Rasch Analysis of the Ocular Surface Disease Index (OSDI)

Dougherty, Bradley E; Nichols, Jason J.; Nichols, Kelly K.

doi:10.1167/iovs.11-8027

Cited by 134 publications

(119 citation statements)

References 29 publications

Supporting

Mentioning

115

Contrasting

Unclassified

Order By: Relevance

“…However, exploratory analyses suggested that dry eye symptoms were associated with visual Dry eye is one of the most common complications reported after LASIK surgery. 7,9,11,[35][36][37][38] Using the OSDI, with its limitations, 39 our findings for dry eye symptoms were incon- All correlations were performed using Spearman rank-order correlation coefficients (satisfaction score vs OSDI Score; all P < .001). Each panel shows analyses with satisfaction scores for 1 of 2 types of satisfaction: satisfaction with vision (A) and satisfaction with surgery (B).…”

Section: Discussionmentioning

confidence: 99%

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

et al. 2017

View full text Add to dashboard Cite

IMPORTANCE Patient-reported outcomes should be collected using validated questionnaires prior to and following laser in situ keratomileusis (LASIK) surgery.OBJECTIVE To report the frequency of patient-reported visual symptoms, dry eye symptoms, satisfaction with vision, and satisfaction with LASIK surgery in the Patient-Reported Outcomes With LASIK (PROWL) studies. DESIGN, SETTING, AND PARTICIPANTSThe PROWL-1 and PROWL-2 studies were prospective, observational studies conducted from September 13, 2011, to June 27, 2014. The PROWL-1 study was a single-military center study of 262 active-duty Navy personnel 21 to 52 years of age. The PROWL-2 study was a study of 312 civilians 21 to 57 years of age conducted at 5 private practice and academic centers. The LASIK surgery and the postoperative care were performed based on the usual practice and clinical judgment at the site. Participants completed a self-administered, web-based questionnaire, preoperatively and postoperatively at 1 and 3 months (the PROWL-1 and -2 studies) and at 6 months (the PROWL-2 study).EXPOSURES Participants underwent LASIK surgery for myopia, hyperopia, and/or astigmatism. MAIN OUTCOMES AND MEASURESVisual symptoms (double images, glare, halos, and/or starbursts), dry eye symptoms, participant satisfaction (with vision and LASIK surgery), and clinical measures (visual acuity, refractive error, and slitlamp and posterior segment eye examination findings) were assessed preoperatively and at 1, 3, and 6 months postoperatively.RESULTS A total of 262 participants were enrolled in the PROWL-1 study (mean [SD] age, 29.1 [6.1] years), and a total of 312 participants were enrolled in the PROWL-2 study (mean [SD] age, 31.5 [7.3] years). Visual symptoms and dissatisfaction with vision were common preoperatively. Overall, the prevalence of visual symptoms and dry eye symptoms decreased, although a substantial percentage of participants reported new visual symptoms after surgery (43% [95% CI, 31%-55%] from the PROWL-1 study and 46% [95% CI, 33%-58%] from the PROWL-2 study at 3 months). The percentages of participants in the PROWL-1 study with normal Ocular Surface Disease Index scores were 55% (95% CI, 48%-61%) at baseline, 66% (95% CI, 59%-72%) at 3 months, and 73% (95% CI, 67%-79%) at 6 months. The percentages of participants in the PROWL-2 study with normal Ocular Surface Disease Index scores were 44% (95% CI, 38%-50%) at baseline and 65% (95% CI, 59%-71%) at 3 months. Of those participants who had normal scores at baseline in both the PROWL-1 and -2 studies, about 28% (95% CI, 19%-37%) had mild, moderate, or severe dry eye symptoms at 3 months. While most participants were satisfied, the rates of dissatisfaction with vision ranged from 1% (95% CI, 0%-4%) to 4% (95% CI, 2%-7%), and the rates of dissatisfaction with surgery ranged from 1% (95% CI, 0%-4%) to 2% (95% CI, 1%-5%). CONCLUSIONS AND RELEVANCEThe systematic administration of a questionnaire to patients who have undergone LASIK surgery is a new approach to assess symptoms and satisfaction. Our findi...

show abstract

Section: Discussionmentioning

confidence: 99%

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

et al. 2017

View full text Add to dashboard Cite

show abstract

“…9 More detailed examination by an ophthalmologist may be warranted, as traditional tests like Schirmer's dry eye test (which uses paper strips to test for tear production) do not correlate well with symptoms.…”

Section: Brand Namementioning

confidence: 99%

Managing common eye problems in general practice

Robinson¹

2017

Prescriber

View full text Add to dashboard Cite

show abstract

“…All subjects were then asked to complete the Ocular Surface Disease Index (OSDI) questionnaire. 21,22 Clinical measurements were obtained from both eyes. When data were collected from the upper and lower eyelids for a single test, the means of these values were used unless otherwise noted, based on past findings.…”

Section: Study Visitmentioning

confidence: 99%

Associations with Meibomian Gland Atrophy in Daily Contact Lens Wearers

2016

Optometry and Vision Science

View full text Add to dashboard Cite

Purpose. To determine associations for contact lenses (CLs) and meibomian gland atrophy in a matched-pair study. Methods. Contact lens wearers (case) and age-and sex-matched nonYcontact lens (NCL) wearers with no history of CL use (control) were recruited for a multicenter study. All subjects were administered the Ocular Surface Disease Index questionnaire and a comprehensive battery of clinical tests (e.g., tear breakup time, bulbar and limbal redness, meibography, etc.) were performed. Upper and lower eyelid meibomian gland atrophy were graded with both digital meibography (percent gland atrophy) and visual meiboscore methods. Conditional logistic regression analyses were then used to determine relationships among CL use, meibomian gland atrophy, and ocular surface signs and symptoms. Results. A total of 70 matched pairs were analyzed. The mean (TSD) age of the CL group was 30.6 (T12.4) years, and that of the NCL group was 30.1 (T12.2) years. The subjects were 63% female. The association between CL wear and meiboscore was not significant univariately, but the best-fitting multivariate regression model showed that higher meiboscores were associated with being a CL wearer (odds ratio [OR], 2.45) in a model that included eyelid margin erythema (OR, 0.25) and lissamine green staining (OR, 1.25). Percent gland atrophy was not associated with CL wear in regression analysis (p = 0.31).Conclusions. This study determined inconclusive associations with CLs and meibomian gland atrophy. This study also provided a comprehensive assessment of differences between CL and NCL wearers. (Optom Vis Sci 2015;92:e206Ye213)

show abstract

Rasch Analysis of the Ocular Surface Disease Index (OSDI)

Abstract: All items demonstrated acceptable fit to the model after collapsing categories to order the response thresholds. The original subscales did not prove valid, and there is some evidence of multidimensionality and poor targeting.

Cited by 134 publications

References 29 publications

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

Managing common eye problems in general practice

Associations with Meibomian Gland Atrophy in Daily Contact Lens Wearers

Contact Info

Product

Resources

About