DIGITAL SCREEN EXPOSURE AND DRY EYE DISEASE: A REVIEW OF CLINICAL AND PATHOPHYSIOLOGICAL PERSPECTIVES
DOI:
https://doi.org/10.31435/ijitss.2(50).2026.5778Keywords:
Dry Eye Disease, Digital Screen Exposure, Digital Eye Strain, Tear Film Instability, Meibomian Gland Dysfunction, Ocular Surface DisorderAbstract
Background: Dry eye disease (DED) is one of the most common ocular surface diseases and is associated with disruption of tear film homeostasis, tear instability, and chronic inflammation. With the increasing use of digital devices in everyday life, their potential impact on the development and severity of DED symptoms is increasingly being analyzed.
Aim: The aim of this narrative review was to present current data on the relationship between digital device use and dry eye disease, with particular emphasis on pathophysiological mechanisms, epidemiological data, and possible prevention and treatment options.
Methods: A literature review was conducted using publications available in the PubMed, Scopus, and Google Scholar databases. Clinical and epidemiological studies, as well as review articles on ocular surface disorders associated with digital exposure, were included.
Results: The analyzed data indicate that prolonged screen use may contribute to tear film destabilization through decreased blinking frequency, increased tear evaporation, and meibomian gland dysfunction. Numerous studies have also observed a higher incidence of DED symptoms in individuals who use digital devices extensively.
Conclusion: Growing exposure to screens is making screen-related dry eye an increasingly common clinical problem in modern ophthalmology. Being a modifiable factor, it creates the opportunity to implement interventions that reduce the severity of DED symptoms and improve patient comfort.
References
Al Tawil, L., Aldokhayel, S., Zeitouni, L., Qadoumi, T., Hussein, S., & Ahamed, S. S. (2020). Prevalence of self-reported computer vision syndrome symptoms and its associated factors among university students. European Journal of Ophthalmology, 30(1), 189–195. https://doi.org/10.1177/1120672118815110
Aldukhayel, A., Baqar, S. M., Almeathem, F. K., Alsultan, F. S., & AlHarbi, G. A. (2022). Digital eye strain caused by online education among children in Qassim Region, Saudi Arabia: A cross-sectional study. Cureus, 14(4). https://doi.org/10.7759/cureus.23813
Arita, R., Fukuoka, S., Matsumoto, R., & Kaido, M. (2025). Effects of blinking exercises on palpebral fissure height and tear film parameters. The Ocular Surface, 36, 237–243. https://doi.org/10.1016/j.jtos.2025.02.003
Arita, R., Morishige, N., Shirakawa, R., Sato, Y., & Amano, S. (2015). Effects of eyelid warming devices on tear film parameters in normal subjects and patients with meibomian gland dysfunction. The Ocular Surface, 13(4), 321–330. https://doi.org/10.1016/j.jtos.2015.04.005
Baudouin, C., Aragona, P., Messmer, E. M., Tomlinson, A., Calonge, M., Boboridis, K. G., Akova, Y. A., Geerling, G., Labetoulle, M., & Rolando, M. (2013). Role of hyperosmolarity in the pathogenesis and management of dry eye disease: Proceedings of the OCEAN Group meeting. The Ocular Surface, 11(4), 246–258. https://doi.org/10.1016/j.jtos.2013.07.003
