METHODS: OSDI validation studies were identified through a PubMed / MEDLINE and Google Scholar search spanning the 27 years since the establishment of the OSDI, using the broad term "Ocular Surface Disease Index-12 questions" and keywords that is "ocular surface disease index-12," "translation and validation," "transcultural validation," "development," "cross-cultural adaptation," and "reliability and validity." We included original studies that validated the translated version of the OSDI in various languages, presenting the key findings with a focus on reliability and repeatability outcomes.
RESULTS: Thirteen full-text articles were thoroughly reviewed, including those identified through targeted keyword searches and the reference lists of these studies. The papers examined the translation of the English version of the OSDI-12 questionnaire into nine languages: Italian, Arabic, Chinese, Chilean Spanish, Japanese, Filipino, Farsi, Bahasa Melayu, and Brazilian Portuguese. Key details regarding the development, translation, and validation phases were summarized. Most of the included studies adhered to standard guidelines throughout the translation process to create a final version of the OSDI questionnaire. This was followed by clinical validation of the final translated version. The majority of the translated versions were assessed for internal consistency, reliability, test-retest repeatability, and discriminant validity.
CONCLUSIONS: The original English version of the OSDI was translated into validated versions to achieve a final version in nine different languages. The majority of the translated versions demonstrated high reproducibility and reliability. The different language versions of the questionnaire removed language barriers in informing the eye-care community, evaluating DES, and assisting physicians in advising and managing their patients more suitably. Therefore, the validated versions of OSDI can be used as tools for clinical practice and DES research. Validating the OSDI questionnaire in various languages is essential to eliminate the language barrier in the assessment of dry eye disease.