Ocular Surface Disease Index (OSDI©)
Report Generated:
Patient Name:
Clinician/Notes:
(4)
All of the time
(3)
Most of the time
(2)
Half of the time
(1)
Some of the time
(0)
None of the time
1. Ocular Symptoms
During the last week...
4
3
2
1
0
2. Vision-Related Function
Have problems limited you in...
4
3
2
1
0
N/A
3. Environmental Triggers
Eyes felt uncomfortable in...
4
3
2
1
0
N/A
OSDI Score:
0
/ 100
(Score Range: 0-12 Normal, 13-22 Mild, 23-32 Moderate, 33-100 Severe)
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