Belmonte, C., Nichols, J. J., Cox, S. M., Brock, J. A., Begley, C. G., Bereiter, D. A., Dartt, D. A., Galor, A., Hamrah, P., Ivanusic, J. J., Jacobs, D. S., McNamara, N. A., Rosenblatt, M. I., Stapleton, F., & Wolffsohn, J. S. (2017). TFOS DEWS II pain and sensation report. The Ocular Surface, 15(3), 404–437. https://doi.org/10.1016/j.jtos.2017.05.002
Bentivoglio, A. R., Bressman, S. B., Cassetta, E., Carretta, D., Tonali, P., & Albanese, A. (1997). Analysis of blink rate patterns in normal subjects. Movement Disorders, 12(6), 1028–1034. https://doi.org/10.1002/mds.870120629
Blehm, C., Vishnu, S., Khattak, A., Mitra, S., & Yee, R. W. (2005). Computer vision syndrome: A review. Survey of Ophthalmology, 50(3), 253–262. https://doi.org/10.1016/j.survophthal.2005.02.008
Bron, A. J., de Paiva, C. S., Chauhan, S. K., Bonini, S., Gabison, E. E., Jain, S., Knop, E., Markoulli, M., Ogawa, Y., Perez, V., Uchino, Y., Yokoi, N., Zoukhri, D., & Sullivan, D. A. (2017). TFOS DEWS II pathophysiology report. The Ocular Surface, 15(3), 438–510. https://doi.org/10.1016/j.jtos.2017.05.011
Bron, A. J., Tiffany, J. M., Gouveia, S. M., Yokoi, N., & Voon, L. W. (2004). Functional aspects of the tear film lipid layer. Experimental Eye Research, 78(3), 347–360. https://doi.org/10.1016/j.exer.2003.09.019
Butovich, I. A., Millar, T. J., & Ham, B. M. (2008). Understanding and analyzing meibomian lipids—A review. Current Eye Research, 33(5), 405–420. https://doi.org/10.1080/02713680802018419
Chlasta-Twardzik, E., Górecka-Nitoń, A., Nowińska, A., & Wylęgała, E. (2021). The influence of work environment factors on the ocular surface in a one-year follow-up prospective clinical study. Diagnostics, 11(3), 392. https://doi.org/10.3390/diagnostics11030392
Chotikavanich, S., de Paiva, C. S., Li, D. Q., Chen, J. J., Bian, F., Farley, W. J., & Pflugfelder, S. C. (2009). Production and activity of matrix metalloproteinase-9 on the ocular surface increase in dysfunctional tear syndrome. Investigative Ophthalmology & Visual Science, 50(7), 3203–3209. https://doi.org/10.1167/iovs.08-2476
Craig, J. P., Chen, Y.-H., & Turnbull, P. R. K. (2015). Prospective trial of intense pulsed light for the treatment of meibomian gland dysfunction. Investigative Ophthalmology & Visual Science, 56(3), 1965–1970. https://doi.org/10.1167/iovs.14-15764
Craig, J. P., Nichols, K. K., Akpek, E. K., Caffery, B., Dua, H. S., Joo, C.-K., Liu, Z., Nelson, J. D., Nichols, J. J., Tsubota, K., & Stapleton, F. (2017). TFOS DEWS II definition and classification report. The Ocular Surface, 15(3), 276–283. https://doi.org/10.1016/j.jtos.2017.05.008
Donthineni, P. R., Kammari, P., Shanbhag, S. S., Singh, V., Das, A. V., & Basu, S. (2019). Incidence, demographics, types and risk factors of dry eye disease in India: Electronic medical records driven big data analytics report I. The Ocular Surface, 17(2), 250–256. https://doi.org/10.1016/j.jtos.2019.02.007
Dresp-Langley, B., & Hutt, A. (2022). Digital addiction and sleep. International Journal of Environmental Research and Public Health, 19(11), 6910. https://doi.org/10.3390/ijerph19116910
El Barche, F.-Z., Benyoussef, A.-A., El Habib Daho, M., Lamard, A., Quellec, G., Cochener, B., & Lamard, M. (2024). Automated tear film break-up time measurement for dry eye diagnosis using deep learning. Scientific Reports, 14(1), 11723. https://doi.org/10.1038/s41598-024-62636-5
Fenga, C., Aragona, P., Cacciola, A., Spinella, R., Di Nola, C., Ferreri, F., & Rania, L. (2008). Meibomian gland dysfunction and ocular discomfort in video display terminal workers. Eye, 22(1), 91–95. https://doi.org/10.1038/sj.eye.6703025
