title: Visual acuity and quality of life in dry eye disease: Proceedings of the OCEAN group meeting.
abstract: Dry eye disease (DED) results in tear film instability and hyperosmolarity, inflammation of the ocular surface and, ultimately, visual disturbance that can significantly impact a patient's quality of life. The effects on visual acuity result in difficulties with driving, reading and computer use and negatively impact psychological health. These effects also extend to the workplace, with a loss of productivity and quality of work causing substantial economic losses. The effects of DED and the impact on vision experienced by patients may not be given sufficient importance by ophthalmologists. Functional visual acuity (FVA) is a measure of visual acuity after sustained eye opening without blinking for at least 10 s and mimics the sustained visual acuity of daily life. Measuring dynamic FVA allows the detection of impaired visual function in patients with DED who may display normal conventional visual acuity. There are currently several tests and methods that can be used to measure dynamic visual function: the SSC-350 FVA measurement system, assessment of best-corrected visual acuity decay using the interblink visual acuity decay test, serial measurements of ocular and corneal higher order aberrations, and measurement of dynamic vision quality using the Optical Quality Analysis System. Although the equipment for these methods may be too large or unaffordable for use in clinical practice, FVA testing is an important assessment for DED.
authors.affiliation: Hospital Clínico San Carlos, Madrid, Spain. Electronic address: benitezcastillo@gmail.com.
authors.forename: José
authors.initials: J
authors.lastname: Benítez-Del-Castillo
authors.affiliation: Service d'Ophtalmologie, CHU Bicêtre, APHP, Université Paris-Sud, Le Kremlin-Bicêtre, Paris, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Labetoulle
authors.affiliation: Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, University Paris-Saclay, Paris, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Baudouin
authors.affiliation: Ocular Surface Centre, ISPRE Ophthalmics, Genoa, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Rolando
authors.affiliation: Department of Ophthalmology, Bayındır Hospital, Ankara, Turkey.
authors.forename: Yonca A
authors.initials: YA
authors.lastname: Akova
authors.affiliation: Institute of Ophthalmology, Department of Biomedical Sciences, University of Messina, Messina, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Aragona
authors.affiliation: Department of Ophthalmology, University Hospital Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: Gerd
authors.initials: G
authors.lastname: Geerling
authors.affiliation: Instituto Universitario Fernández-Vega, University of Oviedo, Asturias, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Merayo-Lloves
authors.affiliation: Department of Ophthalmology, Ludwig-Maximilian University, Munich, Germany.
authors.forename: Elisabeth M
authors.initials: EM
authors.lastname: Messmer
authors.affiliation: 3rd Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: Kostas
authors.initials: K
authors.lastname: Boboridis
mesh_terms: D015352:Dry Eye Syndromes; D006126:Group Processes; D006801:Humans; D011788:Quality of Life; D014792:Visual Acuity
keywords: Dry eye disease; Dynamic visual testing; Functional visual acuity; Quality of life; Tear film stability