June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Assessment of 3 questionnaires for diagnosis of Ocular Surface Disease in a Tertiary Care Ophthalmology Center in Mexico City.
Author Affiliations & Notes
  • Daniela Alvarez
    ASOCIACION PARA EVITAR LA CEGUERA EN MEXICO IAP, Mexico City, Mexico
  • Jaime D Martinez
    ASOCIACION PARA EVITAR LA CEGUERA EN MEXICO IAP, Mexico City, Mexico
  • Nallely Ramos-Betancourt
    ASOCIACION PARA EVITAR LA CEGUERA EN MEXICO IAP, Mexico City, Mexico
  • Footnotes
    Commercial Relationships Daniela Alvarez, None; Jaime Martinez, None; Nallely Ramos-Betancourt, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 3060. doi:
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      Daniela Alvarez, Jaime D Martinez, Nallely Ramos-Betancourt; Assessment of 3 questionnaires for diagnosis of Ocular Surface Disease in a Tertiary Care Ophthalmology Center in Mexico City.. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):3060.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: The purpose of this study was to assess 3 questionnaires for diagnosis of Ocular Surface Disease (OSD) in a Tertiary Care Ophthalmology Center in Mexico City.

Methods: 120 consecutive patients seen in an ophthalmologic center in Mexico City for the first time from September 2013 to November 2014 underwent a comprehensive examination, including measurement of tear film break-up time (TBUT), fluorescein staining classified by Oxford scheme, and Schirmer test type 1. Symptoms of OSD were evaluated by the Ocular Surface Disease Index (OSDI), Dry eye Questionnaire (DEQ-5) and McMonnies questionnaire. Symptomatic OSD was defined as having an OSDI score ≥55, DEQ-5 score ≥12, or Mcmonnies >14. Clinical OSD was defined as having a Schirmer test <5, TBUT <5, or staining >1.

Results: Mean patient age was 41.86 (±16.4) years (range, 18-80); 64 (53.3%) patients were female. The frequency of symptomatic OSD based on the OSDI score ≥55 was 21.7%, DEQ-5 was 24.2%, and Mcmonnies was 21.7%. Frequency of patients with two positive signs and one positive questionnaire was 11.7% with OSDI score ≥55, 18.3% with DEQ-5, and 15% with McMonnies. McMonnies and DEQ5 questionnaires had a moderate correlation wirh one another, and OSDI a low correlation compared to the other questionnaires (p-value <0.05). McMonnies and DEQ5 questionnaires are more sensitive than OSDI questionnaire.

Conclusions: This is the first study to assess 3 questionnaires for diagnosis of Ocular Surface Disease in a Tertiary Care Ophthalmology Center in Mexico City. Frequency of OSD based on questionnaire, and two signs plus one positive questionnaire were really close to one another.

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