Purpose

To determine (1) the factors associated with a high degree of self-reported symptoms with Japanese translations of the 8-Item Contact Lens Dry Eye Questionnaire (J-CLDEQ-8) in a cross-section of soft contact lens (SCL) wearers in Japan and (2) whether the difference in translation of the CLDEQ-8 affects the scores between validated and non-validated versions of the Japanese translation.

Methods

Habitual SCL wearers completed the validated J-CLDEQ-8 and a previous non-validated version. Demographics and SCL history questions were queried when they presented for routine eye care in nine geographically distinct clinics across Japan. The following risk factors for high J-CLDEQ-8 scores (≥11) were tested: sex, age, SCL replacement (daily disposable vs. bi-weekly and monthly reusable), years of SCL wear, and self-reported use of rewetting drops. The scores of the validated and non-validated questionnaires were compared.

Results

Significant patient-related risk factors for high J-CLDEQ-8 scores were female sex, use of reusable SCLs, longer years of SCL wear, and use of rewetting drops. Scores for six out of eight questions in the validated J-CLDEQ-8 were significantly higher than those of the non-validated version, resulting in a significant difference in the average total score between the two questionnaires (validated J-CLDEQ-8: 10.5 ± 5.9 vs non-validated J-CLDEQ-8: 9.5 ± 5.8, P < 0.001).

Conclusions

Female sex, use of reusable SCLs, longer years of SCL wear, and use of rewetting drops were significant risk factors for high J-CLDEQ-8 scores in a cross-sectional clinical population of Japanese SCL wearers. Symptoms with SCL are not predicted by age and must therefore be queried at follow-up visits for all SCL wearers. Differences in the two translations affected the ability of the questionnaire to identify individuals with high symptoms associated with SCL wear.

中文翻译：

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日本软性隐形眼镜配戴者8项隐形眼镜干眼问卷评分影响因素及译文比较

目的

确定 (1) 与软性隐形眼镜 (SCL) 佩戴者横截面的 8 项隐形眼镜干眼问卷 (J-CLDEQ-8) 日语翻译的高度自我报告症状相关的因素在日本和 (2) CLDEQ-8 的翻译差异是否影响日语翻译的验证版本和非验证版本之间的分数。

方法

习惯性 SCL 佩戴者完成了经过验证的 J-CLDEQ-8 和之前未经验证的版本。当他们在日本九个不同地理位置的诊所进行常规眼科护理时，会询问人口统计学和 SCL 病史问题。测试了以下导致高 J-CLDEQ-8 评分 (≥11) 的风险因素：性别、年龄、SCL 更换（每日一次性与每两周和每月可重复使用）、SCL 磨损年限以及自我报告的再润湿使用情况滴。比较已验证和未验证问卷的分数。

结果

高 J-CLDEQ-8 评分的重要患者相关风险因素是女性、使用可重复使用的 SCL、SCL 磨损年限较长以及使用再润湿滴剂。经验证的 J-CLDEQ-8 中八个问题中有六个的分数显着高于未经验证的版本，导致两份问卷的平均总分存在显着差异（经验证的 J-CLDEQ-8：10.5 ± 5.9 对比未经验证的 J-CLDEQ-8：9.5 ± 5.8，P < 0.001）。

结论

在日本 SCL 佩戴者的横断面临床人群中，女性、使用可重复使用的 SCL、佩戴 SCL 的时间更长以及使用润湿滴剂是 J-CLDEQ-8 评分较高的重要危险因素。SCL 的症状不能按年龄预测，因此必须在对所有 SCL 佩戴者进行随访时询问。两种翻译的差异影响了问卷识别具有与 SCL 磨损相关的严重症状的个体的能力。