Fjaervoll, H., Fjaervoll, K., Magno, M., Moschowits, E., Vehof, J., Dartt, D. A., & Utheim, T. P. (2022). The association between visual display terminal use and dry eye: A review. Acta Ophthalmologica, 100(4), 357–375. https://doi.org/10.1111/aos.15049
Fjærvoll, K., Fjærvoll, H., Magno, M., Nøland, S. T., Dartt, D. A., Vehof, J., & Utheim, T. P. (n.d.). Review on the possible pathophysiological mechanisms underlying visual display terminal‐associated dry eye disease. https://doi.org/10.1111/aos.15150
Galor, A., Britten-Jones, A. C., Feng, Y., Ferrari, G., Goldblum, D., Gupta, P. K., Merayo-Lloves, J., Na, K.-S., Naroo, S. A., Nichols, K. K., Rocha, E. M., Tong, L., Wang, M. T. M., & Craig, J. P. (2023). TFOS Lifestyle: Impact of lifestyle challenges on the ocular surface. The Ocular Surface, 28, 262–303. https://doi.org/10.1016/j.jtos.2023.04.008
Galor, A., Moein, H.-R., Lee, C., Rodriguez, A., Felix, E. R., Sarantopoulos, K. D., & Levitt, R. C. (2018). Neuropathic pain and dry eye. The Ocular Surface, 16(1), 31–44. https://doi.org/10.1016/j.jtos.2017.10.001
Gao, J., Sana, R., Calder, V., Calonge, M., Lee, W., Wheeler, L. A., & Stern, M. E. (2013). Mitochondrial permeability transition pore in inflammatory apoptosis of human conjunctival epithelial cells and T cells: Effect of cyclosporin A. Investigative Ophthalmology & Visual Science, 54(7), 4717–4733. https://doi.org/10.1167/iovs.13-11681
Georgiev, G. A., Eftimov, P., & Yokoi, N. (2019). Contribution of mucins towards the physical properties of the tear film: A modern update. International Journal of Molecular Sciences, 20(24), 6132. https://doi.org/10.3390/ijms20246132
Gipson, I. K. (2007). The ocular surface: The challenge to enable and protect vision: The Friedenwald lecture. Investigative Ophthalmology & Visual Science, 48(10), 4391–4398. https://doi.org/10.1167/iovs.07-0770
Gipson, I. K., Hori, Y., & Argüeso, P. (2004). Character of ocular surface mucins and their alteration in dry eye disease. The Ocular Surface, 2(2), 131–148. https://doi.org/10.1016/S1542-0124(12)70149-0
Gupta, V., Ranjan, S., Singh, S., Basur, J. S., Mehta, B., Sharma, A., Juyal, S., Debbarma, R., Bhargava, R., & Bargujar, P. (2025). Evaluation of inflammatory cytokines in tears of individuals with dry eye related to prolonged computer use. Journal of Current Ophthalmology, 37(2), 214–220. https://doi.org/10.4103/joco.joco_33_25
Ha, A., Lee, Y. J., Lee, M., Shim, S. R., & Kim, Y. K. (2025). Digital screen time and myopia: A systematic review and dose-response meta-analysis. JAMA Network Open, 8(2), e2460026. https://doi.org/10.1001/jamanetworkopen.2024.60026
Hirayama, M., Murat, D., Liu, Y., Kojima, T., Kawakita, T., & Tsubota, K. (2013). Efficacy of a novel moist cool air device in office workers with dry eye disease. Acta Ophthalmologica, 91(8), 756–762. https://doi.org/10.1111/j.1755-3768.2012.02485.x
Hirota, M., Uozato, H., Kawamorita, T., Shibata, Y., & Yamamoto, S. (2013). Effect of incomplete blinking on tear film stability. Optometry and Vision Science, 90(7), 650–657. https://doi.org/10.1097/OPX.0b013e31829962ec
Inatomi, T., Spurr-Michaud, S., Tisdale, A. S., Zhan, Q., Feldman, S. T., & Gipson, I. K. (1996). Expression of secretory mucin genes by human conjunctival epithelia. Investigative Ophthalmology & Visual Science, 37(8), 1684–1692.
