Bunya Vatinee Y, Fernandez Karen B, Ying Gui-Shuang, Massaro-Giordano Mina, Macchi Ilaria, Sulewski Michael E, Hammersmith Kristin M, Nagra Parveen K, Rapuano Christopher J, Orlin Stephen E
Department of Ophthalmology (V.Y.B., K.B.F., G.-s.Y., M.M.-G., I.M., M.E.S., S.E.O.), Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA; Department of Ophthalmology (G.-s.Y.), Center for Preventive Ophthalmology and Biostatistics, University of Pennsylvania, Philadelphia, PA; and Corneal Service (K.M.H., P.K.N., C.J.R.), Wills Eye Hospital, Philadelphia, PA.
Eye Contact Lens. 2018 Nov;44 Suppl 2(Suppl 2):S196-S201. doi: 10.1097/ICL.0000000000000448.
To survey ophthalmologists about current practice patterns regarding the evaluation of dry eye patients and referrals for a Sjogren syndrome (SS) workup.
An online survey was sent to ophthalmologists affiliated with the Scheie Eye Institute or Wills Eye Hospital using REDCap in August 2015. Descriptive statistics were used to summarize the data.
Four hundred seventy-four survey invitations were sent out and 101 (21%) ophthalmologists completed the survey. The common traditional dry eye test performed was corneal fluorescein staining (62%) and the most common newer dry eye test performed was tear osmolarity (18%). Half of respondents (51%) refer fewer than 5% of their dry eye patients for SS workups, with 18% reporting that they never refer any patients. The most common reasons for referrals included positive review of systems (60%), severe dry eye symptoms (51%) or ocular signs (47%), or dry eye that is refractory to treatment (42%). The majority (83%) felt that there is a need for an evidence-based standardized screening tool for dry eye patients to decide who should be referred for evaluation for SS.
Ophthalmologists continue to prefer the use of traditional dry eye tests in practice, with the most common test being corneal fluorescein staining. There is an underreferral of dry eye patients for SS workups, which is contributing to the continued underdiagnosis of the disease. Most respondents felt that there was a need for an evidence-based standardized screening tool to decide which dry eye patients should be referred for SS evaluations.
就干眼症患者评估及干燥综合征（SS）检查转诊的当前实践模式对眼科医生进行调查。
2015年8月，使用REDCap向隶属于谢伊眼科研究所或威尔斯眼科医院的眼科医生发送了一份在线调查问卷。采用描述性统计方法对数据进行总结。
共发出474份调查问卷，101名（21%）眼科医生完成了调查。最常进行的传统干眼症检查是角膜荧光素染色（62%），最常进行的新型干眼症检查是泪液渗透压测定（18%）。一半的受访者（51%）将不到5%的干眼症患者转诊进行SS检查，18%的受访者表示他们从未转诊过任何患者。转诊的最常见原因包括系统回顾阳性（60%）、严重的干眼症状（51%）或眼部体征（47%），或难治性干眼症（42%）。大多数人（83%）认为需要一种基于证据的标准化筛查工具，用于干眼症患者，以决定哪些患者应被转诊进行SS评估。
在实践中，眼科医生仍然更喜欢使用传统的干眼症检查方法，最常见的检查是角膜荧光素染色。干眼症患者转诊进行SS检查的情况不足，这导致了该疾病的持续漏诊。大多数受访者认为需要一种基于证据的标准化筛查工具，以决定哪些干眼症患者应被转诊进行SS评估。
