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. Author manuscript; available in PMC: 2010 Feb 9.
Published in final edited form as: Ophthalmology. 2008 Nov 18;116(1):139. doi: 10.1016/j.ophtha.2008.08.043

Table 1.

Twenty items selected for the final questionnaire, divided into psychosocial and function sub-scales.

Psychosocial sub-scale:
1) I worry about what people will think about my eyes
2) I feel that people are thinking about my eyes even when they don’t say anything
3) I feel uncomfortable when people are looking at me because of my eyes
4) I wonder what people are thinking when they are looking at me because of my eyes
5) People don’t give me opportunities because of my eyes
6) I am self conscious about my eyes
7) People avoid looking at me because of my eyes
8) I feel inferior to others because of my eyes
9) People react differently to me because of my eyes
10) I find it hard to initiate contact with people I don’t know because of my eyes
Function sub-scale:
11) I cover or close one eye to see things better
12) I avoid reading because of my eyes
13) I stop doing things because my eyes make it difficult to concentrate
14) I have problems with depth perception
15) My eyes feel strained
16) I have problems reading because of my eye condition
17) I feel stressed because of my eyes
18) I worry about my eyes
19) I can’t enjoy my hobbies because of my eyes
20) I need to take frequent breaks when reading because of my eyes