Okumura Yuichi, Inomata Takenori, Iwata Nanami, Sung Jaemyoung, Fujimoto Keiichi, Fujio Kenta, Midorikawa-Inomata Akie, Miura Maria, Akasaki Yasutsugu, Murakami Akira
Department of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo 113-0033, Japan.
Department of Strategic Operating Room Management and Improvement, Juntendo University Graduate School of Medicine, Tokyo 113-0033, Japan.
Diagnostics (Basel). 2020 Aug 5;10(8):559. doi: 10.3390/diagnostics10080559.
Dry eye disease (DED) is among the most common eye diseases and is becoming increasingly prevalent. Its symptoms cause a long-term decline in patients' health-related quality of life (HRQL). Inconsistencies often occur between the clinical findings and the subjective symptoms of DED. Therefore, a holistic, balanced, and quantitative evaluation of the subjective symptoms and HRQL using patient-reported outcome questionnaires, in addition to clinical findings, is crucial for accurate DED assessment in patients. This paper reviewed the characteristics of current dry eye questionnaires, including their objectives, number of questions, inclusion of HRQL-related items, and whether they were properly evaluated for psychometric properties. Twenty-four questionnaires were identified; among them, the following six questionnaires that included items assessing HRQL and were properly evaluated for psychometric properties are recommended: the Ocular Surface Disease Index, Impact of Dry Eye in Everyday Life, Dry Eye-Related Quality-of-life Score, University of North Carolina Dry Eye Management Scale, Chinese version of Dry Eye-Related Quality of Life, and 25-Item National Eye Institute Visual Function Questionnaire. Dry eye questionnaires have different objectives and are available in different languages. Therefore, medical practitioners should confirm the characteristics of applicable questionnaires before selecting the most appropriate ones.
干眼症（DED）是最常见的眼部疾病之一，且日益普遍。其症状会导致患者与健康相关的生活质量（HRQL）长期下降。干眼症的临床检查结果与主观症状之间常常存在不一致。因此，除了临床检查结果外，使用患者报告结局问卷对主观症状和HRQL进行全面、平衡和定量的评估，对于准确评估患者的干眼症至关重要。本文回顾了当前干眼问卷的特点，包括其目的、问题数量、与HRQL相关项目的纳入情况，以及是否对其心理测量特性进行了恰当评估。共识别出24份问卷；其中，推荐以下6份对HRQL评估项目进行了恰当心理测量特性评估的问卷：眼表疾病指数、干眼对日常生活的影响、干眼相关生活质量评分、北卡罗来纳大学干眼管理量表、中文版干眼相关生活质量以及25项美国国立眼科研究所视觉功能问卷。干眼问卷有不同的目的，且有不同语言版本。因此，医生在选择最合适的问卷之前应确认适用问卷的特点。
