Loading…

Protocol - Dry Eye Syndrome

Add to Toolkit

Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Description:

An interviewer-administered questionnaire to assess if the participant has dry eye syndrome, which consists of questions related to the following symptoms: discomfort, grittiness, itchiness and watering.

Protocol:

In the last 12 months have you noticed any of the following eye problems?

1. Discomfort?

[ ] 1 Yes

[ ] 2 No

[ ] 8 DK

[ ] 9 missing

a. Which eye?

[ ] right

[ ] left

b. Duration of symptoms?

____months

[ ] still ongoing

c. Severity of symptoms?

[ ] mild

[ ] moderate

[ ] severe

2. Grittiness?

[ ] 1 Yes

[ ] 2 No

[ ] 8 DK

[ ] 9 missing

a. Which eye?

[ ] right

[ ] left

b. Duration of symptoms?

____months

[ ] still ongoing

c. Severity of symptoms?

[ ] mild

[ ] moderate

[ ] severe

3. Itchiness?

[ ] 1 Yes

[ ] 2 No

[ ] 8 DK

[ ] 9 missing

a. Which eye?

[ ] right

[ ] left

b. Duration of symptoms?

____months

[ ] still ongoing

c. Severity of symptoms?

[ ] mild

[ ] moderate

[ ] severe

4. Watering?

[ ] 1 Yes

[ ] 2 No

[ ] 8 DK

[ ] 9 missing

a. Which eye?

[ ] right

[ ] left

b. Duration of symptoms?

____months

[ ] still ongoing

c. Severity of symptoms?

[ ] mild

[ ] moderate

[ ] severe

Interpretation of findings:

... dry eye syndrome was defined as either three or more dry eye symptoms regardless of severity, or at least one symptom with moderate to severe ranking. (source: Chia EM, Mitchell P, Rochtchina E, Lee AJ, Maroun R, Wang JJ. (2003). Prevalence and associations of dry eye syndrome in an older population: the Blue Mountains Eye Study. Clin Experiment Ophthalmol. Jun;31(3):229-32.)

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e. tested by an expert) at the completion of personal interviews*.

*There are multiple modes to administer this question (i.e., pencil and paper and computer-assisted interviews)

Equipment Needs

Either a pencil and paper or computer-assisted instrument may be used. If a computer-assisted instrument is used, computer software may be necessary to develop the instrument. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None

Research Domain Information

Release Date:

February 26, 2010

Definition

Questions to assess if the participant has dry eye syndrome

Purpose

These questions are used to determine whether subjects are experiencing or have experienced one or more symptoms related to dry eye in the past twelve months, thus confirming whether the subject has dry eye syndrome, or probably has dry eye syndrome.

Selection Rationale

This protocol has been selected because the questions have proven to be valid and reliable.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Dry Eye Syndrome Assessment3007556CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)PhenX - dry eye syndrome protocol62683-8LOINC

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

Centre for Vision Research, Blue Mountains Eye Study (BMES-3), Exam Booklet. 2002-2004

Question numbers: 17-11 (question 1), 17-12 (question 2), 17-13 (question 3), and 17-14 (question 4)

General References

Chia EM, Mitchell P, Rochtchina E, Lee AJ, Maroun R, Wang JJ. (2003). Prevalence and associations of dry eye syndrome in an older population: the Blue Mountains Eye Study. Clin Experiment Ophthalmol. Jun;31(3):229-32.

Protocol ID:

110301

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX110301_Eye_Problem_DiscomfortPX110301010100In the last 12 months have you noticed any of the following eye problems? Discomfort?4N/A
PX110301_Symptom_Eye_DiscomfortPX110301010200Which eye?4N/A
PX110301_Symptom_Duration_DiscomfortPX110301010301Duration of symptoms?4N/A
PX110301_Symptom_Ongoing_DiscomfortPX110301010302Is it still ongoing?4N/A
PX110301_Symptom_Severity_DiscomfortPX110301010400Severity of symptoms?4N/A
PX110301_Eye_Problem_GrittinessPX110301020100In the last 12 months have you noticed any of the following eye problems? Grittiness?4N/A
PX110301_Symptom_Eye_GrittinessPX110301020200Which eye?4N/A
PX110301_Symptom_Duration_GrittinessPX110301020301Duration of symptoms?4N/A
PX110301_Symptom_Ongoing_GrittinessPX110301020302Is it still ongoing?4N/A
PX110301_Symptom_Severity_GrittinessPX110301020400Severity of symptoms?4N/A
PX110301_Eye_Problem_ItchinessPX110301030100In the last 12 months have you noticed any of the following eye problems? Itchiness?4N/A
PX110301_Symptom_Eye_ItchinessPX110301030200Which eye?4N/A
PX110301_Symptom_Duration_ItchinessPX110301030301Duration of symptoms?4N/A
PX110301_Symptom_Ongoing_ItchinessPX110301030302Is it still ongoing?4N/A
PX110301_Symptom_Severity_ItchinessPX110301030400Severity of symptoms?4N/A
PX110301_Eye_Problem_WateringPX110301040100In the last 12 months have you noticed any of the following eye problems? Watering?4N/A
PX110301_Symptom_Eye_WateringPX110301040200Which eye?4N/A
PX110301_Symptom_Duration_WateringPX110301040301Duration of symptoms?4N/A
PX110301_Symptom_Ongoing_WateringPX110301040302Is it still ongoing?4N/A
PX110301_Symptom_Severity_WateringPX110301040400Severity of symptoms?4N/A