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Diagnosing Sjgrens syndrome Objective signs of ocular dryness. Dry eye disease is diagnosed on the basis of a reduced Schirmer test result, reduced tear film break-up time, and/or positive ocular surface staining.
The OSDI overall and subscale scores range from 0 to 100. Based on their OSDI scores, patients can be categorized as having a normal ocular surface (0-12 points) or as having mild (13-22 points), moderate (23-32 points), or severe (33-100 points) ocular surface disease.
Triage Trouble-shooting from a DEWS II Insider How severe is the eye discomfort? How long have your symptoms lasted and was there any triggering event? Is your vision affected and does it clear upon blinking? Are the symptoms or any redness much worse in one eye than the other?
The SPEED questionnaire was designed by Korb and Blackie in order to quickly track the progression of dry eye symptoms over time. This questionnaire gives a score from 0 to 28 that is the result of 8 items that assess frequency and severity of symptoms.
The SPEED Questionnaire, consisting of four sections, is among the most common surveys used in practice today to assess dry eye. Click image to enlarge. The symptoms assessed in the SPEED test include dryness, grittiness, scratchiness, irritation, burning, watering, soreness and eye fatigue.
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Tear break up time (TBUT) A TBUT test checks how long your tear film (layer of tears on your eyes) lasts after you blink. Your eye doctor will place a small amount of dye in your eye, and youll blink to make the dye fully cover your eye.
There is no single gold standard sign or symptom for the diagnosis of DED. Evaluation of both symptoms and signs of DED is recommended as signs may be present without symptoms, and vice-versa. Tear Film Break-up Time (TBUT). This is the interval of time between a complete blink and the first break in the tear film.
SPEED evaluates both the frequency and severity of symptoms in just eight questions. The patient grades the severity of her symptoms on a scale of zero to four with zero being no symptoms and four being intolerable symptoms. The numeric value for each answer is simply added with scores ranging from zero to 28.

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