A patient questionnaire for symptoms associated with dry eyes can be used to screen a group of people for evidence of keratoconjunctivitis sicca (KCS).
The questionnaire consists of 14 signs and symptoms related to dry eye.
The responses are yes or no, scored 1 or 0 points respectively.
Interpretation:
• The presence of the positive responses to the first four questions had the highest sensitivity and fairly high specificity for keratoconjunctivitis sicca.
• One or more of the first four symptoms was present in 98% of primary Sjogren's Syndrome (SS) , 85% of patients with connective tissue disease (CTD) having keratoconjunctivitis sicca symptoms, and 67% of "normal" controls with clinical keratoconjunctivitis sicca.
|
|
sensitivity for primary SS |
sensitivity CTD with KCS |
specificity for normals without KCS |
|
(1) dry sensation >= 3 months |
84% |
77% |
95% |
|
(2) sand or gravel sensation |
88% |
77% |
66% |
|
(3) burning sensation |
80% |
38% |
86% |
|
(4) foreign body sensation |
88% |
54% |
73% |
|
(5) intolerance to smoke |
74% |
62% |
84% |
|
(6) intolerance to light |
76% |
54% |
82% |
|
(7) intolerance to draft |
66% |
46% |
86% |
|
(8) sticky secretions |
54% |
46% |
86% |
|
(9) redness of eyes |
42% |
15% |
93% |
|
(10) disturbed vision |
72% |
54% |
68% |
|
(11) itching |
56% |
38% |
84% |
|
(13) swollen tear glands |
18% |
8% |
98% |
Specialty: Ophthalmology, Immunology/Rheumatology
ICD-10: ,
