Speed score dry eye: Free Evidence-Based ophthalmology Scoring Tool

DEWS II Standardized Evaluation • SPEED™

Dryness, Grittiness or Scratchiness

Sensation of sand in the eye

Frequency

Severity

Soreness or Irritation

General eye discomfort

Frequency

Severity

Burning or Watering

Stinging or excessive tearing

Frequency

Severity

Eye Fatigue

Tired eyes, especially after screen use

Frequency

Severity

Awaiting Assessment

Quantify symptom frequency and severity to determine clinical status.

Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

Clinical Utility

Screening for Dry Eye Disease (DED) in symptomatic and asymptomatic populations.

Longitudinal monitoring of symptoms following Meibomian Gland Dysfunction (MGD) treatment.

Identifying digital asthenopia and computer vision syndrome impact.

Validating subjective improvement in clinical trials.

How it Works

Scoring Logic

Domain	Scale	Description
Frequency	0 - 3	Never, Sometimes, Often, Constant
Severity	0 - 4	None, Tolerable, Uncomfortable, Bothersome, Intolerable

Clinical Cutoffs

Score 0–5	Asymptomatic / Normal
Score 6–7	Mild/Symptomatic (Lower threshold per Asiedu et al.)
Score ≥ 8	Moderate to Severe DED (Balanced threshold per Ramalho et al.)

Last Comprehensive Review: 2026-07-17

DEWS II Standardized Evaluation • SPEED™

Dryness, Grittiness or Scratchiness

Sensation of sand in the eye

Frequency

Severity

Soreness or Irritation

General eye discomfort

Frequency

Severity

Burning or Watering

Stinging or excessive tearing

Frequency

Severity

Eye Fatigue

Tired eyes, especially after screen use

Frequency

Severity

Awaiting Assessment

Quantify symptom frequency and severity to determine clinical status.

Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

Clinical Utility

Screening for Dry Eye Disease (DED) in symptomatic and asymptomatic populations.

Longitudinal monitoring of symptoms following Meibomian Gland Dysfunction (MGD) treatment.

Identifying digital asthenopia and computer vision syndrome impact.

Validating subjective improvement in clinical trials.

How it Works

Scoring Logic

Domain	Scale	Description
Frequency	0 - 3	Never, Sometimes, Often, Constant
Severity	0 - 4	None, Tolerable, Uncomfortable, Bothersome, Intolerable

Clinical Cutoffs

Score 0–5	Asymptomatic / Normal
Score 6–7	Mild/Symptomatic (Lower threshold per Asiedu et al.)
Score ≥ 8	Moderate to Severe DED (Balanced threshold per Ramalho et al.)

Last Comprehensive Review: 2026-07-17

SPEED Score (Dry Eye)

When to Use

Clinical Utility

How it Works

Scoring Logic

Clinical Cutoffs

Clinical Pearls

Interpretation Nuance

Racial & Age Statistics

The Evidence

Key References

In Recent Clinical News

SPEED Score (Dry Eye)

When to Use

Clinical Utility

How it Works

Scoring Logic

Clinical Cutoffs

Clinical Pearls

Interpretation Nuance

Racial & Age Statistics

The Evidence

Key References

In Recent Clinical News