PL EN
PRACA POGLĄDOWA
The impact of long-term wearing of protective masks on the development of dry eye disease – literature review
,
 
 
 
 
Więcej
Ukryj
1
Faculty of Medicine Collegium Medicum, Cardinal Stefan Wyszyński University in Warsaw, Polska
 
 
A - Koncepcja i projekt badania; B - Gromadzenie i/lub zestawianie danych; C - Analiza i interpretacja danych; D - Napisanie artykułu; E - Krytyczne zrecenzowanie artykułu; F - Zatwierdzenie ostatecznej wersji artykułu
 
 
Data nadesłania: 19-02-2025
 
 
Data akceptacji: 21-04-2026
 
 
Data publikacji: 28-08-2026
 
 
Autor do korespondencji
Zofia Głowala   

Faculty of Medicine Collegium Medicum, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Polska
 
 
Ophthalmology 2026;29(2):25-28
 
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
The outbreak of the COVID-19 pandemic and the need for widespread use of personal protective equipment have drawn attention to the emerging problem of dry eye disease associated with prolonged wearing of a protective mask (MADE – “Mask-Associated Dry Eye”). Several factors, including unnatural airflow, hypercapnic stress, inflammation, and low air humidity, contribute to the formation and progression of MADE. Research results indicate a negative impact on the eye surface due to wearing protective masks, the symptoms of which include dryness and irritation of the eyes, blurred vision, shortened tear film breakdown time, the presence of inflammatory markers, and corneal hyperalgesia. Understanding the mechanisms and symptoms of MADE is important to develop effective preventive strategies to protect long-term mask users from developing or progressing dry eye disease. In the context of potential future pandemics that may necessitate the use of masks, further research is needed to better understand this condition.
REFERENCJE (34)
1.
White DE. BLOG: MADE: A new coronavirus-associated eye disease. June 22, 2020. https://www.healio.com/news/op....
 
2.
Erogul O, Gobeka HH, Kasikci M, et al.: Impacts of protective face masks on ocular surface symptoms among healthcare professionals during the COVID-19 pandemic. Ir J Med Sci. 2023 Apr; 192(2): 521–526. doi: 10.1007/s11845-022-03059-x. Epub 2022 Jun 13. Erratum in: Ir J Med Sci. 2023 Oct;192(5):2557. doi: 10.1007/s11845-022-03078-8. PMID: 35697968; PMCID: PMC9191881. https://www.ncbi.nlm.nih.gov/p....
 
3.
Kapelushnik N, Benyosef S, Skaat A, et al.: The Effect of Face Masks during COVID-19 Pandemic on Ocular Surface Temperature-A Clinical Thermographic Analysis. Diagnostics (Basel). 2022 Jun 10; 12(6): 1431. doi: 10.3390/diagnostics12061431. PMID: 35741241; PMCID: PMC9221900. https://www.ncbi.nlm.nih.gov/p....
 
4.
D’Souza S, Vaidya T, Nair AP, et al.: Altered Ocular Surface Health Status and Tear Film Immune Profile Due to Prolonged Daily Mask Wear in Health Care Workers. Biomedicines. 2022 May 18; 10(5): 1160. doi: 10.3390/biomedicines10051160. PMID: 35625896; PMCID: PMC9139140. https://www.ncbi.nlm.nih.gov/p....
 
5.
Moshirfar M, West WB Jr., Marx DP: Face Mask-Associated Ocular Irritation and Dryness. Ophthalmol Ther. 2020 Sep; 9(3): 397–400. doi: 10.1007/s40123-020-00282-6. Epub 2020 Jul 15. PMID: 32671665; PMCID: PMC7362770. https://www.ncbi.nlm.nih.gov/p....
 
