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. 2024 Jan 4;9(1):e001584. doi: 10.1136/bmjophth-2023-001584

Table 3.

Pearson correlations (R) between dry eye (DE) disease and sleep metrics

PSQI total PSQI 1 subjective quality PSQI 2 latency PSQI 3 duration PSQI 4 efficiency PSQI 5 disturbance PSQI 6 medication PSQI 7 daytime dysfunction
Ocular symptoms
 DEQ-5 0.41* 0.43* 0.27* 0.27* 0.23* 0.44* 0.05 0.40*
 OSDI 0.43* 0.47* 0.23* 0.26* 0.14 0.49* 0.13 0.37*
 NRS (right now) 0.30* 0.34* 0.13 0.15 0.06 0.36* 0.12 0.30*
 NRS (average of 1 week) 0.32* 0.36* 0.12 0.20* 0.14 0.41* 0.07 0.31*
 NRS (worst in 1 week) 0.31* 0.34* 0.11 0.18* 0.10 0.45* 0.06 0.30*
 NPSI-E 0.35* 0.37* 0.10 0.22* 0.03 0.44* 0.16 0.44*
 CISS 0.48* 0.48* 0.21* 0.29* 0.13 0.51* 0.19* 0.56*
Ocular surface exam†
 Eyelid laxity upper 0.04 0.04 0.02 −0.09 0.06 −0.02 0.09 0.00
 Eyelid laxity lower 0.04 0.05 0.03 −0.01 0.03 0.00 0.12 −0.04
 Ocular surface inflammation 0.20* 0.29* 0.16 0.06 0.11 0.14 0.00 0.20*
 Corneal sensation 0.19* 0.05 0.14 0.05 0.09 0.19 0.07 0.14
 Anterior blepharitis 0.08 0.03 0.05 0.09 0.11 0.03 0.00 −0.01
 Conjunctivochalasis 0.22* 0.14 0.07 0.18* 0.13 0.11 0.11 0.22*
 Tear break-up time −0.12 −0.03 −0.14 −0.07 −0.12 0.02 −0.12 0.08
 Papillary conjunctivitis −0.01 −0.04 −0.05 −0.09 0.01 0.01 0.07 −0.14
 Corneal stain 0.09 0.07 −0.04 0.11 0.13 0.08 −0.01 0.00
 Schirmer score 0.05 0.02 0.13 0.06 0.05 −0.04 −0.13 0.15
 Vascularity −0.05 −0.04 −0.12 −0.09 −0.01 0.03 0.06 −0.07
 Meibum quality 0.17 0.29* 0.07 0.22* 0.03 0.00 0.09 0.07

*Correlation is significant at the 0.05 level (two tailed).

†Measurement from more severely affected eye.

‡Green = positive correlation, red = negative correlation.

CISS, Convergence Insufficiency Symptoms Survey; DEQ-5, 5-Item Dry Eye Questionnaire; NPSI-E, Neuropathic Pain Symptom Inventory modified for the Eye; NRS, Numerical Rating Scale; OSDI, Ocular Surface Disease Index; PSQI, Pittsburgh Sleep Quality Index.