masks for a prolonged period had a higher risk of associated dry eye symptoms. Preventive strategies against dry eyes and guidelines for ocular health management are urgently needed.

참고문헌 (Reference)

1 강민혜 ; 정찬문 ; 나진경, "코로나19와 마스크: 한국과 미국을 중심으로 본 마스크 착용에서의 동서양 문화차이" 한국사회및성격심리학회 35 (35): 77-103, 2021

2 강은미, "코로나19 확산에 따른 패션 인식 변화 -2019년과 2020년 비교를 중심으로-" 한국디자인문화학회 27 (27): 15-27, 2021

3 변용수 ; 전은정 ; 정성근, "안구건조증 환자에서 사이클로스포린 0.05퍼센트 점안액의 임상효과" 대한안과학회 49 (49): 1583-1588, 2008

4 권주연 ; 임가영 ; 김승현 ; 신현재 ; 이주영, "서울과 경기 거주 고등학생 및 성인남녀의 코로나 바이러스 (COVID-19) 범유행 위험 인지 및 마스크 착용 행동" 한국지역사회생활과학회 31 (31): 335-351, 2020

5 Jones L, "Why face masks can make eyes feel dry, and what you can do about it"

6 Cheng VCC, "The role of community-wide wearing of face mask for control of coronavirus disease 2019(COVID-19) epidemic due to SARS-CoV-2" 81 (81): 107-114, 2020

7 Bae S, "The effect of wearing a mask due to Covid-19 on the skin condition and skin care behavior of adults" Daegu Haany University 2021

8 Lemp MA, "The definition and classification of dry eye disease: report of the definition and classification subcommittee of the international dry eye workshop(2007)" 5 (5): 75-92, 2007

9 Boccardo L, "Self-reported symptoms of mask-associated dry eye: a survey study of 3,605 people" 45 (45): 101408-, 2022

10 Pflugfelder SC, "Management and therapy of dry eye disease: report of the management and therapy subcommittee of the international dry eye workshop(2007)" 5 (5): 163-178, 2007

11 Moshirfar M, "Face mask-associated ocular irritation and dryness" 9 : 397-400, 2020

12 Pflugfelder SC, "Evaluation of subjective assessments and objective diagnostic tests for diagnosing tear-film disorders known to cause ocular irritation" 17 (17): 38-56, 1998

13 Health Insurance Review and Assessment Service, "Dry eye syndrome, it can still occur during spring and summer"

14 Giannaccare G, "Dry eye in the COVID-19 era: how the measures for controlling pandemic might harm ocular surface" 258 (258): 2567-2568, 2020

15 Korea Disease Control and Prevention Agency, "Cases of COVID-19 in Korea"

16 Kwak HS, "COVID-19 the effects of social distance on life stress: focused on difference between social anxiety and self-rationalization level" Daegu University 2021

17 Ding J, "Aging and dry eye disease" 47 (47): 483-490, 2012