SPEED Dry Eye Questionnaire

It is helpful to ask patients about the severity of their dry eye symptoms and how they are responding to treatment.

You can get a general sense by asking patients to rate the severity of their symptoms on a scale of 0 to 10. However, there are a number of tools available that have been scientifically validated to assess this more accurately.

One of these tests is the SPEED test (Standard Patient Evaluation of Eye Dryness) and, like it’s name, it is quick and easy to do. There are just 8 questions which are answered on a scale of 0 to 4 where zero is “no problem” and 4 is “intolerable”. These scores are added together to come up with an overall score.

Any score over 6 means that the current treatment regimen needs to be re-evaluated to see if the condition can be brought under better control.

Here is  the test. Take it now and see where you stand.

speed questionnaire

If you are more then 6 then schedule an appointment to see what else can be done.

A copy can be downloaded from here.

Another well-known test is the OSDI (Ocular Surface Diseases Index). This tends to capture the quality of life of a dry eye patient. Again this test comes up with a global number to indicate the severity of the symptoms.

A copy can be downloaded here

There is also a handy app that automatically calculates the OSDI score which is called the Dry Eye OSDI questionnaire and is free from the iTunes app store.

The responses to the questionnaires can have a big influence on treatment decisions. The more severely symptomatic the patient is, the more aggressive the therapy. They can uncover the “silent sufferers” for who dry eye has become the “new normal” and they are also very useful to track the progress of treatment over time.