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| An Investigation on Factors Considered as Triggers for the Attacks in Patients
with Posner-Schlossman Syndrome in Wenzhou |
| Chuanqi Lin 1, Chaoqun Guo 1, Ruixue Liang 1, Xiao Shang 1, Junhong Jiang 1, Yue Zhang 1, Haixia Wu 4, Min Li 5, Yuan Lan 6, Yanqian Xie 1, Shaodan Zhang 1, Mali Dai 3, Cong Ye 2, Yuanbo Liang 1 |
| 1Eye Hospital, Wenzhou Medical University, Glaucoma Research Institute of Wenzhou Medical University, Wenzhou 325027, China 2Eye Hospital, Wenzhou Medical University, National Clinical Research Center for Ocular Diseases, Wenzhou 325027, China 3Department of Uveitis, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China 4Wuhan Aier Eye Hospital of Wuhan University, Wuhan 430000, China 5Department of Ophthalmology, China Three Gorges University, the First People's Hospital of Yichang, Yichang 443000, China 6Department of Ophthalmology, Pingxiang People's Hospital, Pingxiang 337000, China |
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Abstract Objective: To investigate the factors considered as triggers and for the attacks in patients with Posner- Schlossman syndrome (PSS) in Wenzhou. Methods: In this cross-sectional investigation study, we recruited 172 PSS patients from January 2017 to December 2020 in the Eye Hospital, Wenzhou Medical University. The demographic and behavioral characteristics of all were collected by questionnaires and scales, including the Multidimensional Fatigue Inventory-20 (MFI-20), Self-Rating Anxiety Scale (SAS), Pittsburgh Sleep Quality Index (PSQI). Frequency was used to describe the factors. The differences between PSS patients and the norm were compared by the summary t-test, and Chi-square test, independent sample t-test, or nonparametric test were used to compare the differences between different gender and age groups. Pearson or Spearman correlation was used to analyze the correlation between the scale score and gender, age, and period. Results: 172 questionnaires were returned for a response rate of 100%. 171 questionnaires were returned effectively for an effective rate of 99.4%. The top ten factors were fatigue (51.5%), staying up late (35.7%), anxiety (30.4%), insomnia (21.6%), cold (15.8%), gastrointestinal discomfort (12.9%), allergy (10.5%), menstruation (9.9%), mental stress (5.3%) and consumption of alcohol (5.3%). 55.0% of patients reported at least 2 factors considered as triggers. 26.3% reported no obvious triggers. 18.1% screened positive for anxiety with the SAS standard scored 50 or more. 48.0% screened positive for sleeping disorders of PSQI scored more than 5. The proportion of patients who went to bed later than 23:00 was higher during the attack period than those during the remission periods (34.1% vs. 18.6%, χ 2=5.30, P=0.021). Conclusions: Fatigue, sleeping disorders (including staying up late and insomnia), and anxiety were the primary common triggers for PSS attack. Staying up late (going to bed later than 23 o'clock) was associated with single attack. Improving lifestyle and relieving the pressure in healthy ways could be one of the strategies to reduce the recurrence rate.
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Received: 28 November 2021
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| Fund: Zhejiang Province High-Level Health Innovation Talents Project (2016025); Zhejiang Province
Medicine and Health Project (2021423654). |
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Corresponding Authors:
Yuanbo Liang, Eye Hospital, Wenzhou Medical University, Glaucoma Research Institute of Wenzhou Medical University, Wenzhou 325027, China (Email: yuanboliang@126.com)
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