TFOS lifestyle report executive summary:A lifestyle epidemic - Ocular surface disease


The Tear Film & Ocular Surface Society (TFOS) Workshop entitled 'A Lifestyle Epidemic: Ocular Surface Disease' was a global initiative undertaken to establish the direct and indirect impacts of everyday lifestyle choices and challenges on ocular surface health. This article presents an executive summary of the evidence-based conclusions and recommendations of the 10-part TFOS Lifestyle Workshop report. Lifestyle factors described within the report include contact lenses, cosmetics, digital environment, elective medications and procedures, environmental conditions, lifestyle challenges, nutrition, and societal challenges. For each topic area, the current literature was summarized and appraised in a narrative-style review and the answer to a key topic-specific question was sought using systematic review methodology. The TFOS Lifestyle Workshop report was published in its entirety in the April 2023 and July 2023 issues of The Ocular Surface journal. Links to downloadable versions of the document and supplementary material, including report translations, are available on the TFOS website:

Publication DOI:
Divisions: College of Health & Life Sciences > School of Optometry > Optometry & Vision Science Research Group (OVSRG)
College of Health & Life Sciences
College of Health & Life Sciences > School of Optometry > Optometry
Additional Information: © 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (
Uncontrolled Keywords: Contact lenses,Cosmetics,Digital environment,Dry eye,Elective medications,Environmental conditions,Evidence quality,Global consensus workshop,Nutrition,Ocular surface disease,Public awareness,Societal challenges,Ophthalmology
Publication ISSN: 1937-5913
Last Modified: 12 Jul 2024 16:22
Date Deposited: 12 Sep 2023 08:56
Full Text Link:
Related URLs: https://www.sci ... 1179?via%3Dihub (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Review article
Published Date: 2023-10
Published Online Date: 2023-09-01
Accepted Date: 2023-08-30
Authors: Craig, Jennifer P
Alves, Monica
Wolffsohn, James S (ORCID Profile 0000-0003-4673-8927)
Downie, Laura E
Efron, Nathan
Galor, Anat
Gomes, José Alvaro P
Jones, Lyndon
Markoulli, Maria
Stapleton, Fiona
Starr, Christopher E
Sullivan, Amy Gallant
Willcox, Mark D P
Sullivan, David A



Version: Accepted Version

Access Restriction: Restricted to Repository staff only

License: Creative Commons Attribution Non-commercial No Derivatives


Version: Published Version

License: Creative Commons Attribution

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