INCLUSION CRITERIA:
The study cohort will be comprised of eighty (80) participants diagnosed with OSD and 40 controls without OSD comprised of similar numbers of men and women.
INCLUSION CRITERIA FOR OSD GROUP:
-Patients greater than or equal to 21 years of age with a diagnosis of ocular surface disease confirmed by investigator.
-Schirmer I less than or equal to 10 mm wetting over 5 minutes or tear breakup time less than or equal to 10 seconds.
-Best corrected binocular visual acuity at intermediate and near equal to or greater than 20/40 (Jaeger 3).
-Literacy and fluency in English sufficient to follow study instructions and likely to be able to comprehend the questionnaires.
-Ability and willingness to complete the study protocol.
EXCLUSION CRITERIA FOR OSD GROUP:
-Ocular surgery or infection within 3 months of study enrollment.
-Inability to obtain appropriate consent.
-Allergy or sensitivity to any medication used in study.
-Subject has a situation or condition, which in the investigator's opinion, may put the subject at a significant risk, may confound the study result, or may interfere significantly with the participation in the study.
-Systemic anxiolytics or antidepressants.
-Uncontrolled systemic disease.
-Active ocular disease other then ocular surface disease.
-Any disability preventing timely, efficient completion of writing or keyboarding tasks.
-Incapable of providing informed consent.
-Monocular vision (legal blindness in one eye ).
INCLUSION CRITERIA FOR CONTROL GROUP:
-Age greater than 21 years.
-Schirmer I test greater than 10 mm wetting over 5 minutes and tear breakup time greater than 10 seconds.
-Best corrected binocular visual acuity at intermediate and near equal to or greater than 20/40 (Jaeger 3).
-Literacy and fluency in English sufficient to follow study instructions and likely to be able to comprehend the questionnaire.
-Ability and willingness to complete the study protocol.
EXCLUSION CRITERIA FOR CONTROL GROUP:
-A diagnosis of ocular surface disease made by a clinician.
-Ocular surgery or infection within 6 months of study enrollment.
-Pupillary, motility, convergence or accommodative ocular disorder judged by investigator to have potential to negatively impact ease of near and intermediate binocular visual function
-Inability to obtain appropriate consent.
-Allergy or sensitivity to any medication used in study.
-Monocular vision (legal blindness in one eye) or subject has a situation or condition, which in the investigator's opinion, may put the subject at a significant risk, may confound the study results, or may interfere significantly with the participation in the study.
-Systemic anxiolytics or antidepressants.
-Uncontrolled systemic disease.
-Active ocular disease other then ocular surface disease.
-Any disability preventing timely, efficient completion of writing or keyboarding tasks.
-Incapable of providing informed consent