Purchase this article with an account.
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.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
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.
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.
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.
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.
This PDF is available to Subscribers Only