J Korean Ophthalmol Soc > Volume 51(9); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(9):1179-1183.
DOI: https://doi.org/10.3341/jkos.2010.51.9.1179    Published online September 15, 2010.
Levels of Severity in Dry Eye Syndrome According to Delphi Panel Classification.
So Hyang Chung, Kyung Sun Na, Hyung Goo Kwon, Hyun Soo Lee, Su Young Kim, Eun Chul Kim, Yang Kyeung Cho, Eun Jeong Jeon, Hyun Seung Kim, Sung Keun Chung, Choun Ki Joo, Man Soo Kim
Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Seoul, Korea. mskim@catholic.ac.kr
건성안 증후군의 델피 패널에 따른 분류
정소향ㆍ나경선ㆍ권형구ㆍ이현수ㆍ김수영ㆍ김은철ㆍ조양경ㆍ전은정ㆍ김현승ㆍ정성근ㆍ주천기ㆍ김만수
Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Seoul, Korea
Abstract
PURPOSE
To investigate levels of severity in dry eye syndrome according to Delphi panel classification. METHODS: Three hundred and twenty-two eyes of 166 patients with dry eye syndrome that did not have coexisting lid margin disease or altered tear distribution and clearance were categorized into 1 of 4 levels of severity, according to the symptoms and signs in the Delphi panel classification. A symptom score was proposed depending on the frequency and impact on the quality of life. Degree of corneal staining using Lissamin green was categorized using the Oxford Scheme. In addition, measurement of the tear film break-up time (BUT) and Schirmer test were performed. RESULTS: According to the levels of severity in the Delphi panel classification, 120 eyes (37.26%) were categorized as level1, 166 eyes (51.55%) as level 2, 30 eyes (9.31%) as level 3, and 6 eyes (1.86%) as level 4. Negative correlations were observed between the levels of severity, BUT, and measurements of the Schirmer test (p<0.001). CONCLUSIONS: Of the 166 eyes with dry eye syndrome that did not have coexisting lid margin disease and altered tear distribution and clearance, 51.55% of eyes were classified as level 2, and 88.81% of eyes were classified as level 1 and level 2.
Key Words: Delphi panel classification;Dry eye syndrome;Severity


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