Jaschinski, W., Heuer, H., & Kylian, H. (1999). A procedure to determine the individually comfortable position of visual displays relative to the eyes. Ergonomics, 42(4), 535–549. https://doi.org/10.1080/001401399185450
Jones, L., Downie, L. E., Korb, D., Benitez-Del-Castillo, J. M., Dana, R., Deng, S. X., Dong, P. N., Geerling, G., Hida, R. Y., Liu, Y., Seo, K. Y., Tauber, J., Wakamatsu, T. H., Xu, J., Wolffsohn, J. S., & Craig, J. P. (2017). TFOS DEWS II management and therapy report. The Ocular Surface, 15(3), 575–628. https://doi.org/10.1016/j.jtos.2017.05.006
Kahal, F., Al Darra, A., & Torbey, A. (n.d.). Computer vision syndrome: A comprehensive literature review. Future Science OA, 11(1), 2476923. https://doi.org/10.1080/20565623.2025.2476923
Kawashima, M., Yamatsuji, M., Yokoi, N., Fukui, M., Ichihashi, Y., Kato, H., Nishida, M., Uchino, M., Kinoshita, S., & Tsubota, K. (2015). Screening of dry eye disease in visual display terminal workers during occupational health examinations: The Moriguchi study. Journal of Occupational Health, 57(3), 253–258. https://doi.org/10.1539/joh.14-0243-OA
Kim, D. J., Lim, C.-Y., Gu, N., & Park, C. Y. (2017). Visual fatigue induced by viewing a tablet computer with a high-resolution display. Korean Journal of Ophthalmology, 31(5), 388. https://doi.org/10.3341/kjo.2016.0095
King-Smith, P. E., Fink, B. A., Hill, R. M., Koelling, K. W., & Tiffany, J. M. (2004). The thickness of the tear film. Current Eye Research, 29(4–5), 357–368. https://doi.org/10.1080/02713680490516099
Kunert, K. S., Tisdale, A. S., Stern, M. E., Smith, J. A., & Gipson, I. K. (2000). Analysis of topical cyclosporine treatment of patients with dry eye syndrome: Effect on conjunctival lymphocytes. Archives of Ophthalmology, 118(11), 1489–1496. https://doi.org/10.1001/archopht.118.11.1489
Lemp, M. A., Holly, F. J., Iwata, S., & Dohlman, C. H. (1970). The precorneal tear film: I. Factors in spreading and maintaining a continuous tear film over the corneal surface. Archives of Ophthalmology, 83(1), 89–94. https://doi.org/10.1001/archopht.1970.00990030091017
Luo, L., Li, D.-Q., Doshi, A., Farley, W., Corrales, R. M., & Pflugfelder, S. C. (2004). Experimental dry eye stimulates production of inflammatory cytokines and MMP-9 and activates MAPK signaling pathways on the ocular surface. Investigative Ophthalmology & Visual Science, 45(12), 4293–4301. https://doi.org/10.1167/iovs.03-1145
Massingale, M. L., Li, X., Vallabhajosyula, M., Chen, D., Wei, Y., & Asbell, P. A. (2009). Analysis of inflammatory cytokines in the tears of dry eye patients. Cornea, 28(9), 1023. https://doi.org/10.1097/ICO.0b013e3181a16578
McMonnies, C. W. (2007). Incomplete blinking: Exposure keratopathy, lid wiper epitheliopathy, dry eye, refractive surgery, and dry contact lenses. Contact Lens and Anterior Eye, 30(1), 37–51. https://doi.org/10.1016/j.clae.2006.12.002
Mehra, D., & Galor, A. (2020). Digital screen use and dry eye: A review. Asia-Pacific Journal of Ophthalmology, 9(6), 491–497. https://doi.org/10.1097/APO.0000000000000328
