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Ocular Surface Disease Index questionnaire in different languages.

Mohammed Aljarousha1, Waleed M Alghamdi2, Sara Attaallah1

  • 1Department of Optometry and Vision Science, Faculty of Health & Life Sciences, Management and Science University, Malaysia.

Medical Hypothesis, Discovery & Innovation Ophthalmology Journal
|March 11, 2025
PubMed
Summary

The Ocular Surface Disease Index (OSDI) questionnaire, used for diagnosing dry eye syndrome (DES), has been successfully translated and validated in nine languages. These validated OSDI versions ensure accurate assessment and management of DES globally.

Keywords:
cronbach’s alphadry eye diseasequestionnairetranslationsvalidity and reliability

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Area of Science:

  • Ophthalmology
  • Clinical Assessment Tools
  • Patient-Reported Outcomes

Background:

  • The Ocular Surface Disease Index (OSDI) is a validated 12-item questionnaire for assessing dry eye syndrome (DES).
  • It is known for its high reliability and validity in diagnosing visual disability caused by DES.
  • The OSDI aims for rapid diagnosis, distinguishing it from more complex assessment tools.

Purpose of the Study:

  • To provide a comprehensive overview of studies translating and validating the OSDI questionnaire in various languages.
  • To assess the reliability and validity of translated OSDI versions for global use.
  • To highlight the importance of language-inclusive tools in dry eye disease assessment.

Main Methods:

  • A systematic literature search was conducted on PubMed/MEDLINE and Google Scholar for OSDI validation studies.
  • Keywords included 'Ocular Surface Disease Index-12 questions,' 'translation and validation,' and 'cross-cultural adaptation.'
  • Thirteen full-text articles detailing the translation and validation of the OSDI into nine languages were reviewed.

Main Results:

  • The OSDI questionnaire was translated and validated into nine languages: Italian, Arabic, Chinese, Chilean Spanish, Japanese, Filipino, Farsi, Bahasa Melayu, and Brazilian Portuguese.
  • Most translated versions demonstrated high internal consistency, reliability, test-retest repeatability, and discriminant validity.
  • Standard guidelines were generally followed during the translation and clinical validation phases.

Conclusions:

  • Validated multilingual versions of the OSDI questionnaire effectively remove language barriers in DES assessment.
  • These versions are reliable tools for clinical practice and research in ophthalmology worldwide.
  • The widespread validation of the OSDI enhances the global evaluation and management of dry eye disease.