목적: 안구건조증 평가를 위한 세 종류의 설문지와 타각적 검사의 일치도를 비교하였다. 방법: 성인 90명을 대상으로 세 종류의 설문지(SPEED, OSDI, TERTC-DEQ)와 타각적 검사(NIBUT, Schirmer test)를 시행하여 건성안과 정상안을 구분하고 세 설문지와 타각적 검사의 일치도를 비교, 분석하였다. 결과: NIBUT 검사와 각 설문지 간의 일치도는 SPEED의 경우 83.3%, OSDI의 경우 77.8%, TERTC의 경우 72.3%로, SPEED가 가장 높은 일치도를 보였다. Schirmer test와 각 설문지 간의 일치도는 SPEED의 경우 57.8%, OSDI의 경우 58.9%, TERTC의 경우 73.3%로, TERTC가 일치도는 높았지만 전반적으로 Schirmer test에서는 NIBUT 검사보다 낮은 일치도를 나타냈다. 결론: 안구건조증은 SPEED의 설문지가 타각적 검사와 가장 높은 일치도를 보였으며, SPEED가 안구건조증 평가에 유용하게 사용할 수 있을 것으로 사료된다.
Purpose: This study is to evaluate the accuracy of dry eye screening test by comparing coincidences between three types of questionnaires and objective tests. Methods: 90 adults were classified into the normal and dry eye groups using evaluations of three types of questionnaires (SPEED, OSDI, TERTC-DEQ) and objective tests (NIBUT, Schirmer test). Coincidences-between the results of objective tests and questionnaires were compared and analyzed for dry eye diagnosis. Results: Coincidences between NIBUT test and each questionnaire were 83.3% by SPEED, 77.8% by OSDI and 72.3% by TERTC-DEQ, respectively. Concordance by SPEED was highest among three types of questionnaire. Coincidences between the Schirmer test and each questionnaire were 57.8% by SPEED, 58.9% by OSDI and 73.3% by TERTC-DEQ, respectively, thus coincidence by TERTC was higher than by others. But coincidences by Schirmer test were generally lower than those by NIBUT test. Conclusions: SPEED questionnaire showed the highest concordance with objective test as compared with others. Therefore, SPEED is expected to be used usefully to diagnose dry eyes.