Meyer, D., Rickert, M., & Kollbaum, P. (2021). Ocular symptoms associated with digital device use in contact lens and non-contact lens groups. Contact Lens and Anterior Eye, 44(1), 42–50. https://doi.org/10.1016/j.clae.2020.07.007
Mohan, A., Sen, P., Shah, C., Jain, E., & Jain, S. (2021). Prevalence and risk factor assessment of digital eye strain among children using online e-learning during the COVID-19 pandemic: Digital eye strain among kids (DESK study-1). Indian Journal of Ophthalmology, 69(1), 140–144. https://doi.org/10.4103/ijo.IJO_2535_20
Moon, J. H., Kim, K. W., & Moon, N. J. (2016). Smartphone use is a risk factor for pediatric dry eye disease according to region and age: A case control study. BMC Ophthalmology, 16(1), 188. https://doi.org/10.1186/s12886-016-0364-4
Moon, J. H., Lee, M. Y., & Moon, N. J. (2014). Association between video display terminal use and dry eye disease in school children. Journal of Pediatric Ophthalmology and Strabismus, 51(2), 87–92. https://doi.org/10.3928/01913913-20140128-01
Narang, P., Donthineni, P. R., D’Souza, S., & Basu, S. (2023). Evaporative dry eye disease due to meibomian gland dysfunction: Preferred practice pattern guidelines for diagnosis and treatment. Indian Journal of Ophthalmology, 71(4), 1348–1356. https://doi.org/10.4103/IJO.IJO_2841_22
Nelson, J. D., Shimazaki, J., Benitez-del-Castillo, J. M., Craig, J. P., McCulley, J. P., Den, S., & Foulks, G. N. (2011). The international workshop on meibomian gland dysfunction: Report of the definition and classification subcommittee. Investigative Ophthalmology & Visual Science, 52(4), 1930–1937. https://doi.org/10.1167/iovs.10-6997b
Nguyen, C. Q., Yin, H., Lee, B. H., Chiorini, J. A., & Peck, A. B. (2011). IL17: Potential therapeutic target in Sjögren’s syndrome using adenovirus-mediated gene transfer. Laboratory Investigation, 91(1), 54–62. https://doi.org/10.1038/labinvest.2010.164
Nichols, K. K., Foulks, G. N., Bron, A. J., Glasgow, B. J., Dogru, M., Tsubota, K., Lemp, M. A., & Sullivan, D. A. (2011). The international workshop on meibomian gland dysfunction: Executive summary. Investigative Ophthalmology & Visual Science, 52(4), 1922–1929. https://doi.org/10.1167/iovs.10-6997a
Paulsen, F. (2003). The human nasolacrimal ducts. Springer Science & Business Media.
Pflugfelder, S. C., De Paiva, C. S., Villarreal, A. L., & Stern, M. E. (2008). Effects of sequential artificial tear and cyclosporine emulsion therapy on conjunctival goblet cell density and transforming growth factor-β2 production. Cornea, 27(1), 64. https://doi.org/10.1097/ICO.0b013e318158f6dc
Pflugfelder, S. C., & Stern, M. E. (2020). Biological functions of tear film. Experimental Eye Research, 197, 108115. https://doi.org/10.1016/j.exer.2020.108115
Portello, J. K., Rosenfield, M., & Chu, C. A. (2013). Blink rate, incomplete blinks and computer vision syndrome. Optometry and Vision Science, 90(5), 482–487. https://doi.org/10.1097/OPX.0b013e31828f09a7
