Delphi Expert Consultation Questionnaire (Round 1)

Dear Professor,

Greetings!

We sincerely appreciate your kind participation in the Delphi study on the development of a pediatric dry eye questionnaire. Your professional judgment and valuable insights will provide important guidance to ensure the scientific rigor of this research.

This round of consultation will be conducted in the form of an electronic questionnaire. You are kindly invited to complete it based on your professional knowledge and clinical experience. All responses will be kept strictly confidential and used solely for research analysis. Once again, thank you for your time and support.

I. Basic Information
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1. Name:
*
2. Institution
*
3. Professional Title
*
4. Age
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5. Field of Expertise:
A. Corneal Diseases
B. Non-corneal Ophthalmology
C. Epidemiology
D. Biostatistics
E. Other (please specify):
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6. Years of Experience with Dry Eye/Corneal Diseases:
A. <10 years
B. 10–20 years
C. 20–30 years
D. 30–40 years
II. Please evaluate the following statements regarding the dimensions (subscales) of the pediatric dry eye questionnaire.
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1. The pediatric dry eye questionnaire should include an assessment of ocular symptoms.
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
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2.The pediatric dry eye questionnaire should include an assessment of ocular discomfort under specific situations.
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
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3.The pediatric dry eye questionnaire should include an assessment of relevant medical history.
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
III. Please evaluate the relevance and diagnostic importance of the following items for pediatric dry eye.


(1) Symptom-related items

Please rate the importance and the relevance of the following symptom items for diagnosing pediatric dry eye.

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1. Eye pain
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
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2. Dryness in the eyes
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
3. Feeling as if there is sand or a foreign body in the eyes
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
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4. Itchy eyes with an urge to rub them
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
5. Eye fatigue
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
6. Sensitivity to light (photophobia)
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
7. A desire to keep the eyes closed due to discomfort
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
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8. Blurred vision that improves after blinking
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
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9. Increased eye discharge
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
10. Increased blinking frequency
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
11. Redness of the eye
Not important
Slightly important
Moderately important
Important
Very important
(2) Situation-related items

Please rate the importance and relevance of ocular discomfort occurring in the following situations for the diagnosis of pediatric dry eye.

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12. After proloning or writing homework
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
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13. When using electronic devices such as mobile phones or computers
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
14. Under indoor lighting or when a desk lamp is turned on
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
15. Under strong sunlight, such as when playing on the playground
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
*
16. In windy conditions
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
(3) Medical history–related items

Please rate the importance and relevance of the following medical history factors for the diagnosis of pediatric dry eye.

*
17. Duration of contact lens wear (including orthokeratology lenses and soft defocus lenses).
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
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18. Average daily frequency of eye drop use over the past month
Not important
Slightly important
Moderately important
Important
Very important
Other suggestions
IV. Expert Self-Evaluation

(1) Basis and extent of influence of your judgments on the above items

Please indicate the extent to which each of the following factors influenced your judgments.

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1. Practical experience:
A. Small influence
B. Moderate influence
C. Large influence
*
2. Theoretical analysis:
Small influence
Moderate influence
Large influence
*
3. Reference to domestic or international literature:
Small influence
Moderate influence
Large influence
*
4. Intuitive perception:
Small influence
Moderate influence
Large influence
*
(2) Your level of familiarity with the topic of this survey:
Not familiar
Slightly familiar
Moderately familiar
Familiar
Very familiar
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