乾眼症評估 1
Réspa — 診前臨床評估 (OSDI)
完成診前問卷,協助視光師為您的報告作準備。
Section A — Symptom Frequency: In the last 7 days, have you experienced:
Always (4)
Mostly (3)
Half (2)
Some (1)
Never (0)
1. Light sensitivity?
2. Gritty/Sandy sensation?
3. Ocular pain or soreness?
4. Episodes of blurred vision?
5. General poor vision?
Section B — Functional Impact: Has your vision limited these daily activities?
Always (4)
Mostly (3)
Half (2)
Some (1)
Never (0)
N/A
6. Reading?
7. Night driving?
8. Computer or digital screens?
9. Watching TV?
Section C — Environmental Triggers: Did your eyes feel uncomfortable during:
Always (4)
Mostly (3)
Half (2)
Some (1)
Never (0)
N/A
10. Windy conditions?
11. Low humidity/Dry air?
12. Air-conditioned environments?