Assessment of Dry Eye Symptoms: Current Trends and Issues of Dry Eye Questionnaires in Japan

Shiraishi, Atsushi; Sakane, Yuri

doi:10.1167/iovs.18-24570

Cited by 13 publications

(13 citation statements)

References 52 publications

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“…Collectively, these factors may result in damage to the ocular surface and deteriorate the tear film layer, especially the lipid layer. An unstable tear film can result in more severe symptoms and worse functional visual acuity (Shiraishi & Sakane 2018). In addition, contrast sensitivity increases with an increase in tear film stability (Nebbioso et al 2017).…”

Section: Discussionmentioning

confidence: 99%

Changes of the tear film lipid layer thickness after cataract surgery in patients with diabetes mellitus

Zhang

et al. 2020

Acta Ophthalmologica

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Purpose To evaluate changes in the tear film lipid layer thickness (LLT) in cataract patients with diabetes mellitus (DM) after cataract surgery. Methods We recruited consecutive cataract patients and recorded data regarding DM condition. Lipid layer thickness (LLT) and partial blinks rates measured with the LipiView interferometer, tear break‐up time (TBUT) and Schirmer’s tests, and dry eye symptoms evaluated with the Ocular Surface Disease Index (OSDI) questionnaire were conducted before and one month after cataract surgery. Results Finally, 38 age‐related cataract (ARC) and 31 diabetic cataract (DC) patients were available for analysis. No significant difference in preoperative LLT and partial blink rates was found between ARC and DC group. However, preoperative TBUT and Schirmer’s test results were significantly lower in DC group compared to ARC group (both p < 0.001). DC group showed higher preoperative OSDI score with no significant difference than ARC group (p = 0.279). In DC group, LLT was significantly thinner in cases with longer duration of DM (over 10 years) than in those with shorter duration (p < 0.001). One month after surgery, LLT of DC group was significantly thinner than at baseline (pre: 65.7 ± 23.3, post: 51.3 ± 17.1, p = 0.002). While in ARC group, LLT had no significant difference before and after cataract surgery (pre: 67.1 ± 23.4, post: 60.2 ± 21.1, p = 0.078). Compared to baseline data, there was no statistically significant difference between two groups in the partial blink rates, TBUT and Schirmer’s test results after cataract surgery (p > 0.05). Ocular Surface Disease Index (OSDI) scores were significantly higher after surgery than at baseline in both ARC (pre: 8.9 ± 8.4, post: 12.4 ± 8.5, p = 0.003) and DC group (pre: 11.4 ± 10.3, post: 18.5 ± 8.5, p = 0.001). Multivariate linear regression analysis showed OSDI scores were associated with LLT either before or after cataract surgery (β = −0.862, p < 0.001 and β = −0.592, p < 0.001, respectively). Conclusion The tear film LLT is correlated with duration of DM and becomes significantly thinner one month after cataract surgery, leading to the aggravation of dry eye symptoms.

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Section: Discussionmentioning

confidence: 99%

Changes of the tear film lipid layer thickness after cataract surgery in patients with diabetes mellitus

Zhang

et al. 2020

Acta Ophthalmologica

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“…A systematic review in 2018 of dry eye-specific questionnaires was conducted and despite identifying 13 validated questionnaires, they all had limitations and there was not one standardized DED-specific questionnaire. 37 Consequently future research is required to formulate a DED questionnaire that focuses on normative data and can detect clinically significant changes in response to treatment. 37 …”

Section: Discussionmentioning

confidence: 99%

“… 37 Consequently future research is required to formulate a DED questionnaire that focuses on normative data and can detect clinically significant changes in response to treatment. 37 …”

Section: Discussionmentioning

confidence: 99%

Trends in Dry Eye Disease Management Worldwide

Hantera¹

2021

OPTH

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“…Other questionnaires are available, such as Symptom Assessment in Dry Eye (SANDE) which assesses severity and frequency of symptoms and uses a visual analogue scale. SANDE and the Ocular Surface Disease-Quality of Life (OSD-QoL) tend to be used in clinical trials rather than clinical practice [1,5,15].…”

Section: Using Triaging and Questionnaires To Assess The Symptoms Of mentioning

confidence: 99%

Diagnosing Dry Eye Disease: Simplifying the Process and Avoiding Pitfalls

Labétoulle¹,

Messmer²,

Barabino³

2021

Act Sci Oph

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Dry eye disease is often under diagnosed or misdiagnosed, in spite of its high prevalence and its impact on quality of life and mental health. The 2017 Definition and Classification report, the Tear Film and Ocular Surface Society (TFOS) Dry Eye Workshop (DEWS) II in 2017, continued to recognize dry eye disease as multifactorial, and updated the definition to include loss of homeostasis and neurosensory abnormalities as key elements of the disease. This review proposes key steps for simplifying and clarifying the diagnosis of dry eye disease in everyday clinical practice, based on the TFOS-DEWS-II report and the clinical experience of the ophthalmologist authors. It addresses key diagnostic principles, assessment of patient symptoms (such as dryness and ocular fatigue), and signs (such as tear film instability and meibomian dysfunction), the role of new technologies, and the potential pitfalls to avoid.Dry eye disease is a disease of the ocular system as a whole, and diagnosis can be an easy process if carried out systematically and logically. Fluorescein and lissamine green staining, and corneal sensitivity testing are simple tools that can provide a lot of diagnostic information. New technologies are also available which, although not essential for daily practice, can help explore the disease pathophysiology and also help communication with patients.

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Assessment of Dry Eye Symptoms: Current Trends and Issues of Dry Eye Questionnaires in Japan

Cited by 13 publications

References 52 publications

Changes of the tear film lipid layer thickness after cataract surgery in patients with diabetes mellitus

Changes of the tear film lipid layer thickness after cataract surgery in patients with diabetes mellitus

Trends in Dry Eye Disease Management Worldwide

Diagnosing Dry Eye Disease: Simplifying the Process and Avoiding Pitfalls

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