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EYERUBBICS: The Eye Rubbing Cycle Study.

Alexandre Hage1, Juliette Knoeri2, Loïc Leveziel2

  • 1Department of Ophthalmology III, National Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, 28 Rue de Charenton, F-75012 Paris, France.

Journal of Clinical Medicine
|February 25, 2023
PubMed
Summary

Chronic eye rubbing in keratoconus (KC) and Ocular Surface Disease (OSD) shows addictive traits. This behavior may contribute to the progression of KC and dry eye disease.

Keywords:
addictiondry eye diseaseeye rubbingitchkeratoconus

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Area of Science:

  • Ophthalmology
  • Behavioral Science

Background:

  • Chronic eye rubbing is common in patients with keratoconus (KC) and Ocular Surface Disease (OSD).
  • The cognitive and behavioral aspects of this habit are not fully understood.

Purpose of the Study:

  • To describe the cognitive and behavioral symptomatology of chronic eye rubbing in patients with KC and OSD.
  • To investigate potential links between eye rubbing and addictive behaviors.

Main Methods:

  • A prospective study involving 153 patients with KC or OSD.
  • Utilized a self-questionnaire incorporating Goodman and CAGE-modified criteria for eye rubbing.
  • Assessed ocular symptoms and medical history.

Main Results:

  • 81.7% of patients reported chronic eye rubbing.
  • High scores on Goodman (≥5 in 63.2%) and CAGE (≥2 in 74.4%) criteria were observed.
  • Higher scores correlated with increased ocular symptoms, more intense eye rubbing, and a higher prevalence of addiction and psychiatric family history.

Conclusions:

  • Eye rubbing in KC and OSD patients exhibits addictive-like cognitive and behavioral patterns.
  • The eye rubbing cycle may be a significant factor in the development and progression of keratoconus.
  • Chronic eye rubbing could also contribute to the maintenance of dry eye conditions.