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Review
. 2025 Jul;35(4):1445-1455.
doi: 10.1177/11206721241305661. Epub 2024 Dec 18.

Mental burden of ocular surface discomfort

Affiliations
Review

Mental burden of ocular surface discomfort

Antonio Di Zazzo et al. Eur J Ophthalmol. 2025 Jul.

Abstract

ObjectiveThis research investigates the associations between Dry Eye Disease (DED), pain perception, and mental health, focusing on how neuropathic pain influences treatment efficacy and patients' quality of life.Methods and ResultsThe study delves into the complexity of DED by assessing the correlation between ocular pain, depression, PTSD, and systemic pain conditions. It highlights the role of chronic neuropathic pain in DED and the nociceptive hypothesis, which suggests that psychological stress can exacerbate DED symptoms. Additionally, it explores diagnostic and management strategies for DED, emphasizing the importance of considering psychological aspects to improve patient care.ConclusionsThe intricate nature of DED, closely linked to mental health issues, requires a comprehensive diagnostic and therapeutic approach. Addressing neuropathic pain and psychological factors is crucial for effective DED management. Future efforts should focus on developing specific interventions targeting DED's physical and emotional impacts to enhance overall patient well-being.

Keywords: CORNEA / EXTERNAL DISEASE; Diseases of the ocular surface < CORNEA / EXTERNAL DISEASE; diseases of the ocular surface: lid inflammation affecting the ocular surface < CORNEA / EXTERNAL DISEASE; ocular surface agents < CORNEA / EXTERNAL DISEASE; tear deficiency states < CORNEA / EXTERNAL DISEASE.

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Conflict of interest statement

Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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