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Dry eye
1.
Dry Eye
2.
Dry Eye Occurs when Inadequate
tear production Inadequate function Results in Unstable Tear Film and Ocular Surface Disorder.
3.
Tear Production Secreted by
the lacrimal glands Spreads over the ocular surface Drained the lacrimal canaliculi into the nasolacrimal duct
4.
Tear Film Lipid
Layer (meibomian glands) Aqueous Layer (lacrimal gland) Mucus Layer (goblet cells)
5.
Functions Anterior corneal surface
smooth & regular for refraction Prevents the drying of cornea & maintain the transparency of cornea Supply oxygen Medium for removal of debris & noxious irritants Lubricates the cornea eye lid interface
6.
KERATOCONJUNCTIVITIS SICCA Aqueous tear
production is insufficient to maintain normal tear film
7.
Causes Pure KCS Lacrimal Glands
alone are involved Primary Sjogren syndrome KCS associated with dry mouth
8.
Secondary Sjogren syndrome oTrauma oInfection oInflammation oHypersensitivity oAutoimmune oTumours
9.
Clinical Features Irritation Burning FB sensation Mucus
discharge Blurring of vision Pain
10.
Work Up History Examination Decrease marginal
tear strip Mucus strands & debris in the Conjuctiva Punctate epithelial erosion corneal filaments
11.
Investigations Tear Film breakup time Rose
bengal staing Shimmer test
12.
Treatment Tear substitutes
Mucolytic agents Topical retinoides
13.
“I did then
what I knew how to do.Now that I know better I do better”
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