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Dry Eye Disease is the most frequent reason the patients visit eye doctors. We are concerned that you may be suffering with this condition as well. Therefore, we ask that you take a few moments and thoughtfully complete the questions below. Repot the FREQUENCY of the dry eye symptoms.
For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question.
DRY EYE QUESTIONAIRE (DEQ-5) 1. Name: Questions about EYE DISCOMFORT: a. During a typical day in the past month, how often did your eyes feel discomfort? b. When your eyes feel discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed? 2. Questions about EYE DRYNESS: a.
DRY EYE QUESTIONNAIRE. (DEQ-5)* 1. Questions about EYE DISCOMFORT: a. During a typical day in the past month, how often did your eyes feel discomfort? b. When your eyes felt discomfort, how intense was this feeling of discomfort. at the end of the day, within two hours of going to bed? 2. Questions about EYE DRYNESS: a.
Assessing Your Patient’s Dry Eye Disease1,2 Use your answers D and E from Side 1 to compare the sum of scores for all questions answered (D) and the number of questions answered (E) with the chart below.
For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question.
The index demonstrates sensitivity and specificity in distinguishing between normal subjects and patients with dry eye disease. The OSDI© is a valid and reliable instrument for measuring dry eye disease (normal, mild to moderate, and severe) and effect on vision-related function.
