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K.A. Wilcox, M. Mroz, N. Lipkin, R.L. Fillipon, G.W. Ousler III, M.B. Abelson; Impact of Dry Eye on Daily Activities . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2474.
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Purpose: To identify which activities are affected by dry eye and to what extent. Methods: Two focus groups were conducted; each group consisted of 9 patients with documented mild to moderate dry eye syndrome. Based on patients’ responses, a list of 40 activities considered to be of importance to dry eye sufferers was generated. This list was then administered to a new group of patients with mild to moderate dry eye (n = 59). Each patient was asked to select the 5 most important activities typically affected by their dry eye symptoms and to rate the extent to which each selected activity is impacted (4-point scale, ranging from minimal interference to unable to do activity). Additionally, patients were asked to indicate how quickly after starting each activity they notice dry eye symptoms appear and whether their dry eye condition affects their overall productivity (5-point scale, ranging from not at all to severely). Results: Top affected activities reported by patients included: reading (76%; 45/59), watching TV/movies (51%; 30/59), computer use (42%; 25/59), driving (41%; 24/59), walking outside (24%; 14/59), and sun/beach (24%). The extent to which dry eye impacts each activity varied among patients. For example, of the patients who selected reading, 30% reported minimal interference, 61% slight interference, 9% moderate interference, and 0% that they were unable to do activity. Twenty percent of patients reported noticing their dry eye symptoms within 5 minutes of starting to read, 70% within 30 minutes, 93% within 1 hour, and 100% within 2 hours. The breakdown of patients’ responses as to whether dry eye affects their overall productivity was as follows: 32% not at all, 44% slightly, 18% somewhat, 7% very much, and 0% severely. Conclusions: This study provides additional information regarding the impact of dry eye on patients’ daily lives. This information could be considered in the construction of a quality-of-life instrument for dry eye.
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