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HPMC Survey

A cross-sectional, observational survey study to understand the role of Hydroxypropyl methyl cellulose (HPMC) eye drops in management of dry eye disease

(To be filled only by physician)

  1. How long have you been practicing?*

  2. Are you a specialist in the management of dry eye disease? *

  3. Type of Practice *

  4. As per your clinical practice, what is the approximate number of patients diagnosed with Dry eye disease (DED) every month?*

  5. As per your clinical practice, which is the most common age group in patients diagnosed with Dry eye disease (DED)? *

  6. What is the approximate percentage of dry eye patients seen by you across the following age groups : *
    7. %
    %
    %
    %
    %
  7. As per your clinical practice, kindly provide the approximate break-up of patients with Dry eye disease on the basis of duration of diagnosis? *
    8. %
    %
    %
    %
    Total
    100 %
  8. As per your clinical practice, which is the most common causes in patients diagnosed with Dry eye disease (DED), as observed in your practice? (Tick all applicable) *

  9. Which of the following tests do you most often use to evaluate dry eye disease? (Tick all applicable) *

  10. On average, how much time do you spend examining dry eye patients? *

  11. On average, how much time do you spend talking with your patients? *

  12. As per your clinical practice, kindly provide the approximate break-up of patients with Dry eye disease on the basis of dry eye disease type? *
    13. %
    %
    %
    %
    Total
    100 %
  13. What is the approximate percentage of dry eye disease patients with co-morbidities, as per observations in your practice? (Please tick the applicable option) *

  14. Kindly rank the most common co-morbidities observed in Dry eye disease patients as per your practice? *
    (Please rank from rank 1 to rank 5 as from most common to least common comorbidity)
    15. Glaucoma
    Post-operative
    Rheumatoid arthritis
    Diabetes
    Any other
  15. As per your clinical practice, which are the most common symptoms in patients diagnosed with Dry eye disease (DED), as observed in your practice? (Please tick the applicable option) *

  16. How frequently are the patients with dry eye disease required to follow-up ? (Please tick the applicable options)*

  17. What is the main test you use to monitor the treatment effect? *

  18. What is the approximate percentage of patients with dry eye disease requiring artificial tear formulations, as per your practice?*

  19. What are the factors that affect your choice of tear substitutes? (Tick all the applicable options) *

  20. Is there one artificial tear you prefer? *

  21. As per your clinical practice, kindly rank your preferred tear substitutes/ ocular lubricants in patients diagnosed with dry eye disease? (Kindly specify the rankings in front of each agent as per your preference) *

  22. What is the approximate percentage of patients diagnosed with dry eye disease requiring HPMC eye drops as per your practice?*

  23. As per your practice, what is the approximate percentage of below mentioned patients might have complaints of dry eye disease? (Please tick the applicable option for each of the conditions) *
    24. 1-5% 5-10% 10-30% 30-50% More than 50%
    Post-LASIK
    Post-Cataract
    Post Photorefractive Keratectomy
  24. As per your practice, what is the preferred treatment option for below mentioned patients with complaints of dry eye disease? (Please tick the applicable option for each of the conditions) *
    25. Cellulose based Dextran based Gelatin based Any other
    Post-LASIK
    Post-Cataract
    Post Photorefractive Keratectomy
  25. As per your practice, what is the appropriate reasons for prescribing HPMC eye drops treatment option in your patients for below mentioned patients with complaints of dry eye disease? (Please tick the applicable option for each of the conditions)*
    26. Better symptomatic relief Better improvement in clinical signs Improvement in vision quality Cost/ availability Any other
    Post-LASIK
    Post-Cataract
    Post Photorefractive Keratectomy
  26. As per your clinical practice, does your treatment option varies according to the below mentioned parameters in patients diagnosed with Dry eye disease (DED) ? (Please specify yes or No) *

  27. For which of the following complaints, as per your practice require HPMC eye drops?*

  28. As per your clinical practice, kindly provide the approximate break-up of use of HPMC eye drops in different categories of Dry eye disease patients on the basis of severity? *
    29. %
    %
    %
    Total
    100 %
  29. As per your clinical practice, kindly provide the approximate break-up of usage of HPMC eye drops in percentages for the frequency of administration advised? (Please tick the applicable option) *
    30. %
    %
    %
    %
    Total
    100 %
  30. How would you rate the efficacy of HPMC eye drops in providing relief from symptoms of dry eye? (Please tick the applicable option)**

  31. What is the advantage of HPMC eye drops over other treatment options as per observations in your practice?*

  32. What is the average duration of therapy advised for HPMC eye drops as per your practice?*

  33. How would you rate the efficacy of HPMC eye drops in providing relief in terms of improvement of soreness/irritation? (Please tick the applicable option) *

  34. How would you rate the efficacy of HPMC eye drops in providing relief in terms of symptom control of dryness? (Please tick the applicable option) *

  35. Any other medication which you use concomitantly with of HPMC eye drops in patients with dry eye disease? *

  36. How would you rate the efficacy of HPMC eye drops in providing relief in terms of improvement of eye fatigue? (Please tick the applicable option) *

  37. How would you rate the efficacy of HPMC eye drops in providing relief in terms of improvement of burning sensation in patients with dry eye disease? (Please tick the applicable option) *

  38. How would you rate HPMC eye drops in terms of compliance in patients with dry eye disease? (Please tick the applicable option) *

  39. As per your clinical practice, kindly specify the other class of drug given along with HPMC eye drops in patients with dry eye disease? (Please tick all the applicable options) *

  40. As per your practice, how would you rate the efficacy of HPMC eye drops in your patients for below mentioned patients with complaints of dry eye disease? (Please tick the applicable option for each of the conditions)*
    41. Strongly recommended Recommended Neutral Not recommended
    Post-LASIK
    Post-Cataract
    Post Photorefractive Keratectomy