6.
Giannaccare G, Vaccaro S, Mancini A, et al.: Dry eye in the COVID-19 era: how the measures for controlling pandemic might harm ocular surface. Graefes Arch Clin Exp Ophthalmol. 2020 Nov; 258(11): 2567–2568. doi: 10.1007/s00417-020-04808-3. Epub 2020 Jun 19. PMID: 32561978; PMCID: PMC7304378. https://www.ncbi.nlm.nih.gov/p....
 
7.
Li T, McCann PM, Wilting S, et al.: Prolonged facemask wearing among hospital workers and dry eye - a mixed-methods study. BMC Ophthalmol. 2023 Oct 19; 23(1): 420. doi: 10.1186/s12886-023-03153-3. PMID: 37858059; PMCID: PMC10588155. https://www.ncbi.nlm.nih.gov/p....
 
8.
Powell JB, Kim JH, Roberge RJ: Powered air-purifying respirator use in healthcare: Effects on thermal sensations and comfort. J Occup Environ Hyg. 2017 Dec; 14(12): 947–954. doi: 10.1080/15459624.2017.1358817. PMID: 28763290; PMCID: PMC6198805. https://www.ncbi.nlm.nih.gov/p....
 
9.
Matossian C, Song X, Chopra I, et al.: The Prevalence and Incidence of Dry Eye Disease Among Patients Using Continuous Positive Airway Pressure or Other Nasal Mask Therapy Devices to Treat Sleep Apnea. Clin Ophthalmol. 2020 Oct 15; 14: 3371–3379. doi: 10.2147/OPTH.S274949. PMID: 33116388; PMCID: PMC7573305. https://www.ncbi.nlm.nih.gov/p....
 
10.
Shalaby HS, Eldesouky MEE: Effect of facemasks on the tear film during the COVID-19 pandemic. Eur J Ophthalmol. 2023 Jan; 33(1): 145–151. doi: 10.1177/11206721221110010. Epub 2022 Jun 22. PMID: 35733391; PMCID: PMC9289170. https://www.ncbi.nlm.nih.gov/p....
 
11.
Motwani R, Janti SS, Ganji V, et al.: Face Mask in COVID-19 and Its Association With Dry Eye Disease: A Cross-Sectional Study. Cureus. 2022 Dec 25; 14(12): e32937. doi: 10.7759/cureus.32937. PMID: 36712728; PMCID: PMC9873484. https://www.ncbi.nlm.nih.gov/p....
 
12.
Gupta P, Bansal A, Aggarwal A, et al.: Study of Face Mask-associated Dry Eye among Medical Students. Int J Appl Basic Med Res. 2023 Oct-Dec; 13(4): 240–245. doi: 10.4103/ijabmr.ijabmr_366_23. Epub 2023 Dec 8. PMID: 38229728; PMCID: PMC10789469. https://www.ncbi.nlm.nih.gov/p....
 
13.
Azzam SH, Nama A, Badarni H, et al.: Assessment of dry eye disease in N95 versus surgical face mask wearers during COVID-19. Indian J Ophthalmol. 2022 Mar; 70(3): 995–999. doi: 10.4103/ijo.IJO_1133_21. PMID: 35225560; PMCID: PMC9114619. https://www.ncbi.nlm.nih.gov/p....
 
14.
Rhee MSM, Lindquist CD, Silvestrini MT, et al.: Carbon dioxide increases with face masks but remains below short-term NIOSH limits. BMC Infect Dis. 2021 Apr 16; 21(1): 354. doi: 10.1186/s12879-021-06056-0. PMID: 33858372; PMCID: PMC8049746. https://www.ncbi.nlm.nih.gov/p....
 
15.
Craig JP, Nichols KK, Akpek EK, et al.: TFOS DEWS II Definition and Classification Report. Ocul Surf. 2017 Jul; 15(3): 276–283. doi: 10.1016/j.jtos.2017.05.008. Epub 2017 Jul 20. PMID: 28736335. https://www.sciencedirect.com/....
 