Pucker, A. D., Kerr, A. M., Sanderson, J., & Lievens, C. (2024). Digital eye strain: Updated perspectives. Clinical Optometry, 16, 233–246. https://doi.org/10.2147/OPTO.S412382
Pucker, A. D., Ng, S. M., & Nichols, J. J. (n.d.). Over the counter (OTC) artificial tear drops for dry eye syndrome. Cochrane Library. Retrieved May 9, 2026, from https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009729.pub2/full
Rolland, B., Haesebaert, F., Zante, E., Benyamina, A., Haesebaert, J., & Franck, N. (2020). Global changes and factors of increase in caloric/salty food intake, screen use, and substance use during the early COVID-19 containment phase in the general population in France: Survey study. JMIR Public Health and Surveillance, 6(3), e19630. https://doi.org/10.2196/19630
Rosenfield, M. (2011). Computer vision syndrome: A review of ocular causes and potential treatments. Ophthalmic and Physiological Optics, 31(5), 502–515. https://doi.org/10.1111/j.1475-1313.2011.00834.x
Sengo, D. B., da Deolinda Bernardo Pica, A., Dos Santos, I. I. d’Alva B., Mate, L. M., Mazuze, A. N., Caballero, P., & López-Izquierdo, I. (2023). Computer vision syndrome and associated factors in university students and teachers in Nampula, Mozambique. BMC Ophthalmology, 23(1), 508. https://doi.org/10.1186/s12886-023-03253-0
Shanti, Y., Shehada, R., Bakkar, M. M., & Qaddumi, J. (2020). Prevalence and associated risk factors of dry eye disease in 16 northern West Bank towns in Palestine: A cross-sectional study. BMC Ophthalmology, 20(1), 26. https://doi.org/10.1186/s12886-019-1290-z
Stapleton, F., Alves, M., Bunya, V. Y., Jalbert, I., Lekhanont, K., Malet, F., Na, K.-S., Schaumberg, D., Uchino, M., Vehof, J., Viso, E., Vitale, S., & Jones, L. (2017). TFOS DEWS II epidemiology report. The Ocular Surface, 15(3), 334–365. https://doi.org/10.1016/j.jtos.2017.05.003
Stern, M. E., Gao, J., Siemasko, K. F., Beuerman, R. W., & Pflugfelder, S. C. (2004). The role of the lacrimal functional unit in the pathophysiology of dry eye. Experimental Eye Research, 78(3), 409–416. https://doi.org/10.1016/j.exer.2003.09.003
Sullivan, B. D., Crews, L. A., Sönmez, B., de la Paz, M. F., Comert, E., Charoenrook, V., de Araujo, A. L., Pepose, J. S., Berg, M. S., Kosheleff, V. P., & Lemp, M. A. (2012). Clinical utility of objective tests for dry eye disease: Variability over time and implications for clinical trials and disease management. Cornea, 31(9), 1000. https://doi.org/10.1097/ICO.0b013e318242fd60
Talens-Estarelles, C., Cerviño, A., García-Lázaro, S., Fogelton, A., Sheppard, A., & Wolffsohn, J. S. (2023). The effects of breaks on digital eye strain, dry eye and binocular vision: Testing the 20-20-20 rule. Contact Lens and Anterior Eye, 46(2), 101744. https://doi.org/10.1016/j.clae.2022.101744
Terada, O., Chiba, K., Senoo, T., & Obara, Y. (2004). Ocular surface temperature of meibomia gland dysfunction patients and the melting point of meibomian gland secretions. Nippon Ganka Gakkai Zasshi, 108(11), 690–693.
