G R HardwickOptometrists
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McMonnies' Dry Eye Questionairre

1. Have you ever had drops or other treatments prescribed for Dry Eyes?
  • Yes 2
  • No 1
  • Uncertain 0

2. Do you ever experience any of the following dry eye symptoms:
  • Soreness 1
  • Scratchiness 1
  • Dryness 1
  • Grittiness 1
  • Itching 1

3. How often do your eyes have these symptoms?
  • Never 0
  • Sometimes 1
  • Often 2
  • Constantly 3

4. Are your eyes usually sensitive to cigarette smoke, air conditioning or central heating?
  • Yes 2
  • No 0
  • Sometimes 1

5. Do you eyes become very red when swimming?
  • Not applicable 0
  • Yes 2
  • No 0
  • Sometimes 1

6. Are your eyes dry or irritated the day after drinking alcohol?
  • Not applicable 0
  • Yes 2
  • No 0
  • Sometimes 1

7.  Do you take anti-histamine tablets?
  • Yes 1
  • No 0

8. Do you use Anti-histamine eye drops?
  • Yes 1
  • No 0

9. Do you take diuretics? (fluid/water tablets)
  • Yes 1
  • No 0

10. Do you suffer from Arthritis?
  • Yes 2
  • No 0
  • Uncertain 1

11. Do you suffer from dryness of the nose, mouth, throat, chest or vagina?
  • Never 0
  • Sometimes 1
  • Often 2
  • Constantly 3


12. Do you suffer from thyroid abnormalities?
  • Yes 2
  • No 0
  • Uncertain 1

13. Are you known to sleep with your eyes partly open?
  • Yes 2
  • No 0
  • Sometimes 1

14. Do you have eye irritation on waking from sleep?
  • Yes 2
  • No 0
  • Sometimes 1

Gender:                            Age                                  Score
Male or Female                Under 25                         0
Male                                  25-45                               1
Female                              25-45                               2
Male                                  Over 45                           3
Female                              Over 45                           4
This questionnaire was developed in the 1980's by McMonnies' & Ho. It is used to evaluate the presence of dry eye.

Answer the questions as honestly as possible and the add up the score of your answers. A score of above 10 will indicate the presence of dry eye, however, a score of over 20 will indicate clinically significant dry eye.
This simple test will indicate the presence of a dry eye problem but will only give a crude measure of it's severity. If you would like to classify the severity in more detail please click below to be taken to the Ocular Surface Disease Score questionnaire.
OSDI
G R Hardwick (Optometrist) |16 Rossall Road | Cleveleys | FY5 1AP | TEL: 01253 853030
  • Home
    • Optometrists
    • Opticians
    • Support Staff
  • Services
    • Professional Eyecare
    • VisionCare Scheme
    • OCT Retinal Scans
    • Childrens Eyecare
    • Emergency Eyecare
    • Onsite Workshop
    • Low Visual Needs
    • Post-Operative Care
    • Common Eye Conditions >
      • AMD
      • Blepharitis
      • Cataract
      • Conjunctivitis
      • Contact Lens Related Red Eye
      • Dry Eye
      • Flashes & Floaters
      • Glaucoma
      • Keratoconus
      • Naevi
      • Pinguecula & Pterygium
      • Refraction
      • Sub-Conjunctival Haemorrhage
    • NHS Entitlements
  • Contact Lenses
    • Soft Lenses >
      • Daily Disposables
      • Monthly Replacement
      • Lenses for Astigmatism
      • Lenses for Presbyopia
      • Coloured Lenses
    • EyeDream - Orthokeratology
    • Care & Handling Advice
    • Order CL's Online
  • Eyewear
    • Lenses >
      • Lens Design
      • B.I.G. Vision
      • Progressive Lenses
      • Rodenstock Road
      • Near Vision Lenses
      • Photochromic Lenses
      • Coatings & Tints
      • Lens Materials
    • MYOPIA CONTROL
    • Frames >
      • Luxury Eyewear
      • Sustainable Eyewear
    • Kids Eyewear
    • Sunglasses >
      • Serengeti
      • Evil Eye
      • Bolle
      • Rodenstock SunProtect
    • Sports Eyewear
  • Contact Us
    • Make an Appointment
    • Order CL's Online
    • Promotions
    • Policy Documents
    • LVA SCHEME
  • Store