ORIGINAL RESEARCH article
Front. Med.
Sec. Ophthalmology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1584098
This article is part of the Research TopicOcular Surface Disorders- An InsightView all 5 articles
Screening of influencing factors of dry eye disease and the exploration of new diagnosis and treatment model based on community health management combined with tertiary hospitals
Provisionally accepted
- Changzhou Third People's Hospital, Changzhou, China
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Objective: To screen influencing factors of dry eye and evaluate a new diagnosis and treatment model combining tertiary hospitals with community health management. Methods: A total of 500 community residents from two Chinese hospitals between January–September, 2023 were included. Dry eye was diagnosed based on the presence of typical symptoms, an OSDI score >13, a tear film break-up time (BUT) <10 seconds, and/or a Schirmer I test (SIT) result <10 mm/5 min, following the 2020 Chinese Dry Eye Expert Consensus. Diagnosed patients were randomized into a management group (community health management) and a control group (self-management). Both received standardized hospital treatment for six months. Disease cognition, symptom improvement, psychological state, eye comfort, satisfaction, and quality of life were compared. Results: Dry eye prevalence was 26.40% (132/500). Univariate analysis identified age, sex, drug use, connective tissue disease, laser corneal surgery, vitamin A deficiency, hepatitis C, mite infection, anxiety, depression, sleep disorder, and diabetes as influencing factors (P<0.05). After six months, the management group showed better disease cognition, improved BUT and SIT, and lower OSDI scores than the control group (P<0.05). SAS and SDS scores were lower, and VAS scores were reduced, while GQLI and management satisfaction were higher (P<0.05). Conclusion: Factors such as drug use, laser surgery, vitamin A deficiency, hepatitis C, mite infection, and psychological and metabolic conditions influence dry eye. A combined hospital-community management model improves symptoms, psychological well-being, disease awareness, quality of life, and treatment satisfaction.
Keywords: Dry eyes, Influencing factors, medical union, Community Health Management, Tertiary hospital diagnosis and treatment
Received: 26 Feb 2025; Accepted: 12 Aug 2025.
Copyright: © 2025 Sun, Deng, Wang, Chen, Zhu, Zhang and Sun. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Zhuo Sun, Changzhou Third People's Hospital, Changzhou, China
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