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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