The DEQ-5 (5-Item Dry Eye Questionnaire) is a validated clinical screening tool that takes about 2 minutes to complete. It has been validated against the more extensive OSDI (Ocular Surface Disease Index) and shows strong correlation with clinical dry eye diagnoses. Check each symptom you have experienced in the past week.
DEQ-5（5项干眼问卷）是一个经过验证的临床筛查工具，大约需要 2 分钟完成。它已经与更广泛的 OSDI（眼表疾病指数）进行了验证，并与临床干眼诊断显示出强相关性。勾选你在过去一周经历过的每种症状。
Rate each symptom from 0 (never) to 5 (constantly) based on the past week:
根据过去一周，对每种症状从 0（从未）到 5（持续）进行评分：
For a more precise assessment, the original DEQ-5 uses a specific frequency/intensity scoring system validated in clinical research. The simplified version above gives a reasonable estimate for self-screening purposes [1].
为了更精确的评估，原始的 DEQ-5 使用了在临床研究中验证的特定频率/强度评分系统。上述简化版本为自我筛查目的提供了合理的估计 [1]。
Add up your scores for each of the 5 symptoms. Here is what your total means [1]:
将你的 5 种症状分数相加。以下是总分含义 [1]：
Research shows that the DEQ-5 has a sensitivity of 75% and specificity of 76% for diagnosing dry eye disease at a cutoff score of ≥6. This means it correctly identifies about 3 out of 4 people with dry eye. It is not a substitute for a clinical diagnosis, but it is a reliable screening tool [1].
研究表明，在 ≥6 的分界分上，DEQ-5 诊断干眼病的敏感性为 75%，特异性为 76%。这意味着它正确地识别了大约 4 个干眼患者中的 3 个。它不能替代临床诊断，但它是可靠的筛查工具 [1]。
If your score puts you in the moderate or high-risk range, understanding the underlying cause is the next step. Dry eye disease is broadly classified into two types [2]:
如果你的分数将你置于中等或高风险范围，了解根本原因是下一步。干眼病大致分为两种类型 [2]：
Most screen-related dry eye is evaporative. When you do not blink fully or frequently enough, the meibum is not released from the glands. Over time, the glands become clogged and eventually atrophy. This is why blink training is so important — it is not just about keeping the eye wet; it is about keeping the oil glands functioning [2].
大多数与屏幕相关的干眼是蒸发过强型。当你没有完全或频繁地眨眼时，睑脂不会从腺体中释放出来。随着时间的推移，腺体变得堵塞并最终萎缩。这就是为什么眨眼训练如此重要——它不仅仅是保持眼睛湿润；它关乎保持油腺功能正常 [2]。
Action plan based on your score: Low risk (0-5) — maintain good habits. Moderate risk (6-12) — start using preservative-free artificial tears 3-4 times daily, practice blink exercises, take regular screen breaks. High risk (13-25) — schedule an eye exam within the next month. Request a meibomian gland evaluation and consider prescription treatments like cyclosporine (Restasis) or lifitegrast (Xiidra).
基于你评分的行动计划：低风险（0-5）——保持良好习惯。中等风险（6-12）——每天使用不含防腐剂的人工泪液 3-4 次，练习眨眼练习，定期屏幕休息。高风险（13-25）——在接下来一个月内安排眼科检查。要求进行睑板腺评估，并考虑处方治疗如环孢素或立他司特。
Three simple lifestyle changes can significantly reduce dry eye symptoms within 2-4 weeks [3]: (1) Increase your water intake — dehydration directly reduces tear production. Aim for 2+ liters per day. (2) Add omega-3 fatty acids to your diet (fatty fish, flaxseed, walnuts, or a supplement). Omega-3s improve meibum quality and reduce inflammation. (3) Use a warm compress on closed eyelids for 5-10 minutes daily. This melts the clogged meibum and improves gland function.
三种简单的生活改变可以在 2-4 周内显著减少干眼症状 [3]：（1）增加水分摄入——脱水直接减少泪液产生。目标是每天 2 升以上。（2）在饮食中添加 omega-3 脂肪酸（多脂鱼、亚麻籽、核桃或补充剂）。Omega-3 改善睑脂质量并减少炎症。（3）每天在闭合的眼睑上热敷 5-10 分钟。这融化堵塞的睑脂并改善腺体功能。
StarPupil's exercises include blink training and screen-break reminders to combat dry eye.StarPupil 的练习包括眨眼训练和屏幕休息提醒来对抗干眼。