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Dry eye symptoms in offices and deteriorated work performance -A perspective

机译：办公室的干眼症和工作表现恶化-观点

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摘要

Irritated, stinging, tired, and dry eyes continue to be among top-two reported acute symptoms in modern office-like environments, despite use of new ventilation strategies and low-emitting building materials. In this perspective, we disentangle why the prevalence of external eye symptoms has remained stable without a noticeable decline over the last decades. Furthermore, we explore the association between dry eye symptoms, perceived dry air and deteriorated office work performance.The overall prevalence of external (as opposed to internal) eye symptoms is caused by a combination of many environmental (climatic), occupational, and personal risk factors, which alter the stability of the precorneal tear film, essential for ocular surface health and ocular comfort. The composition and structure of the outer lipid layer of the precorneal tear film is critical for a healthy stable ocular surface. Identified major risk factors are apart from age and gender, eye diseases (gland dysfunctions), particle (combustion) exposure, environmental (e.g. climatic condition), occupational (visual demanding work) and personal (e.g. use of medication) conditions that aggravate the precorneal tear film stability, which increases its vulnerability to aggressive air pollutants. It is, however, salient to recognize that (mild) eye diseases (generally non-diagnosed) contribute and may further overlap with both external and internal eye causalities. Thus, maintenance of a healthy and stable ocular surface is essential for relief of dry eye symptoms.Studies indicate that perceived indoor dry air, a top-two indoor air quality complaint, in part induced by low indoor air humidity, negatively affects the office work performance. Visual complaints like dry eyes are generally associated with eye fatigue as office workers, that feel eye fatigue during typical intensive vision work, self-report lower work performance to be associated with dry eye symptoms; this may further exacerbate the symptoms and the performance among office workers with eye diseases and elderly female workers.
机译：尽管使用了新的通风策略和低排放的建筑材料，但在现代办公室般的环境中，刺激，刺痛，疲倦和干燥的眼睛仍然是报告的前两种急性症状。从这个角度来看，我们弄清楚了为什么外眼症状的患病率在过去的几十年中一直保持稳定而没有明显下降。此外，我们探讨了干眼症状，感觉到的干燥空气和办公室工作性能下降之间的联系。外眼（相对于内眼）症状的总体患病率是由许多环境（气候），职业和个人风险共同造成的改变角膜前泪膜稳定性的因素，对眼睛表面健康和眼睛舒适度至关重要。角膜前泪膜的外部脂质层的组成和结构对于健康稳定的眼表至关重要。识别出的主要危险因素除了年龄和性别，眼睛疾病（腺体功能障碍），微粒（燃烧）暴露，环境（例如气候条件），职业（视觉要求很高的工作）和个人（例如使用药物）情况之外，都会加剧前角膜病。泪膜的稳定性，增加了其对侵蚀性空气污染物的脆弱性。然而，必须认识到（轻度）眼部疾病（通常无法诊断）是造成疾病的原因，并且可能与眼内外因果关系重叠。因此，维持健康稳定的眼表对于缓解干眼症至关重要。研究表明，室内空气干燥度低是导致室内空气质量最差的两大原因，部分原因是室内空气湿度低，这对办公室工作产生了负面影响。性能。像干眼症这样的视觉不适通常与上班族的眼睛疲劳有关，他们在典型的强化视力工作中感到眼睛疲劳，自我报告较低的工作表现与干眼症有关;这可能会进一步加剧上眼疾病的上班族和老年女性工人的症状和表现。

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