International survey on dry eye diagnosis by experts

Primer Autor
Figueiredo, Francisco C.
Co-autores
Cartes, Cristian
Segovia, Christian
Calonge, Margarita
Título
International survey on dry eye diagnosis by experts
Editorial
CELL PRESS
Revista
HELIYON
Lenguaje
en
Resumen
Purpose: To evaluate patterns and opinion from international experts with respect to dry eye disease (DED) diagnosis in clinical practice.Methods: An online survey was distributed to worldwide DED experts. The use of diagnosis tests was evaluated including: symptoms questionnaires, functional tests, tear stability, tear volume, tear composition, surface damage and inflammation, and eyelid assessment. After the subjective importance of symptoms, tear break up time (TBUT), non-invasive TBUT, Schirmer's test, tear meniscus height, tear osmolarity, tear metalloproteinase 9, blepharitis assessment and non-contact meibography was evaluated according to likert scale.Results: The survey was sent to 109 experts, and 77 completed the questionnaire (rate of response = 70.6%). Most of the participants were from North America (27%) and Europe (40%). A ma-jority of respondents (73%) diagnose DED using clinical signs and symptoms, but not fulfilling a specific criteria. Seventy-six participants (98.7%) use symptoms questionnaires. All participants evaluate damage to ocular surface, and fluorescein staining is the most frequent method used (92%). Also, all the respondents perform meibomian gland and blepharitis assessment. On the other hand, only 69.8% evaluate tear composition, being osmolarity the most common test used (66.2%). Regarding to the importance of tests, TBUT (p = 0.002) and Schirmer's (p = 0.021) were found to be more important to experts from Europe than North America. No differences were found in any other test (p > 0.05).Conclusions: This survey offers updated and day-to-day diagnostic clinical practice by DED worldwide experts. The results highlight the importance of symptoms and clinical signs, but not necessarily following a strict criteria.
Fecha Publicación
2023
Tipo de Recurso
artículo original
doi
10.1016/j.heliyon.2023.e16995
Formato Recurso
PDF
Palabras Claves
Dry eye disease
Diagnosis
Symptoms questionnaires
Expert survey
Ubicación del archivo
Categoría OCDE
Ciencia y tecnología: otros temas
Materias
Enfermedad del ojo seco
Diagnóstico
Cuestionarios de síntomas
Encuesta de expertos
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
versión publicada
License
CC BY-NC-ND 4.0
Condición de la licencia (Recomendado-repetible)
CC BY-NC-ND 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:001044031100001
Tipo de ruta
verde# dorado
Categoría WOS
Ciencia y tecnología: otros temas
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