Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment
Background: Dry eye disease (DED) is a growing public health problem because of excessive time spent on digital devices as a risk factor. The diagnosis of DED should not only be based on the objective clinical measures but also on symptoms reported by patients. Clinicians should not rely on establis...
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| Format: | Article |
| Language: | English |
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AOSIS
2025-05-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
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| Online Access: | https://phcfm.org/index.php/phcfm/article/view/4861 |
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| author | Solani D. Mathebula Percy R. Khosa Mmathabo M. Maleswene |
| author_facet | Solani D. Mathebula Percy R. Khosa Mmathabo M. Maleswene |
| author_sort | Solani D. Mathebula |
| collection | DOAJ |
| description | Background: Dry eye disease (DED) is a growing public health problem because of excessive time spent on digital devices as a risk factor. The diagnosis of DED should not only be based on the objective clinical measures but also on symptoms reported by patients. Clinicians should not rely on establishing symptoms using open verbal questioning during the case history but should quantify patient symptoms using a validated questionnaire.
Aim: To compare the patient-reported symptoms of DED as assessed using the Ocular Surface Disease Index (OSDI) and Symptom Assessment in Dry Eye (SANDE).
Setting: An optometry clinic.
Methods: Ocular Surface Disease Index and SANDE questionnaires were administered to 40 participants. Participants completed all questionnaires in a non-randomised order. The correlation between the questionnaires’ scores was determined and the Bland–Altman plot was used to assess the agreement between the two questionnaires.
Results: The mean scores for OSDI and SANDE were 37.85 ± 23.79 and 38.83 ± 26.39, respectively. The Spearman correlation between the two questionnaires was 0.7, p 0.01. The mean difference between OSDI and SANDE was −0.97 (95% Confidence Interval [CI]: [−7.04 to 5.09]). The Bland–Altman analysis between OSDI and SANDE showed a mean clinical difference (bias) of –0.98.
Conclusion: The SANDE questionnaire can be used as a dry eye symptom assessment as it is highly correlated to the OSDI questionnaire.
Contribution: Because the OSDI and SANDE questionnaires showed a significant correlation and negligible score differences, this suggests that the SANDE questionnaire has the potential to provide clinicians with a short and quick measure of DED symptoms. |
| format | Article |
| id | doaj-art-9a32dde51d1344dfbeea550c90d68dc4 |
| institution | OA Journals |
| issn | 2071-2928 2071-2936 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj-art-9a32dde51d1344dfbeea550c90d68dc42025-08-20T02:05:27ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362025-05-01171e1e710.4102/phcfm.v17i1.48611257Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessmentSolani D. Mathebula0Percy R. Khosa1Mmathabo M. Maleswene2Department of Optometry, Faculty of Health Sciences, University of Limpopo, PolokwaneDepartment of Optometry, Faculty of Health Sciences, University of Limpopo, PolokwaneDepartment of Optometry, Faculty of Health Sciences, University of Limpopo, PolokwaneBackground: Dry eye disease (DED) is a growing public health problem because of excessive time spent on digital devices as a risk factor. The diagnosis of DED should not only be based on the objective clinical measures but also on symptoms reported by patients. Clinicians should not rely on establishing symptoms using open verbal questioning during the case history but should quantify patient symptoms using a validated questionnaire. Aim: To compare the patient-reported symptoms of DED as assessed using the Ocular Surface Disease Index (OSDI) and Symptom Assessment in Dry Eye (SANDE). Setting: An optometry clinic. Methods: Ocular Surface Disease Index and SANDE questionnaires were administered to 40 participants. Participants completed all questionnaires in a non-randomised order. The correlation between the questionnaires’ scores was determined and the Bland–Altman plot was used to assess the agreement between the two questionnaires. Results: The mean scores for OSDI and SANDE were 37.85 ± 23.79 and 38.83 ± 26.39, respectively. The Spearman correlation between the two questionnaires was 0.7, p 0.01. The mean difference between OSDI and SANDE was −0.97 (95% Confidence Interval [CI]: [−7.04 to 5.09]). The Bland–Altman analysis between OSDI and SANDE showed a mean clinical difference (bias) of –0.98. Conclusion: The SANDE questionnaire can be used as a dry eye symptom assessment as it is highly correlated to the OSDI questionnaire. Contribution: Because the OSDI and SANDE questionnaires showed a significant correlation and negligible score differences, this suggests that the SANDE questionnaire has the potential to provide clinicians with a short and quick measure of DED symptoms.https://phcfm.org/index.php/phcfm/article/view/4861dry eye diseasequestionnaireocular surface disease indexsymptom assessment in dry eyedry eye symptomsocular surface disease. |
| spellingShingle | Solani D. Mathebula Percy R. Khosa Mmathabo M. Maleswene Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment African Journal of Primary Health Care & Family Medicine dry eye disease questionnaire ocular surface disease index symptom assessment in dry eye dry eye symptoms ocular surface disease. |
| title | Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment |
| title_full | Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment |
| title_fullStr | Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment |
| title_full_unstemmed | Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment |
| title_short | Comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment |
| title_sort | comparison of patient reported dry eye symptoms as evaluated by the ocular surface disease index and symptom assessment |
| topic | dry eye disease questionnaire ocular surface disease index symptom assessment in dry eye dry eye symptoms ocular surface disease. |
| url | https://phcfm.org/index.php/phcfm/article/view/4861 |
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