16.
Mastropasqua L, Lanzini M, Brescia L, et al.: Face Mask-Related Ocular Surface Modifications During COVID-19 Pandemic: A Clinical, In Vivo Confocal Microscopy, and Immune-Cytology Study. Transl Vis Sci Technol. 2021 Mar 1; 10(3): 22. doi: 10.1167/tvst.10.3.22. PMID: 34003957; PMCID: PMC7991958. https://www.ncbi.nlm.nih.gov/p....
 
17.
Penbe A, Oklar M, Kanar HS, et al.: The effects of facial mask use on ocular surface parameters and tear film cytokine profile in prolonged use. Int Ophthalmol. 2023 Aug; 43(8): 2623–2632. doi: 10.1007/s10792-023-02661-x. Epub 2023 Mar 1. PMID: 36856985; PMCID: PMC9975438. https://www.ncbi.nlm.nih.gov/p....
 
18.
Fan Q, Liang M, Kong W, et al.: Wearing face masks and possibility for dry eye during the COVID-19 pandemic. Sci Rep. 2022 Apr 13; 12(1): 6214. doi: 10.1038/s41598-022-07724-0. PMID: 35418586; PMCID: PMC9007396. https://www.ncbi.nlm.nih.gov/p....
 
19.
Napoli PE, Nioi M, Fossarello M: The “Quarantine Dry Eye”: The Lockdown for Coronavirus Disease 2019 and Its Implications for Ocular Surface Health. Risk Manag Healthc Policy. 2021 Apr 19; 14: 1629–1636. doi: 10.2147/RMHP.S277067. PMID: 33907480; PMCID: PMC8064711. https://www.ncbi.nlm.nih.gov/p....
 
20.
Boccardo L: Self-reported symptoms of mask-associated dry eye: A survey study of 3,605 people. Cont Lens Anterior Eye. 2022 Apr; 45(2): 101408. doi: 10.1016/j.clae.2021.01.003. Epub 2021 Jan 20. PMID: 33485805; PMCID: PMC7816875. https://www.ncbi.nlm.nih.gov/p....
 
21.
Tatti F, Mangoni L, Pirodda S, et al.: Ocular Surface Changes Associated with Face Masks in Healthcare Personnel during COVID-19 Pandemic. Life (Basel). 2022 Sep 26; 12(10): 1491. doi: 10.3390/life12101491. PMID: 36294925; PMCID: PMC9604707. https://www.ncbi.nlm.nih.gov/p....
 
22.
Bilici S, Toprak A, Buyukuysal C, et al.: The effect of day-long mask wearing on non-invasive break-up time. Graefes Arch Clin Exp Ophthalmol. 2022 Oct; 260(10): 3313–3319. doi: 10.1007/s00417-022-05709-3. Epub 2022 May 26. PMID: 35616726; PMCID: PMC9134129. https://www.ncbi.nlm.nih.gov/p....
 
23.
Burgos-Blasco B, Arriola-Villalobos P, Fernandez-Vigo JI, et al.: Face mask use and effects on the ocular surface health: A comprehensive review. Ocul Surf. 2023 Jan; 27: 56–66. doi: 10.1016/j.jtos.2022.12.006. Epub 2022 Dec 25. PMID: 36577463; PMCID: PMC9789923. https://www.ncbi.nlm.nih.gov/p....
 
24.
Aksoy M, Simsek M: Evaluation of Ocular Surface and Dry Eye Symptoms in Face Mask Users. Eye Contact Lens. 2021 Oct 1; 47(10): 555–558. doi: 10.1097/ICL.0000000000000831. PMID: 34393179. https://pubmed.ncbi.nlm.nih.go....
 
25.
Esen Baris M, Guven Yilmaz S, Palamar M: Impact of prolonged face mask wearing on tear break-up time and dry eye symptoms in health care professionals. Int Ophthalmol. 2022 Jul; 42(7): 2141–2144. doi: 10.1007/s10792-022-02213-9. Epub 2022 Feb 4. PMID: 35119609; PMCID: PMC8815392. https://www.ncbi.nlm.nih.gov/p....
 
