Cornea Service, Massachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, MA, United States.
Cornea Service, Massachusetts Eye & Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, MA, United States.
Ocul Surf. 2018 Apr;16(2):249-253. doi: 10.1016/j.jtos.2018.01.002. Epub 2018 Feb 2.
To investigate the feasibility of remote assessment and follow-up of dry eye symptoms using electronic versions of two validated questionnaires.
We conducted a prospective study of consecutive patients with dry eye disease (DED). Patients were enrolled during a clinical visit and were explained how to respond electronic versions of the Ocular surface Disease Index (OSDI) and the Symptom Assessment in Dry Eye (SANDE) questionnaires using a computer in the presence of investigators. A secure link to both questionnaires was sent to each patient every 2 weeks in order to respond and submit their symptoms over a 3-month period. We analyzed the number of patients who responded to both questionnaires, the recurrence, and the symptoms scores reported.
A total of 1121 questionnaires were collected; 103 patients (85%) reported their symptoms at least once during the 3-month study duration. The majority of participants who completed the study (71.6%) responded remotely at least once per month during the 3-month duration of the study. The mean OSDI and SANDE scores from the total of remote evaluations were 34.9 ± 21.9 (range 0-97.5) and 50.3 ± 24.9 (range 0-100), respectively. There was a statistically significant correlation between the total scores collected with the two questionnaires (R = 0.67, P < 0.001).
Patients are motivated to report DED symptoms while away from the clinic. Distance-based evaluation of DED symptoms is both feasible and convenient, and can be implemented to follow symptoms in large populations with chronic dry eye.
研究使用两种经过验证的问卷的电子版本对干眼症状进行远程评估和随访的可行性。
我们进行了一项对干眼疾病（DED）连续患者的前瞻性研究。在临床就诊时招募患者，并在调查员在场的情况下，向患者解释如何使用计算机回复眼部疾病指数（OSDI）和干眼症状评估（SANDE）问卷的电子版本。每隔两周向每位患者发送两个问卷的安全链接，以便在 3 个月的时间内回复并提交他们的症状。我们分析了回答两个问卷的患者数量、复发率和报告的症状评分。
共收集了 1121 份问卷；在 3 个月的研究期间，103 名患者（85%）至少报告过一次症状。完成研究的大多数参与者（71.6%）在 3 个月的研究期间每月至少远程回复一次。从总共的远程评估中得出的平均 OSDI 和 SANDE 分数分别为 34.9±21.9（范围 0-97.5）和 50.3±24.9（范围 0-100）。两个问卷收集的总分之间存在统计学显著相关性（R=0.67，P<0.001）。
患者有动力在离开诊所时报告 DED 症状。基于距离的 DED 症状评估既可行又方便，可以用于对患有慢性干眼的大量人群进行症状随访。
