Eye Symptom Questionnaire to Evaluate Anterior Eye Health.
Eye Symptom Questionnaire to Evaluate Anterior Eye Health.
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DOI：
10.1097/icl.0000000000000403
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发表时间：
2018-11
期刊：
影响因子：
--
通讯作者：
Lee PP
中科院分区：
文献类型：
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作者：
Woodward MA;Valikodath NG;Newman-Casey PA;Niziol LM;Musch DC;Lee PP
眼科医生通过仔细的病史和眼科检查来评估眼部疾病；然而，其他类型的医生在评估眼前节(AS)眼部疾病方面的工具有限。我们确定了提供者应该询问的眼睛症状问题，以帮助确定AS眼病的存在和紧迫性。患有和没有AS疾病的人在一个学术中心的角膜和综合眼科诊所完成了一份基于NIH工具箱症状条目的自我报告眼部症状问卷(ESQ)。金标准眼科检查确定AS疾病的存在和紧迫性。使用Logistic回归模型评估报告的症状严重程度与AS疾病或紧急AS疾病的概率之间的关联，并计算ESQ的灵敏度和特异度。这项研究包括162名受试者的324只眼睛。AS病变255只眼(79%)，其中111只眼为急症。眼部疼痛(优势比OR=2.58，p<；0.001)、眩光(OR=2.61，p=0.001)和视力模糊(OR=1.98，p<；0.001)症状严重程度的增加与AS疾病的风险增加相关。眼部疼痛(OR=2.0 2，P=0.001)、眼睛发红(OR=1.6 9，P=0.0 2)和视力模糊(OR=1.4 1，P=0.0 1)症状严重程度的增加与急性AS疾病的发生几率增加相关。对于与轻度症状相关的初步分析，ESQ对发现AS疾病的敏感性为83%，对紧急AS疾病的敏感性为92%。眼睛疼痛、眩光、发红和视力模糊的症状表明AS疾病的存在和紧迫性。
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. Persons with and without AS disease completed a self-report eye symptom questionnaire (ESQ) based on NIH 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 was also calculated. A total of 324 eyes of 162 subjects were included in the study. AS disease was present in 255 eyes (79%), of which 111 eyes had 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%. Symptoms of eye pain, glare, redness, and blurry vision indicate the presence and urgency of AS disease.