Accuracy of McMonnies Questionnaire as a Screening Tool for Chinese Ophthalmic Outpatients

Tang, Furong; Wang, Jiwei; Tang, Zheng; Kang, Mei; Deng, Qinglong; Yu, Jinming

doi:10.1371/journal.pone.0153047

Cited by 11 publications

(10 citation statements)

References 30 publications

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“…It has a moderate positive and negative correlation with the OSDI (Spearman correlation coefficient, r = 0.68-0.78, p < 0.001) and TFBUT (Spearman correlation coefficient, r = −0.23-−0.56, p < 0.0001), respectively [78]. Rasch analysis has shown that the OCI-C is comparable to the OCI as a diagnostic tool [ [72,81]. This questionnaire has been validated in Chinese, with its McMonnies Index cutoff value being 15 points [37].…”

Section: Questionnaires With No Questions On Hrql Yet Good Psychometmentioning

confidence: 99%

A Review of Dry Eye Questionnaires: Measuring Patient-Reported Outcomes and Health-Related Quality of Life

et al. 2020

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Dry eye disease (DED) is among the most common eye diseases and is becoming increasingly prevalent. Its symptoms cause a long-term decline in patients’ health-related quality of life (HRQL). Inconsistencies often occur between the clinical findings and the subjective symptoms of DED. Therefore, a holistic, balanced, and quantitative evaluation of the subjective symptoms and HRQL using patient-reported outcome questionnaires, in addition to clinical findings, is crucial for accurate DED assessment in patients. This paper reviewed the characteristics of current dry eye questionnaires, including their objectives, number of questions, inclusion of HRQL-related items, and whether they were properly evaluated for psychometric properties. Twenty-four questionnaires were identified; among them, the following six questionnaires that included items assessing HRQL and were properly evaluated for psychometric properties are recommended: the Ocular Surface Disease Index, Impact of Dry Eye in Everyday Life, Dry Eye-Related Quality-of-life Score, University of North Carolina Dry Eye Management Scale, Chinese version of Dry Eye-Related Quality of Life, and 25-Item National Eye Institute Visual Function Questionnaire. Dry eye questionnaires have different objectives and are available in different languages. Therefore, medical practitioners should confirm the characteristics of applicable questionnaires before selecting the most appropriate ones.

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Section: Questionnaires With No Questions On Hrql Yet Good Psychometmentioning

confidence: 99%

A Review of Dry Eye Questionnaires: Measuring Patient-Reported Outcomes and Health-Related Quality of Life

et al. 2020

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“…CLIDE symptoms have typically been assessed using questionnaire instruments developed for DE and not specifically designed or validated for contact lens wear. These include the Ocular Surface Disease Index (OSDI) [ 15 , 16 ], the Dry Eye Questionnaire (DEQ) [ 13 ], the Standard Patient Evaluation of Eye Dryness (SPEED) [ 17 ], the Impact of Dry Eye on Everyday Life (IDEEL) questionnaire [ 18 ], the Subjective Evaluation of Symptoms of Dryness (SESoD) [ 19 ], and McMonnies’ Dry Eye Index (DEI) [ 20 – 22 ], The OSDI has been extensively validated for DE patients, and although not designed or specifically validated for CLIDE [ 4 ], has been widely used in its study. McMonnies DEI also was designed and validated for DE patients, but was later validated in a study of 70 contact lens wearers [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The Berkeley Dry Eye Flow Chart: A fast, functional screening instrument for contact lens-induced dryness

2018

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PurposeIn this article, we introduce a novel flow chart-based screening tool for the categorization of contact lens-induced dryness (CLIDE) and its impact on daily visual activities: the Berkeley Dry Eye Flow Chart (DEFC).MethodsOne hundred thirty (130) experienced soft contact lens wearers discontinued lens wear for 24 hrs, passed a baseline screening and eye health examination, completed the Ocular Surface Disease Index (OSDI) then were dispensed fresh pairs of their habitual lenses. After 6 hrs of wear, subjects were administered a battery of symptom questionnaires, and underwent non–invasive tear breakup time (NITBUT) measurement, grading of distortion in reflected topographer mires, grading of lens surface wettability, and a fluorescein examination of the ocular surface. Subjects returned after at least 48 hrs and repeated all assessments after 6 hrs of wear of a second fresh pair of habitual lenses.ResultsThe repeatability of the DEFC between visits was within 1%, and Limits of Agreement and Coefficient of Repeatability were comparable to those of the other CLIDE assessments. Higher DEFC score was significantly related to shorter pre-lens NITBUT, higher OSDI score, and higher Visual Analog Scale (VAS) ratings of average and end-of-day severity and frequency of dryness (all p < 0.001). For CLIDE as diagnosed based on DEFC score, the highest sensitivities and specificities were achieved by the OSDI and VAS ratings; pre-lens NITBUT exhibited good sensitivity but poor specificity. The optimum pre-lens NITBUT diagnostic threshold was found to be ≤ 2.0 sec for debilitating CLIDE, and the OSDI threshold was ≥ 11.4.ConclusionsThe DEFC provides a means of quickly categorizing CLIDE patients based on severity and frequency of symptoms, and on the degree to which symptoms impact daily life. The DEFC has several potential advantages as a CLIDE screening and monitoring tool, has good repeatability, and is significantly related to commonly employed clinical assessments for CLIDE.

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“…12 Expected McMonnies scores are 11.7±6.0 for <25 year olds and 17.6±6.0 for >45 year olds. 13 OSDI scores of <12 indicates a normal result. 14…”

Section: Questionnairesmentioning

confidence: 99%

Clinical and biochemical analysis of the ageing tear film

et al. 2019

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BackgroundTear film stability is important for healthy visual function, and yet little is known of the ageing mechanisms. The aim of this study was to investigate parallels between biochemical changes and clinical physical parameters, which occur in the tear film of two subject populations differing in age by over 30 years.MethodsTwo distinct age groups were chosen: 11 ‘younger’ (23.7±2.1 years) and 19 ‘older’ (63.0±4.0 years) subjects. A series of clinical tests were performed to access tear volume, tear film stability and general ocular health. Tear protein analyses from extracted Schirmer strips were conducted with the Agilent 2100 Bioanalyzer.ResultsClinical investigations highlighted significant differences between the age groups. For example: McMonnies scores (p=0.009) and bulbar redness (p=0.038) were higher for the older group, whereas tear meniscus height was larger (p=0.018) in the younger group. Similarly, relative plasma-derived albumin levels were higher (17.1%±12.4%) in the tears of the older, compared with the younger (5.0%±9.6%) group. A protein peak at ∼23 kDa was observed in 53% of the older group samples but in only 36% of the samples of the younger subjects (p=0.122).ConclusionsDistinct differences in tear film composition between the two age groups were observed. Parallels in terms of clinical symptoms which reflected a biochemical response (and vice versa) were found, but specific correlations between clinical measurements and biomarkers for individual subjects were not observed.

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Accuracy of McMonnies Questionnaire as a Screening Tool for Chinese Ophthalmic Outpatients

Cited by 11 publications

References 30 publications

A Review of Dry Eye Questionnaires: Measuring Patient-Reported Outcomes and Health-Related Quality of Life

A Review of Dry Eye Questionnaires: Measuring Patient-Reported Outcomes and Health-Related Quality of Life

The Berkeley Dry Eye Flow Chart: A fast, functional screening instrument for contact lens-induced dryness

Clinical and biochemical analysis of the ageing tear film

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