Alterations in tear film and wavefront parameters associated with different types of disposable surgical masks in healthcare personnel during working hours: a randomized trial.
Background: Facial masks are essential for preventing respiratory infections, particularly among healthcare workers. However, prolonged mask use may lead to ocular surface disruption, known as mask-associated dry eye (MADE). Objectives: To evaluate the impact of different types of disposable surgica...
| Publicado en: | Therapeutic Advances in Ophthalmology Vol. 17; pp. 1 - 20 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
10/4/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188469998&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188469998 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25158414 LAW0 jtl: Therapeutic Advances in Ophthalmology issn: 25158414 maglogo: Y pubinfo: dt: 10/4/2025 vid: 17 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 188469998 188469998 188469998 10.1177/25158414251378120 188469998 ppf: 1 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Alterations in tear film and wavefront parameters associated with different types of disposable surgical masks in healthcare personnel during working hours: a randomized trial. aug: au: Chantra, Somporn Disayavatin, Nalinrat Kemchoknatee, Parinee affil: Conceptualization, College of Medicine, Rangsit University, Bangkok, Thailand sug: subj: Dry Eye Syndromes Prevention and Control Dry Eye Syndromes Risk Factors Disposable Equipment Adverse Effects Masks Adverse Effects Tears Physiology Cornea Physiology Visual Acuity Physiology Health Personnel Psychosocial Factors Shiftwork Human Male Female Adolescence Adult Middle Age Thailand Randomized Controlled Trials Random Assignment Time Factors Work Environment Protective Devices Eye Surgery Analysis of Variance Chi Square Test Wilcoxon Signed Rank Test Post Hoc Analysis Statistical Significance Data Analysis Software Descriptive Statistics Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Facial masks are essential for preventing respiratory infections, particularly among healthcare workers. However, prolonged mask use may lead to ocular surface disruption, known as mask-associated dry eye (MADE). Objectives: To evaluate the impact of different types of disposable surgical masks on tear film parameters and corneal wavefront aberrations during an 8-h work shift. Design: Randomized clinical trial. Methods: Sixty healthcare personnel at Rajavithi Hospital were randomly assigned to three mask groups: Group 1 (earloop surgical mask; Medimask®), Group 2 (earloop surgical mask with adhesive nose strip), and Group 3 (anti-fog earloop surgical mask; Welcare 3D Blue Line Anti-Fog Mask®). Non-invasive tear breakup time (NIBUT), tear meniscus height (TMH), and conjunctival redness were assessed using the Oculus Keratograph®5M. Corneal higher-order aberrations (HOAs) were measured using the GALILEI Dual Scheimpflug Analyzer before and after 8 h of mask wear. Results: TMH decreased significantly in all groups: Group 1 from 201.13 ± 85.10 µm to 174.53 ± 42.01 µm (p = 0.003), Group 2 from 188.81 ± 59.55 µm to 164.61 ± 50.58 µm (p = 0.036), and Group 3 from 194.50 ± 58.29 µm to 166.25 ± 45.90 µm (p = 0.034). NIBUT showed slight, non-significant decreases: Group 1 (9.26 ± 4.47–8.35 ± 3.26 s), Group 2 (8.88 ± 3.79–8.20 ± 3.12 s), and Group 3 (9.14 ± 4.20–8.55 ± 3.74 s). Conjunctival redness increased significantly only in Group 1 (1.75 ± 0.47–1.98 ± 0.52, p = 0.048). HOAs were mostly unchanged, except for total HOAs at the 6 mm zone, which were higher in Group 3 (1.85 ± 1.20) than in Group 1 (1.14 ± 0.48) and Group 2 (1.28 ± 0.58; p = 0.012). Conclusion: An 8-h shift of mask use reduced TMH across all groups and increased conjunctival redness in earloop surgical masks without adhesive. Although most optical aberrations remained unchanged, elevated HOAs in the anti-fog earloop surgical mask group may affect vision quality under mesopic conditions. Thai Clinical Trials Registry: TCTR 20230725002 (https://www.thaiclinicaltrials.org/show/TCTR20230725002). pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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