Tsou, M.-T. (2022). Influence of prolonged visual display terminal use on physical and mental conditions among health care workers at tertiary hospitals, Taiwan. International Journal of Environmental Research and Public Health, 19(7), 3770. https://doi.org/10.3390/ijerph19073770
Tsubota, K., & Nakamori, K. (1995). Effects of ocular surface area and blink rate on tear dynamics. Archives of Ophthalmology, 113(2), 155–158. https://doi.org/10.1001/archopht.1995.01100020037025
Uchino, M., Schaumberg, D. A., Dogru, M., Uchino, Y., Fukagawa, K., Shimmura, S., Satoh, T., Takebayashi, T., & Tsubota, K. (2008). Prevalence of dry eye disease among Japanese visual display terminal users. Ophthalmology, 115(11), 1982–1988. https://doi.org/10.1016/j.ophtha.2008.06.022
Uchino, M., Uchino, Y., Dogru, M., Kawashima, M., Yokoi, N., Komuro, A., Sonomura, Y., Kato, H., Kinoshita, S., Schaumberg, D. A., & Tsubota, K. (2014). Dry eye disease and work productivity loss in visual display users: The Osaka study. American Journal of Ophthalmology, 157(2), 294–300. https://doi.org/10.1016/j.ajo.2013.10.014
Uchino, M., Yokoi, N., Uchino, Y., Dogru, M., Kawashima, M., Komuro, A., Sonomura, Y., Kato, H., Kinoshita, S., Schaumberg, D. A., & Tsubota, K. (2013). Prevalence of dry eye disease and its risk factors in visual display terminal users: The Osaka study. American Journal of Ophthalmology, 156(4), 759–766.e1. https://doi.org/10.1016/j.ajo.2013.05.040
Uchino, Y., Uchino, M., Yokoi, N., Dogru, M., Kawashima, M., Okada, N., Inaba, T., Tamaki, S., Komuro, A., Sonomura, Y., Kato, H., Argüeso, P., Kinoshita, S., & Tsubota, K. (2014). Alteration of tear mucin 5AC in office workers using visual display terminals: The Osaka study. JAMA Ophthalmology, 132(8), 985–992. https://doi.org/10.1001/jamaophthalmol.2014.1008
Wang, M. T. M., Muntz, A., Mamidi, B., Wolffsohn, J. S., & Craig, J. P. (2021). Modifiable lifestyle risk factors for dry eye disease. Contact Lens and Anterior Eye, 44(6). https://doi.org/10.1016/j.clae.2021.01.004
Wolffsohn, J. S., Arita, R., Chalmers, R., Djalilian, A., Dogru, M., Dumbleton, K., Gupta, P. K., Karpecki, P., Lazreg, S., Pult, H., Sullivan, B. D., Tomlinson, A., Tong, L., Villani, E., Yoon, K. C., Jones, L., & Craig, J. P. (2017). TFOS DEWS II diagnostic methodology report. The Ocular Surface, 15(3), 539–574. https://doi.org/10.1016/j.jtos.2017.05.001
Wolffsohn, J. S., Benítez-Del-Castillo, J. M., Loya-Garcia, D., Inomata, T., Iyer, G., Liang, L., Pult, H., Sabater, A. L., Starr, C. E., Vehof, J., Wang, M. T. M., Chen, W., Craig, J. P., Dogru, M., Perez, V. L., Stapleton, F., Sullivan, D. A., & Jones, L. (2025). TFOS DEWS III: Diagnostic methodology. American Journal of Ophthalmology, 279, 387–450. https://doi.org/10.1016/j.ajo.2025.05.033
Wolffsohn, J. S., Lingham, G., Downie, L. E., Huntjens, B., Inomata, T., Jivraj, S., Kobia-Acquah, E., Muntz, A., Mohamed-Noriega, K., Plainis, S., Read, M., Sayegh, R. R., Singh, S., Utheim, T. P., & Craig, J. P. (2023). TFOS Lifestyle: Impact of the digital environment on the ocular surface. The Ocular Surface, 28, 213–252. https://doi.org/10.1016/j.jtos.2023.04.004
Yadav, S., Gupta, N., Makwana, T., Vanathi, M., & Tandon, R. (2022). Noninvasive ocular surface analyzer as an adjunct in diagnosis and estimating prevalence of meibomian gland dysfunction: Hospital-based comparative study. Indian Journal of Ophthalmology, 70(5), 1539. https://doi.org/10.4103/ijo.IJO_2245_21
Zarban, N. A., Alammari, O. B., Abu Sabah, S., Alshamrani, N. S. M., Alqathanin, M. A., AlRabeeah, N. A., & Basalib, S. G. (2024). Prevalence and risk factors of dry eye disease in association with the increased use of electronic devices among university students in Western Saudi Arabia. Cureus, 16(1), e51554. https://doi.org/10.7759/cureus.51554
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Copyright (c) 2026 Aleksandra Stadnik, Wiktor Stankowski, Klaudia Jurkowska, Martyna Stanik, Eleonora Y. Mahoney, Ewa Bełc, Agata Reliszka, Elżbieta Trzyna, Anna Gliwa, Joanna Górak
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