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Eye Symptom Questionnaire to Evaluate Anterior Eye Health.

Publication ,  Journal Article
Woodward, MA; Valikodath, NG; Newman-Casey, PA; Niziol, LM; Musch, DC; Lee, PP
Published in: Eye Contact Lens
November 2018

OBJECTIVES: Ophthalmologists assess eye complaints with a careful history and eye examination; however, other types of physicians have limited tools to evaluate anterior segment (AS) eye diseases. We identified the eye symptom questions that providers should ask to help determine the presence and urgency of AS eye diseases. METHODS: Persons with and without AS disease completed a self-report eye symptom questionnaire (ESQ) based on the National Institutes of Health Toolbox symptom items in an academic center's corneal and comprehensive eye clinics. Gold standard ophthalmic examination determined the presence and urgency of AS disease. The association between reported symptom severity and the probability of AS disease, or urgent AS disease, was evaluated using logistic regression models, and sensitivity and specificity of the ESQ were also calculated. RESULTS: A total of 324 eyes of 162 subjects were included in the study. Of these, AS disease was present in 255 eyes (79%); of which, 111 eyes showed urgent disease. Increasing symptom severity for eye pain (odds ratio [OR]=2.58; P<0.001), glare (OR=2.61; P=0.001), and blurry vision (OR=1.98; P<0.001) were associated with increased odds of AS disease. Increasing symptom severity for eye pain (OR=2.02; P<0.001), eye redness (OR=1.69; P=0.02), and blurry vision (OR=1.41, P=0.01) were associated with increased odds of urgent AS disease. For the primary analysis with mild symptoms considered relevant, the sensitivity of the ESQ to detect AS disease was 83% and to detect urgent AS disease was 92%. CONCLUSION: Symptoms of eye pain, glare, redness, and blurry vision indicate the presence and urgency of AS disease.

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Published In

Eye Contact Lens

DOI

EISSN

1542-233X

Publication Date

November 2018

Volume

44

Issue

6

Start / End Page

384 / 389

Location

United States

Related Subject Headings

  • Young Adult
  • Vision Disorders
  • Surveys and Questionnaires
  • Sensitivity and Specificity
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • Glare
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Woodward, M. A., Valikodath, N. G., Newman-Casey, P. A., Niziol, L. M., Musch, D. C., & Lee, P. P. (2018). Eye Symptom Questionnaire to Evaluate Anterior Eye Health. Eye Contact Lens, 44(6), 384–389. https://doi.org/10.1097/ICL.0000000000000403
Woodward, Maria A., Nita G. Valikodath, Paula Anne Newman-Casey, Leslie M. Niziol, David C. Musch, and Paul P. Lee. “Eye Symptom Questionnaire to Evaluate Anterior Eye Health.Eye Contact Lens 44, no. 6 (November 2018): 384–89. https://doi.org/10.1097/ICL.0000000000000403.
Woodward MA, Valikodath NG, Newman-Casey PA, Niziol LM, Musch DC, Lee PP. Eye Symptom Questionnaire to Evaluate Anterior Eye Health. Eye Contact Lens. 2018 Nov;44(6):384–9.
Woodward, Maria A., et al. “Eye Symptom Questionnaire to Evaluate Anterior Eye Health.Eye Contact Lens, vol. 44, no. 6, Nov. 2018, pp. 384–89. Pubmed, doi:10.1097/ICL.0000000000000403.
Woodward MA, Valikodath NG, Newman-Casey PA, Niziol LM, Musch DC, Lee PP. Eye Symptom Questionnaire to Evaluate Anterior Eye Health. Eye Contact Lens. 2018 Nov;44(6):384–389.

Published In

Eye Contact Lens

DOI

EISSN

1542-233X

Publication Date

November 2018

Volume

44

Issue

6

Start / End Page

384 / 389

Location

United States

Related Subject Headings

  • Young Adult
  • Vision Disorders
  • Surveys and Questionnaires
  • Sensitivity and Specificity
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • Glare