Aim

To identify and assess the quality of current validated questionnaires that could be used to evaluate ocular neuropathic pain and its associated aetiologies.

Methods

A literature search was performed on MEDLINE, PubMed, EMBASE, PsycINFO and The Cochrane Library. Articles evaluating questionnaires for ocular neuropathic pain and its associated aetiologies were included. Data on psychometric properties, validity, and reliability of the questionnaires was extracted and analysed using a set of quality criteria. Clinical and demographical associations with ocular neuropathic pain were also reviewed.

Results

The search generated 1738 results with 61 publications meeting the inclusion criteria. The 61 publications covered 28 questionnaires including 3 ocular pain, 12 dry eye disease, 2 blepharitis, 2 refractive surgery, 3 contact lens wear, 3 Sjogren's Syndrome, and 3 that were non-disease-specific. Only 57 publications provided enough data on psychometric properties and validity of the questionnaire to be included for quality assessment. The Contact Lens Discomfort Index (CLDI) had the highest rated psychometric properties, whereas the English version of the Ocular Comfort Index (OCI) provided the most data on psychometric properties (9 out of 10 criteria). Most ocular pain and disease-specific questionnaires contained appropriate items to assess ocular pain in specific populations. However, non-disease-specific ophthalmic questionnaires demonstrated poor reliability and validity when evaluating ocular pain.

Conclusion

Ocular pain questionnaires can potentially diagnose ocular neuropathic pain. Disease-specific questionnaires were limited to their target populations, and non-disease-specific ophthalmic questionnaires were unreliable. Further studies are required to determine the most appropriate questionnaire to evaluate ocular neuropathic pain.

中文翻译：

---

眼神经性疼痛的评估

目的

确定和评估当前经过验证的问卷的质量，这些问卷可用于评估眼神经性疼痛及其相关病因。

方法

在 MEDLINE、PubMed、EMBASE、PsycINFO 和 Cochrane 图书馆上进行了文献检索。评估眼神经性疼痛及其相关病因的调查问卷的文章也包括在内。使用一组质量标准提取和分析问卷的心理测量特性、有效性和可靠性数据。还回顾了与眼神经性疼痛的临床和人口统计学关联。

结果

检索产生 1738 个结果，其中 61 篇出版物符合纳入标准。这 61 篇出版物涵盖了 28 份调查问卷，其中包括 3 份眼痛调查问卷、12 份干眼病调查问卷、2 份睑缘炎调查问卷、2 份屈光手术调查问卷、3 份隐形眼镜佩戴调查问卷、3 份干燥综合症调查问卷和 3 份非疾病特异性调查问卷。只有 57 份出版物提供了足够的有关心理测量特性和问卷有效性的数据，可纳入质量评估。隐形眼镜不适指数 (CLDI) 具有最高的心理测量特性，而英文版的眼部舒适指数 (OCI) 提供了最多的心理测量特性数据（10 个标准中的 9 个）。大多数眼痛和疾病特异性调查问卷包含评估特定人群眼痛的适当项目。然而，非疾病特异性眼科问卷在评估眼痛时表现出较差的信度和效度。

结论

眼痛问卷可以潜在地诊断眼神经性疼痛。疾病特异性问卷仅限于目标人群，非疾病特异性眼科问卷不可靠。需要进一步的研究来确定最合适的问卷来评估眼神经性疼痛。