Pupillary Pathways

Better Target Dry Eye with Three Easy Tests

Posted by Amanda Dexter on Dec 27, 2016 12:09:00 PM
Amanda Dexter
Dr. Amanda K. Dexter received her optometric training at Southern California College of Optometry in Fullerton, California, where she was Class of 2010 Valedictorian. She also completed a residency in Primary Care and Ocular Disease at the Veteran's Affairs Hospital in San Diego, California. Dr. Dexter is the Manager and Program Coordinator for OptoPrep, the premiere online study resource for the NBEO Part I & II.

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We all know that there are many different signs, symptoms, causes, and treatments for dry eye syndrome. What tests do you feel are the most important when evaluating a patient that present with complaints that are likely caused by ocular surface disease?

Most clinicians will stain with sodium fluorescein, looking for SPK and measuring TBUT. It is also common for ODs to apply pressure to the lids to check for meibomian gland disease, when evaluating their dry eye patients. Do you check for such things as lid wiper epitheliopathy, or measure tear osmolarity, or determine the presence or absence of ocular surface inflammation?

This article provides an in-depth look at how to add these three steps to your examination of dry eye patients to better help determine the cause and appropriate treatment for each individual.   Go read the full article from reviewofoptometry.com.

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