Publication Name	World Journal of Psychiatry
Manuscript ID	115951
Country	India

Category	Ophthalmology
Manuscript Type	Letter to the Editor
Article Title	Interplay between ocular surface function, sleep quality, and psychological factors in dry eye disease
Manuscript Source	Invited Manuscript
All Author List	Arvind Kumar Morya, Rannusha Morya and Srishti Khullar
Funding Agency and Grant Number
Corresponding Author	Arvind Kumar Morya, Additional Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Bibi Nagar, Hyderabad 508126, Telangana, India. bulbul.morya@gmail.com
Key Words	Ocular surface function; Dry eye disease; Sleep quality; Depression; Anxiety
Core Tip	Dry eye disease (DED) is not merely a localised ocular disorder but part of a wider systemic and psychological network. Sleep disturbance, anxiety, and depression can exacerbate DED symptoms, while chronic ocular discomfort itself may precipitate poor sleep and mood changes. Risk is higher for pregnant women, diabetics, patients on a few drugs, and those over 45. Depression showed a strong link to increased corneal staining, while both age and sleep disturbances predicted symptom exacerbation. Increased screen time contributes to digital eye strain and incomplete blinking, further destabilizing the tear film. Clinicians should incorporate mental health and sleep screening into DED management to improve both ocular and systemic quality of life.
Citation	Morya AK, Morya R, Khullar S. Interplay between ocular surface function, sleep quality, and psychological factors in dry eye disease. World J Psychiatry 2025; In press

Received	2025-10-30 05:53
Peer-Review Started	2025-10-30 05:54
First Decision by Editorial Office Director	2025-11-05 06:32
Return for Revision	2025-11-05 06:32
Revised	2025-11-12 13:10
Publication Fee Transferred
Second Decision by Editor	2025-12-25 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-25 03:25
Articles in Press	2025-12-25 03:25
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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