Perceptions of dry eye disease management in current clinical practice.
Perceptions of dry eye disease management in current clinical practice.
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DOI：
10.1097/icl.0000000000000020
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Davis RM
中科院分区：
文献类型：
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作者：
Williamson JF;Huynh K;Weaver MA;Davis RM
评估眼科护理提供者对干眼症临床管理的看法。邀请完成一个17个问题的在线调查邮寄给400名成员的北卡罗来纳州眼科和验光协会，包括社区验光师，综合眼科医生和角膜专家。该调查由100名眼科护理提供者完成（25%的回复率）。提供者报告烧灼感（46.5%）是患者描述的最常见症状，其次是异物感（30.3%）和流泪（17.2%）。大多数受访者（80.8%）将人工泪液列为推荐的一线治疗，尽管供应商报告人工泪液和环孢素A（Restasis）的失败率很高。风湿性关节炎、干燥综合征、情感障碍（如焦虑和抑郁）、光屈光手术史、吸烟和甲状腺疾病被认为是常见的共病。该调查提供了一个信息快照到眼睛护理提供者关于干眼病的诊断和管理的偏好。总体而言，烧灼感是患者报告的最常见症状。提供者在指导临床决策时更多地依赖患者病史，而不是客观体征。该调查强调了主观症状与客观体征比较时的不一致性，从而突出了开发可靠指标以更好地量化干眼症症状的迫切需要，以及开发可用作诊断干眼症的金标准的更敏感和更特异的测试。
To assess the perceptions of eye care providers regarding the clinical management of dry eye. Invitations to complete a 17-question online survey were mailed to 400 members of the North Carolina Ophthalmology and Optometry Associations including community optometrists, comprehensive ophthalmologists, and cornea specialists. The survey was completed by 100 eye care providers (25% response rate). Providers reported burning (46.5%) as the most frequent symptom described by patients, followed by foreign body sensation (30.3%) and tearing (17.2%). Most respondents (80.8%) listed artificial tears as the recommended first-line treatment, even though providers reported high failure rates for both artificial tears and cyclosporine A (Restasis). Rheumatoid arthritis, Sjögren syndrome, affective disorders such as anxiety and depression, history of photorefractive surgery, smoking, and thyroid disease were acknowledged as common comorbid conditions. The survey provided an informative snapshot into the preferences of eye care providers concerning the diagnosis and management of dry eye disease. Overall, burning was the most common symptom reported by patients. Providers relied more on patient history in guiding their clinical decisions than objective signs. The survey underscores the incongruence when comparing subjective symptoms with objective signs, thereby highlighting the urgent need for the development of reliable metrics to better quantify dry eye symptoms and also the development of a more sensitive and specific test that can be used as the gold standard to diagnose dry eye.