26.
Alanazi MA, El-Hiti GA, Al-Tamimi R, et al.: Assessment of the Effect of Wearing a Surgical Face Mask on Tear Film in Normal Eye Subjects. J Ophthalmol. 2022 Aug 16; 2022: 2484997. doi: 10.1155/2022/2484997. PMID: 36017483; PMCID: PMC9398824. https://www.ncbi.nlm.nih.gov/p....
 
27.
Itokawa T, Okajima Y, Iwashita H, et al.: Association between mask-associated dry eye (MADE) and corneal sensations. Sci Rep. 2023 Jan 28; 13(1): 1625. doi: 10.1038/s41598-022-23994-0. PMID: 36709342; PMCID: PMC9884133. https://www.ncbi.nlm.nih.gov/p....
 
28.
Chen X, Gallar J, Pozo MA, et al.: CO2 stimulation of the cornea: a comparison between human sensation and nerve activity in polymodal nociceptive afferents of the cat. Eur J Neurosci. 1995 Jun 1; 7(6): 1154–1163. doi: 10.1111/j.1460-9568.1995.tb01105.x. PMID: 7582088. https://pubmed.ncbi.nlm.nih.go....
 
29.
Marta A, Marques JH, Almeida D, et al.: Impact of COVID-19 pandemic on the ocular surface. World J Clin Cases. 2022 Sep 26; 10(27): 9619–9627. doi: 10.12998/wjcc.v10.i27.9619. PMID: 36186209; PMCID: PMC9516944. https://www.ncbi.nlm.nih.gov/p....
 
30.
Giannaccare G, Pellegrini M, Borselli M, et al.: Diurnal changes of noninvasive parameters of ocular surface in healthy subjects before and after continuous face mask wearing during the COVID-19 pandemic. Sci Rep. 2022 Jul 29; 12(1): 12998. doi: 10.1038/s41598-022-17486-4. PMID: 35906320; PMCID: PMC9334741. https://www.ncbi.nlm.nih.gov/p....
 
31.
Krolo I, Blazeka M, Merdzo I, et al.: Mask-Associated Dry Eye During COVID-19 Pandemic-How Face Masks Contribute to Dry Eye Disease Symptoms. Med Arch. 2021 Apr; 75(2): 144–148. doi: 10.5455/medarh.2021.75.144-148. PMID: 34219875; PMCID: PMC8228562. https://www.ncbi.nlm.nih.gov/p....
 
32.
Scalinci SZ, Pacella E, Battagliola ET: Prolonged face mask use might worsen dry eye symptoms. Indian J Ophthalmol. 2021 Jun; 69(6): 1508–1510. doi: 10.4103/ijo.IJO_2641_20. PMID: 34011730; PMCID: PMC8302327. https://www.ncbi.nlm.nih.gov/p....
 
33.
Mohamed-Noriega K, Charles-Cantu DE, Mohamed-Noriega J, et al.: Face Mask and Tear Film Stability: A Pilot Study of the Objective Measurement of Tear Break-Up Time. J Clin Med. 2023 Dec 16; 12(24): 7727. doi: 10.3390/jcm12247727. PMID: 38137796; PMCID: PMC10743798. https://www.ncbi.nlm.nih.gov/p....
 
34.
Pandey SK, Sharma V: Mask-associated dry eye disease and dry eye due to prolonged screen time: Are we heading towards a new dry eye epidemic during the COVID-19 era? Indian J Ophthalmol. 2021 Feb; 69(2): 448–449. doi: 10.4103/ijo.IJO_3250_20. PMID: 33380621; PMCID: PMC7933894. https://www.ncbi.nlm.nih.gov/p....
 
eISSN:1689-362X
ISSN:1505-2753
Journals System - logo
Scroll to top