Dry Eye
If eyes are feeling dry or irritated, please complete the speed questionnaire and OSDI section.
Speed questionnaire:
Frequency legend: (rate on a scale of 3: 0=Never, 1=Sometimes, 2=Often, 3=Consistant)
Severity legend:(rate on a scale of 4: 0= No problems, 1= Tolerable, 2= Uncomfortable, 3= Bothersom, 4= Intolerable)
OCULAR SURFACE DISEASE INDEX
OSDI LEGEND: (Rate on a scale of 1-4. 0 = NEVER, 1 = RARELY, 2 = SOMETIMES, 3 = OFTEN, 4 = ALWAYS)
Experienced the following? |
Scale |
Limited in performing the following? |
Scale |
Uncomfortable in the following? |
Scale |
Sensitivity to light? |
|
Reading? |
|
Windy conditions? |
|
Gritty feeling? |
|
Driving at night? |
|
Low humidity? |
|
Painiful or sore? |
|
Computer use? |
|
Air conditioning? |
|
Blurred vision? |
|
Watching TV? |
|
|
|
Poor vision? |
|
|
|
|
|