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Dry eye
- 27. Symptoms of Ocular Surface Disease Current Triggers of Dry Eye Disease Environment Medications Contact Lens Surgery Rheumatoid Arthritis Lupus Sjögren’s Graft vs Host Postmenopause Meibomian Gland Disease Inflammation Tear Deficiency/ Instability Irritation
- 42. Dry eye diagnostic tests Type of evaluation Test Tear secretion Schirmer I,John”s test, cotton thred test, Dye clearance test, Fluorophotometery Tear stability Invasive BUT- NoninvasiveBUT Tear film integrity Epithelial integrity Rose bengal staining Physical feature Osmolality , PH, Ferning evaporation rate Chemistry Electrolytes, Protein(lysozyme, lactoferin) Histology Imperssion cytology, lacrimal gland biopsy, minor salivary gland biopsy
- 53. Tear film osmolarity Lacrimal gland disease Decreased corneal sensation Increased palpebral fissure Meibomian gland dysfunction Decreasde sensation Increased evaporation Increased tear osmolarity
- 56. Tear film osmolarity Condition Expected range of value Normal < 312 mosm/l Borderline dry eye 312- 323 mosm/l Moderate/severe dry eye > 323 mosm/l
- 107. artificial tear spray Less chance of contamination . Tears Again Liposome spray (10cc) ($15) ( occusoft) Natures Tears Eye Mist (10cc) ($7) (all scripts)
- 122. Never walk on the traveled path, because it only leads you where the others have been. Graham Bell